National Academies Press: OpenBook

Nursing, Health, and the Environment (1995)

Chapter: Index

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Suggested Citation:"Index." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"Index." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"Index." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"Index." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"Index." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"Index." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"Index." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"Index." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"Index." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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Suggested Citation:"Index." Institute of Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. doi: 10.17226/4986.
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INDEX 279 Index A top 10 hazards list, 36-37 Absenteeism and workdays lost, 29 Agricultural chemicals, see Fertilizers; Accreditation of nursing programs, 18, 72, Pesticides 99 Air quality and contamination, 16, 24, 25, Active listening, 46, 66 26, 28, 34, 147 Activism, 17, 49, 256-258 Allergies and allergens, 28, 41 Advanced practice nurses (APNs), 19, 20, American Association of Colleges of Nurs- 42, 54, 56, 71-72, 74-75 ing (AACN), 65, 71, 74-75, 174 Advocacy American Association of Critical Care case, 5, 49, 63, 67, 254-255, 258 Nurses, 115 class, 5-6, 10, 48, 49, 51-52, 63, 66-67, American Association of Diabetes Educa- 132-133, 253-262 tors, 115 education and training, 6, 49, 66, 67, 97, American Association of Occupational 143, 258 Health Nurses (AAOHN), 51, 107, resources and references, 258-262 109, 117, 175 Age, 31, 33. American Board for Occupational Health See also Children Nurses, Inc. (ABOHN), 53, 54, 179 Agency for Health Care Policy and American Nurses Association (ANA), Research, 93 40-41, 51, 55, 76, 94, 99, 107, 109, Agency for Toxic Substances and Disease 174, 181 Registry (ATSDR), 46, 149-150, 155 Nursing Social Policy Statement, 48, 62 Newsletter, 77 American Nurses Credentialing Center priority health conditions, 34-35 (ANCC), 53, 54 teaching modules, 64-65, 86, 94, 150

INDEX 280 American Public Health Association occupational exposures, 18, 29, 231-232 (APHA), 51, 181-182, 262 radiation, 29, 31, 112-113, 138 Anesthetic gases, 137 Carbon monoxide, 3, 34, 226-227 Antineoplastic agents, 136 Cardiovascular disease, 30, 33, 233 Arsenic, 29, 36, 212-213 Carpal tunnel syndrome, 29 Asbestos, 16, 24 Case advocacy, 5, 49, 63, 67, 254-255, 258 Assault, see Violence Case Studies in Environmental Medicine, Assessment and referral, 5, 6, 39, 41, 62, 150 75, 77, 80, 131, 143,144, 243 Cataracts, 31 Assessment Protocol for Excellence in Centers for Disease Control and Preven- Public Health, 45-46 tion (CDC), 150-151 Associate degree (AD) programs, 19, 20, child lead screening recommendations, 71, 72, 73, 78, 79, 98, 146 34 Association of Community Health Nurs- invasive procedures recommendations, ing Educators (ACHNE), 71 135 Association of Occupational and Envi- research support, 109, 110 ronmental Clinics (AOEC), 65, tuberculosis control recommendations, 182-189, 262 136 Asthma, 3, 15, 28, 39, 147 Certification of nurses, 10, 53-54, 64, 95, 99 B Chemicals and chemical hazards, 2, 14, Baccalaureate degree programs, 6, 19-20, 23, 24, 25, 26, 28-29, 147 70, 71, 72, 73, 75-76, 78, 79, 97, 146 and genetic susceptibility, 31, 32 Back injuries, 29, 138 listings, 36-37, 212-229 Basic nursing education, 7, 19, 66, 71, in nursing, 46, 136-137 72-74, 77-79, 80-82, 98,146, 147 see also Carbon monoxide; Behavior and lifestyle, 8, 31, 71, 105 Lead and lead poisoning; Biological hazards, 2, 14, 25, 26. Mercury; See also Infectious diseases Pesticides Biologic sanctuaries, 34 Children, 15, 18, 33-34, 146 Birth defects, 17, 35 asthma among, 3, 28 Bloodborne Pathogens Standard, 94, 135, and lead poisoning, 3, 15, 33, 34, 147 136 CINAHL data base, 106 Bureau of Health Professions, 40. Class advocacy, 5-6, 10, 48, 49, 51-52, See also Division of Nursing, HRSA 63, 66-67, 132-133, 253-262 Burnout, 139 Clinical nurse specialists (CNS), 19, 54, 74, 75 C Clues Course, 86, 94 California Public Health Foundation Community health nursing, 17, 54, 75-76, (CPHF), 40, 41, 43, 63 78, 81, 97, 112-113 Campaign strategies, 257, 258 Community Partnership Initiative in Cancer and carcinogens, 16, 35, 147 Health Professions Education and in and children, 33, 112-113 Public Health , 89

