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Nursing, Health, and the Environment (1995)
Institute of Medicine (IOM)

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. "4 Nursing Education and Professional Development." Nursing, Health, and the Environment. Washington, DC: The National Academies Press, 1995.

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Nursing Health, & Environment: Strengthening the Relationship to Improve the Public's Health
  1. Integrate environmental health content into existing prerequisite and basic nursing courses.

  2. Develop programs (e.g., faculty fellowships) to increase faculty knowledge and skills in environmental health.

  3. Develop model curricula that incorporate environmental health content.

  4. Identify and apply educational technology appropriate to the environmental health content and the student population.

Licensure and Certification Examinations

Recommendation 4.2: Environmental health content should be included in nursing licensure and certification examinations.

Rationale: Currently, basic nursing licensure and most certification examinations do not explicitly include environmental health content or questions.

Strategies for Achieving Recommendation 4.2:

  1. Develop environmental health test items for nursing licensure and certification examinations.

  2. Relay evidence of environmental health content in job expectations and educational programs to state licensing boards and the National Council of State Boards of Nursing (NCSBN).

  3. Advocate the inclusion of environmental health in standards for accrediting nursing education (National League for Nursing (NLN) and practice American Nurses Association (ANA).

  4. Nurses with expertise in environmental health should participate in advisory committees or boards for certification examinations.

Environmental Health Disciplines

Recommendation 4.3: Expertise in various environmental health disciplines should be included in the education of nurses.

Rationale: An interdisciplinary approach is needed to provide health care services required for health conditions caused by environmental factors.

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