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Biomedical subjects

D K Olson

Publications and source records attributed to D K Olson.

At least 19 recordsLinked to original sources

Use of the North American guidelines for children's agricultural tasks with Hmong farm families.

This literature review synthesizes available studies on Hmong agricultural practices, patterns of childhood growth and development of Hmong children in the context of injury prevention, and potential application or adaptation of the North American Guidelines for Children's Agricultural Tasks (Lee and Marlenga, 1999) for Hmong children working in the U.S. Data from qualitative interviews, focus groups, case studies, and surveys were collected, categories were determined, and themes were identified. Field tools and practices, gender roles, and reasons for farming were examined, as well as physical and cognitive development of Hmong children and Hmong parenting techniques to describe factors related to farm task assignment of children. Current agricultural practices of Hmong in the U.S. can be described as generally small-scale operations that use mainly hand tools, manual labor, and local direct-marketing techniques. Specific practices include thinning, weeding, and hoeing; carrying tools, buckets, or baskets; setting plant supports; and watering. Hmong children appear to be given greater amounts of responsibility at earlier ages than North American children. Hmong parenting practices, as would be used in task assignment, are somewhat more authoritarian-based and lead to psychosocial skills that are more group-oriented than individual-oriented. Hmong children were found to be shorter than children in the U.S. of the same ages. This review suggests that the NAGCAT cannot be literally translated and disseminated to Hmong farming families as an injury prevention intervention. Further information is needed about what farm tasks Hmong children do and how Hmong parents assign those tasks to children.

Accidents, Occupational↗

Agricultural health nurses. Job analysis of functions and competencies.

Agricultural health nurses address the health and safety issues of farmers, agricultural workers, and farm families. This nurse role incorporates both public health and occupational health nurse specialty practice. The purpose of this study was to describe agricultural health nurse job functions and competencies used in providing services to agricultural populations. A two round modified Delphi technique was used to attain a consensus among participants related to agricultural health nurse functions and competencies. In Round I, a mailed survey assessing demographic characteristics, and job functions and competencies was sent to an identified list of 61 nurses. A second mailed survey, with categorized job function and competency responses elicited through Round I, was sent to the 32 Round I respondents to assess the importance of the job functions and competencies and the frequency of performing each job function. Twenty four Round II surveys were returned. Job functions rated highest were: Serve as a liaison for the agricultural, health and medical, and nonfarm communities. Promote agricultural health and safety issues through the media. Implement educational courses for various groups. Conduct follow up assessment of injury, illness, or disease occurring as a result of an agricultural exposure. Function as a resource for information to victims of agricultural injury and illness and their families. The competencies of greatest importance were interpersonal communication skills, knowledge of injury prevention principles and measures, ability to recognize potential hazards within the work and home environment, and demonstrate a strong sense of self. This study adds to the body of knowledge needed to define the agricultural health nurse role.

Agricultural Workers' Diseases↗

Technology enhanced learning for occupational and environmental health nursing: a global imperative.

One strategy for decreasing the barriers to higher education and for increasing the competency and performance of the occupational and environmental health nurse in the information age is technology enhanced learning. Technology enhanced learning encompasses a variety of technologies employed in teaching and learning activities of presentation, interaction, and transmission to on campus and distant students. Web based learning is growing faster than any other instructional technology, offering students convenience and a wealth of information.

Computer-Assisted Instruction↗

The impact of educational research centers on occupational health and safety alumni competence. A program evaluation.

1. A 10 step method for program evaluation can be used to evaluate the success of a program in meeting its major goals and objectives. This evaluation examined the 20 year impact of the Midwest Center for Occupational Health and Safety, a NIOSH supported Educational Research Center, on its alumni. 2. The majority of alumni (89%) reported the primary focus of their work after graduation was the provision of occupational and environmental health and safety products and services--consistent with the legislative intent of Educational Research Centers (ERC). 3. Alumni reported the most highly valued ERC products and services included interdisciplinary interactions during and after graduate school, research training, and the presence of the ERC as a regional focal point for occupational health and safety graduate and continuing education. 4. The program evaluation design and survey instrument employed in this study are recommended for adaptation by other ERCs or educational programs faced with the challenge of providing evaluation data with minimal resources.

Academies and Institutes↗

Form follows function. Occupational health nursing as a member of the management team.

Role, often designated by a given title, e.g., manager, has been one of the most common means of defining occupational health nursing practice. A function based model provides an opportunity to reframe the occupational health nurse as a member of the management team. This descriptive study characterized the functions of a random sample (40%) of members of the American Association of Occupational Health Nurses from eight Midwestern states (463) in 1994. With a 78% response rate, the most frequently performed function for all respondents was "evaluate status of employees returning to work after absence" (68%). The relative frequencies for functions performed by the associates degree nurses were very similar to those for diploma nurses (r = .889 based on a perfect relationship value of 1). Subjects with baccalaureates in nursing performed more educational programming than subjects with non-nursing baccalaureates who performed more frequently in a policy area. Type of masters preparation represented different functional activities. The department to which the respondent reported affected functions. Reviewing function by salary level revealed a linear relationship with certain functions by frequency. To facilitate the investigation of the role construct based on functions, the researchers conducted a principle components analysis of the data. Four principle components were found representing groups of functions that tended to be performed by the same sets of respondents. The functions in each component tended to cluster around common skills as defined by Hersey (1988).