INDEX 281 Community settings, 2, 13, 16, 17-18, 42, Division of Nursing, HRSA, 89, 92. 63 See also National Advisory Council for activism and advocacy, 5-6, 10, 17, 48, Nurse Education and Practice 49, 51-52, 63, 66-67, 132-133, Doctoral-level programs, 19, 112, 253-262 113-114, 116 clinics, 56, 135 Downsizing, 55 education and training for, 19-20, 47, Drinking water, 18, 25-26, 60, 61 66, 71, 146 risk communication in, 10, 46-47, 62, 66 E Computer-assisted instruction (CAI), Ecology, 2, 14 87-88, 100 Education, see Nursing education Computerized information resources, Educational Resources Center (ERC) pro- 199-207 grams, 77, 94, 114, 118, 155-158 Confidentiality, 52, 53 Educator and information provider roles, Conflict resolution, 47, 67, 256 16, 28-29, 31, 40, 41, 42 , 43, 46-47, Contest strategies, 257-258 52, 61, 62, 63, 64, 66, 132, 242, 254 Continuing education, 7, 11, 19, 64, 66, Elderly population, 16, 33 86-88, 95, 98, 100, 101, 132 Electromagnetic radiation, 112-113 Cost containment and control, 54, 55, 56 Emergency department nurses, 16, 135, Council on Education for Public Health 136, 139, 140, 147 (CEPH), 76 Emergency Nurses Association, 155 Credentialing, see Accreditation of nurs- Emergency Room Nursing Foundation, ing programs; 109, 110 Certification of nurses; Environmental compatibility, 70 Licensure of nurses Environmental Council of States (ECOS) Curricula, see Nursing education directory, 167-173 Cytotoxic drugs, 136 Environmental health, definition of, 2, 14 Environmental health and hazards, 2-4, D 14-15, 23-25, 239-242 Department of Health and Human Ser- classification of, 2, 25, 26, 27-28 vices (DHHS), 45, 152 as core function of nursing, 10, 13, Dermal exposure, see Skin exposure and 15-16, 39, 64 dermal absorption exposure limits and standards, 26, 132, Diagnosis, 39, 41, 42, 80 133 Dialysis facilities and procedures, 135, 137 nursing certification, 53-54 Diploma programs, 19, 71, 72, 73, 78, 79, in nursing education curricula, 75-78, 98, 146 79-85 Disadvantaged populations, 16, 28 priority areas, 34-35 Disasters, 133 see also Air quality and contamination; Disease clustering, 45, 66 Biological hazards; Disinfection, 135, 137 Chemicals and chemical hazards; Distance learning, 87, 95

INDEX 282 Food quality and contamination; see also under names of specific agencies Global environmental conditions; Fertilizers, 26, 60 Housing conditions; Fish, 16, 28-29 Mechanical hazards; Food quality and contamination, 13, 16, Pesticides; 27, 28-29, 147 Psychosocial hazards; Formaldehyde, 3, 34, 137, 218-219 Radiation; Fruit, 28, 29 Radon; Future of Public Health, The, 88-89 Reproductive health hazards; Risk communication; G Soil contamination; Gases, 3, 15, 34, 137, 222-225 Ultraviolet (UV) radiation; Generalist certification, 54, 71-72 Violence; Genetic factors, 31, 32 Water quality and contamination; Gerontology nurses, 15-16 Workplace environment and hazards Global environmental conditions, 4, 30-31 Environmental health history, 41, 43, Glutaraldehyde, 137 44-45, 55, 64, 263-270 Gopher servers, 205 training, 143, 146 Graduate nursing education, 19, 71, Environmental justice, 16, 143, 146, 257 74-75, 76-77, 78, 97, 146-147 Environmental/Occupational medicine Academic Awards, 158-159 H Environmental Protection Agency (EPA), Halothane, 137 3, 25, 152 Hazardous substances, see Chemicals and air quality standards, 26 chemical hazards drinking water standards, 25, 26, 34, 61 Hazardous waste sites, 3, 16, 25 Epidemiology, 46, 83, 90, 112-113, 143 Health care reform, 55-56 Ergonomics, 46, 90, 138 Health Resources and Services Adminis- Ethics, 5, 10, 51-52, 62, 63, 64, 67, 240, tration (HRSA), 92, 153. 258 See also Bureau of Health Professions; education in, 53, 80 Division of Nursing; in nursing research, 10, 53, 67 Maternal and Child Health Bureau; Ethylene oxide, 136, 220-221 National Advisory Council for Nurse Evaluation, 39, 42-43, 256 Education and Practice nursing education, 95-97 Healthy America: Practitioners for 2005, Exploratory Center Award, 117, 118 An Agenda for Action for U.S. Health Professions Schools, 69 F Healthy People 2000, 73-74, 103, 104, 116 Family health, 41, 43, 147 Heart disease, see Cardiovascular disease Federal agencies Heat waves, 4, 30 education support, 6, 92-94, 117 Hepatitis, 135, 230, 236 information resources, 64, 75, 93, 100, History-taking, see Environmental health 149-161 history research support, 8, 107, 109

INDEX 283 HIV (human immunodeficiency virus), International Commission on Occupa- 135, 136 tional Health (ICOH), 51, 191 Holistic perspective, 8, 13, 14, 104 International Council of Nurses (ICN), 51, Hospitals, 13, 72, 75, 134 65, 192 hazards in, 135, 136, 139 environmental health competencies, 62, Housing conditions, 3, 13, 16, 18, 27, 34, 131-133 147 Internet information resources, 199-205 Intervention, 15, 39, 41, 42, 43, 64, 105, I 256 Immune function disorders, 31, 33, 35 Interviewing skills, 46, 66 Independent practice, 19 Investigative role, 40, 41, 43-46, 63 Individual care, 13-14, 17, 18, 41, 42 Ionizing radiation, 29, 138-139 advocacy in, 5, 49, 63, 67, 254-255, 258 Indoor air quality, 26, 28, 34 J Infectious diseases Joint Commission on Accreditation of and global environmental conditions, Health Care Organizations, 139 30, 31 nursing hazards, 135-136 K occupational, 230-231 Kellogg, W. K., Foundation, 89, 92 Information disclosure, 52 Kidney dysfunction, 33, 35 Information resources and references, 10, 42, 47, 62, 64, 93, 100 L for advocacy practice, 258-261 Layoffs, 55 computerized, 199-207 Lead and lead poisoning, 3, 15, 16, 33, 34, general texts, 208-210 36, 39, 147, 214-215 nursing education, 6, 64-65, 80-82, 83, Legislation and regulation knowledge and 84-85, 86, 93, 100 promotion of, 5, 62, 132, 143, 144, organizations and foundations, 173-197 145, 146, 246 poison control centers, 175-179 nursing education, 72, 94 state agencies, 162-163 restricting nursing practice, 50, 75 topical listing, 197-199 Licensed practical nurses (LPNs), 134, 138 Ingestion, 24, 33, 36, 37 Licensure of nurses, 50, 53, 64 Inhalation exposure, 24, 26, 36, 37 examinations, 10, 18-19, 53, 73, 78, 95, Intensive care units, 137, 139 99 Interdisciplinary approaches education, 5, and required continuing education, 86, 95 11, 50, 65-66, 88-89, 90, 99-100 Lifting hazards, 138 nursing practice, 4-5, 10, 19, 44, 45-46, List servers, 203-204 48, 50, 62, 65-66 Liver dysfunction, 33, 35 research, 11, 65, 105-106, 113-114, 118, Local environmental agencies, 64, 65, 94 119, 120, 256 Local health agencies, 64, 65, 94

INDEX 284 Locality development, 256, 257 Educational Resources Center (ERC) Long-term care, 72, 134, 135, 138, 140 programs, 77, 94, 114, 118, 155-158 Love Canal, 17 National Institute of Environmental Lungs, see Respiratory function and dis- Health Sciences (NIEHS), 107, 116, eases 118, 158-160 National Institute of Mental Health, 93 M National Institute of Nursing Research Master's degree programs, 19, 71, 72, 74, (NINR), 93, 104, 107, 109, 115, 76, 113 116-117, 160 Maternal and Child Health Bureau, 93 National Institute on Aging, 93 Mechanical hazards, 25, 26 National Institutes of Health (NIH), Mediation, 6, 254, 256 93-94, 117, 160 MEDLINE database, 106, 206 National League for Nursing (NLN), 48, Melanomas, 31 50, 71, 72, 73, 89, 99, 194-195 Men, workplace injuries, 29 National Library of Medicine (NLM) Mercury, 28, 36, 137, 214-215 databases, 205-207 Methemoglobinemia, 32, 57, 60, 61 National Research Service Award Methoxyflurane, 137 (NRSA), 116 Model program development, 78-86, 99 NCLEX, see National Council Licensure Multidisciplinary approach, see Interdisci- Examination for Registered Nurses plinary approaches Needlestick injuries, 135, 136 Multimedia educational methods, 87-88, 99 Neighborhoods, see Community settings Neoplasms, see Cancer and carcinogens N Networking, 259 National Advisory Council for Nurse Edu- Neurotoxicity, 35, 147, 234-235 cation and Practice (NACNEP) , 92 Nightingale, Florence, 13, 49, 103 National Association of County Health NIOSH, see National Institute for Occupa- Officials Environmental Health tional Safety and Health Project, 150 Nitrates, 60, 61 National Board for Certification of School Noise, 13 Nurses, Inc. (NBCSN), 53, 54, 193 North American Nursing Diagnosis Asso- National Center for Environmental ciation (NANDA), 42 Health, 94, 154 Notes on Nursing, 13 National Council Licensure Examination Nurse anesthetists, 74 for Registered Nurses (NCLEX), Nurse-midwives, 74 18-19, 53, 73, 78, 95 Nurse practitioners (NPs), 19, 34, 42, 74, National Council of State Boards of 75, 76-77, 94 Licensing (NCSBN), 99, 194 Nurses' aides, 29, 138 National Institute for Occupational Safety and Health (NIOSH), 6, 34, 47, 107, 109, 117, 137, 150, 154-155

INDEX 285 Nursing education, 6-7, 14, 18-20, 55, Nursing homes, see Long-term care 69-72, 246, 247-249 Nursing practice, 4-6, 13-14, 40-41 accreditation of programs, 18, 72, 99 advocacy role, 5-6, 10, 40, 41, 42, 43, advocacy practice, 6, 49, 66, 67, 97, 47-48, 49, 51-52, 61, 62, 63, 66-67, 143, 258 80, 132-133, 242, 253-259 basic, 7, 19, 66, 71, 72-74, 77-79, 80-82, and changes in health care delivery, 19, 98, 146, 147 54-56, 63 for community settings, 19-20, 47, 66, competencies in environmental health, 71, 146 4, 5, 62, 131-133 competencies in environmental health, educator and information provider roles, 6, 69, 71-72, 78-79, 80-82, 84-85, 16, 28-29, 31, 40, 41, 42 , 43, 46-47, 98, 142-147 52, 61, 62, 63, 64, 66, 132, 242, 254 continuing, 7, 11, 19, 64, 66, 86-88, 95, environmental health as core of, 10, 13, 98, 100, 101, 132 15-16, 39, 64 course recommendations, 80-82, environmental health history-taking, 41, 83, 84-85 43, 44-45, 55, 64, 263-270 degree levels, 19-20, 72, 73, 98 ethics, 5, 10, 51-52, 62, 63, 64, 67, 240, environmental health content, 6, 7, 10, 258 18-19, 53, 70-71, 75-78, 79-85, as first contact point for health care, 1, 98-99, 143-145 15, 16 environmental health history-taking, hazards of, 29, 44, 46, 55, 134-140, 147 143, 146 interdisciplinary approaches, 4-5, 10, ethics, 53, 80 19, 44, 45-46, 48, 50, 62, 65-66 evaluation of, 95-97 investigative role, 40, 41, 43-46, 63 faculty development, 77, 89-92, 96, 98, reimbursement mechanisms, 14, 56, 75 99, 119 see also Advanced practice nurses; federal support and research, 6, 92-94, Assessment and referral; 117 Diagnosis; graduate, 19, 71, 74-75, 76-77, 78, 97, Evaluation; 146-147 Intervention; on hazards in nursing, 138, 147 Licensed practical nurses; interdisciplinary approaches, 5, 11, 50, Licensure of nurses; 65-66, 88-89, 90, 99-100 Nurse practitioners; and licensing examination, 53, 94, 97 Nursing process; model program development, 78-86, 99 Planning; prerequisites, 79, 83 Professional associations; and professional associations, 6, 11, 51, Registered nurses 73, 100, 101 Nursing process, 40, 41-43 resources and references, 6, 64-65, Nursing research, 7-9, 14, 19, 44, 80-82, 83, 84-85, 86, 93, 100 103-105, 133 state regulation, 72, 94 dissemination of, 11, 120 on violence, 140 ethics, 10, 53, 67 workplace hazards, 30, 138, 140 Nursing Education's Agenda for the 21st Century, 71

INDEX 286 funding sources, 8, 106-108, 115-117, Particulates, 3, 15, 34 118, 119 Pathways of exposure, 24 interdisciplinary approach, 11, 65, see also Air quality and contamination; 105-106, 113-114, 118, 119, 120, 256 Soil contamination; principle investigators, 8-9, 106, 108, Water quality and contamination 109, 111, 119 Pediatric nursing, 15, 34, 54, 80, 135, 140, professional development in, 11, 81, 85, 146 112-115, 116-117, 118-119 Pesticides, 3, 26, 28, 29, 34, 147, 226-229 program evaluation, 256 Pew Commission, 71, 92 study design and priorities, 9, 11, 110, Physical hazards, 2, 14, 25, 26 111-112, 119-120 see also Mechanical hazards; Nursing's Agenda for Health Care Radiation Reform, 70 Planning, 39, 41, 42, 256, 257 Poison control centers, 175-179 O Policy-level (class) advocacy, 5-6, 10, 48, Obstetrics and gynecology, 16, 137 49, 51-52, 63, 66-67, 132-133, Occupational hazards, see Workplace 253-262 environment and hazards Pollution, see Air quality and contamina- Occupational health nursing, 4, 16, 17, 50, tion; 54 Soil contamination; education in, 19, 76 Water quality and contamination Occupational Safety and Health Adminis- Polychlorinated biphenyls (PCBs), 28, 36, tration (OSHA), 161 222-223 Bloodborne Pathogens Standard, 94, Population-based practice, 17-19, 45, 74, 135, 136 89 research support, 109, 110 Practice, see Nursing practice standards for health settings, 135, 136, Prenatal care, 17, 31, 146, 147 137, 139 Prenursing education, 79, 83 Older persons, see Elderly population Prevention and preventive care, 13, 14, Oncology nursing, 16, 147 18, 39, 40, 42, 55, 56, 58-60 Oncology Nursing Society, 107, 115 education in, 70, 74 Organizations and foundations listing, and nursing research, 8, 105 173-197 workplace violence, 30, 140 and nursing education, 11, 92, 100, 101 Prisons, 135, 136 and nursing research, 8, 106, 107, 109 Professional associations, 40, 63, 64, 65 policy advocacy, 262 and interdisciplinary approaches, 48, 50, see also Professional associations; 65 and under names of specific organiza- listing, 173-197 passim tions and nursing education, 6, 11, 51, 73, Outpatient facilities, 135, 136 100, 101 Ozone depletion, 4, 30-31 state, 55, 65 toxic substance handling guidelines, 136 P see also under names of specific organi- Parent-child courses, 80, 146, 147 zations

INDEX 287 Project EPOCH-Envi, 150, 155 S Promotive nursing practices, 40, 56, 144, Satellite-based telecommunication, 87 254 School clinics, 94 Psychosocial hazards, 2, 15, 25, 26, 146, Seafood, 16, 28-29 240. Secondary care, 8, 42, 58, 60, 105 See also Violence Sentinel health events, 45, 62, 112, 143, Public health, 17-18, 39, 45-46, 50, 56, 94 144 education in, 19, 71, 72, 78, 89, 147 Shifts and work schedules, 139 funding, 55-56, 63 Sigma Theta Tau International (STTI), Public Health in America, 56 107, 109, 115, 196 Skin exposure and dermal absorption, 24, Q 36, 37 Quality of care standards, 55, 56, 64 and aging, 33 cancer, 29, 31 R Smoking, see Tobacco smoke and smoking Radiation, 28 Social action, 256-257 and cancer, 29, 31, 112-113, 138 Social planning, 256, 257 nursing hazards, 138-139 Soil contamination, 16, 24, 25, 147 see also Radon; Specialty courses and certification, 4, 19, Ultraviolet (UV) radiation 97, 146-147 Radon, 2, 3, 14, 34 State boards of nursing, 72, 94, 99 state contacts, 162-167 State Cooperative Agreements, 150 Referral, 5, 62, 64, 75, 77, 81, 143 State environmental agencies, 64, 65, 93, Registered nurses (RNs), 1, 2, 14, 53, 55, 94 134 listing, 167-173 education and training, 7, 18-20, 66, 73, State health agencies, 64, 65 98 listing, 162-167 injuries, 138 nurse employment, 94 Repetitive motion injury, 3, 15, 29 Sterilization procedures and chemicals, Reproductive health hazards, 16, 35, 146, 135, 136, 137 147 Stress, 55, 139 Research, see Nursing research Superfund sites, 3, 25 Resources, see Information resources and Supportive nursing practices, 40, 254 references Susceptibility, see Vulnerability and sus- Respiratory function and diseases, 30, 33, ceptibility 35, 233-234 Restorative nursing practices, 40 T Right to know, 52 Teleconferencing, 87 Risk communication, 5, 10, 46-47, 62, 66, Tertiary care, 8, 19, 42, 58, 60, 105 75, 77, 80, 143, 256 Tobacco smoke and smoking, 3, 15, 34, RNs, see Registered nurses 139, 147 Robert Wood Johnson Foundation, 92 Toxicology, 83, 88, 90, 143, 146 Routes of exposure, 24, 36-37, 143

INDEX 288 Toxic substances, see Chemicals and chemical hazards Training, see Nursing education Trauma nursing, 16, 147 Tuberculosis, 135-136, 230 U Ultraviolet (UV) radiation, 2-3, 4, 14, 31 Unlicensed assistant personnel (UAPs), 55 V Vegetables, 28, 29 Violence, 15, 28 in health care settings, 140 in workplace, 29, 30, 140 Vulnerability and susceptibility, 31-34 age as factor, 31, 33 genetic factors, 31, 32 W Water quality and contamination, 16, 24, 25-26, 27, 28-29, 60, 61, 147 Women health courses, 147 workplace injuries and deaths, 29, 30 Workplace environment and hazards cancer and carcinogens, 18, 29, 231-232 exposure limits and standards, 26, 137 infectious agents, 230-231 listing, 230-238 for nurses, 29, 44, 46, 55, 134-140, 147 violence, 29, 30, 140

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America's nurses, an estimated 2 million strong, are often at the frontlines in confronting environmental health hazards. Yet most nurses have not received adequate training to manage these hazards.

Nursing, Health, and the Environment explores the effects that environmental hazards (including those in the workplace) have on the health of patients and communities and proposes specific strategies for preparing nurses to address them.

The committee documents the magnitude of environmental hazards and discusses the importance of the relationship between nursing, health, and the environment from three broad perspectives:

  • Practice—The authors address environmental health issues in the nursing process, potential controversies over nurses taking a more activist stance on environmental health issues, and more.
  • Education—The volume presents the status of environmental health content in nursing curricula and credentialing, and specific strategies for incorporating more environmental health into nursing preparation.
  • Research—The book includes a survey of the available knowledge base and options for expanding nursing research as it relates to environmental health hazards.
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