Adult↗

Credentialing. Concerns and issues affecting occupational health nursing.

1. Mechanisms for credentialing affecting occupational health nursing include licensure and certification of individuals and accreditation of educational and health care organizations. 2. Issues of control of entry into practice, geographic mobility, and whether licensure will be single or two tiered, national or institutional, are currently under debate. 3. The purpose of certification is to acknowledge the individual and assure the public that the individual has mastered a body of knowledge of a particular specialty. 4. The purpose of accreditation is to evaluate the performance of a service (i.e., education or health care) and to provide consumers of that service necessary information on which to base decisions on use of the services. 5. Occupational health nurses must participate actively in the process of credentialing clarification and reform to be prepared to advance the specialty and respond to the health care needs of the working population in the 21st century.

Credentialing↗

Health care worker incidents reported in a rural health care facility: a descriptive study.

About eight million workers, or 6.4% of the total United States work force, are employed by the health care industry. Frequency of injury has continued to rise from 6 per 100 full time workers in 1980 to over 10 in 1992 (US Department of Labor, 1994). This descriptive, retrospective study characterizes host, agent, and environmental variables for 120 incidents reported in 1990 at a rural nursing home and acute care hospital with 290 employees. Incident is defined as an event that results in injury or has the potential to result in an injury. Based on an estimate of full time equivalents (190.4 FTE) calculated at 9 months, the incident rate per 100 FTEs was 63 for this facility. Injury was reported in 114 incidents, resulting in an overall injury rate per 100 FTEs of 59.9. Sprains and strains were the most frequently reported nature of injury followed by cuts, lacerations, and punctures. Female and male workers reported similar proportions of incidents. At midyear, 85% of the employee population was female, 15% male. Females represented 83.3% of the subjects reporting incidents; males represented 16.7%. These data from a small rural facility differ from many of the findings on the injury experience of health care workers reported in the literature.

Accidents, Occupational↗

Identifying sources of disease in agriculture: a role for occupational health nurses.

1. Agriculture is one of the most hazardous industries in the United States, vying with mining and construction as the industry with the highest work fatality rate. 2. Over 40% of Midwestern farm operators also work off the farm. Understanding the disease risks of farming can help the occupational health nurse provide comprehensive care to these dual workers. 3. Sources of disease in agriculture may be physical, chemical, biological, or psychosocial in nature. 4. Effective strategies in the control of agricultural hazards include engineering modifications, use of personal protection products, and educational efforts.

Agricultural Workers' Diseases↗

Crafting strategy: a constituency plan for the future.

1. The difference in planning and crafting strategy is the level of involvement in the process. It is the crafting of strategy that requires the involvement of state and local constituencies. 2. Creating vision enables constituencies to clarify and realize what they really want, independently of what presently seems possible at the state or local level. 3. By developing an ideal reality or vision first, a bridge can be built between the current and desired organization without loss of purpose. The purpose of the organization is defined by AAOHN's Mission Statement. 4. The bridge is built by using a decision making process similar to the nursing process.

Humans↗

Pesticide poisoning surveillance through regional poison control centers.

The purpose of this study is to describe pesticide exposure in the population of callers to Minnesota Regional Poison Centers. Case files from 1988 reporting pesticide exposure to humans were identified in cooperation with the Minnesota Center for Health Statistics. Data analysis was conducted by computer using SAS statistical package. Of the 1,428 case files indicating pesticide as the primary substance of exposure to Minnesota residents, a mean age of 5 years (range, one month to 85 years) was identified; 50 percent of all cases were below age 3 years. Males accounted for 1.3 times as many cases as females. Insecticide was identified in the largest percentage of case files (74 percent) followed by herbicide (12 percent), rodenticide (11 percent) and fungicide-nonmedicinal (3 percent). Ingestion was the most common route of exposure; 85 percent of all calls originated from a residence. While insecticides are still the most common types of pesticide call, herbicide has surpassed insecticide in production and sales in the US. In this study, herbicide type exposure calls present a much different picture than other pesticide types. The usefulness of poison control centers for examination of pesticide poisoning is explored. Since reporting occurs coincidental with the exposure and its associated symptoms, each pesticide poisoning report could potentially serve as a true sentinel health event.

Adolescent↗

Minnesota workplace drug testing. Analysis of policy and procedures.

1. An employer's decision whether to drug test or not was found to correlate with the size of the company and how extensively the employer perceives a drug abuse problem exists among its work force. 2. A company's drug testing program must be designed, implemented, and evaluated within a medical-legal framework. This includes issues of: confidentiality, employee actions that trigger a drug test, the presence of a drug and alcohol policy, communicating the program to employees and unions, the employee's rights, the consequences of an employee's positive drug test, and the procedures to be followed when collecting a specimen. 3. Future studies need to explore the issue of dealing with job performance problems; in particular, the cost and effectiveness of employee drug testing vs. the use of discipline alone.

Data Collection↗

Asbestos review and update.

Concurrent with the widespread use of asbestos in buildings were noticeable increases in the incidence of certain types of lung disease and cancer among workers who mined, milled, manufactured, and applied asbestos containing products. OSHA and EPA initiated efforts to reduce exposure to asbestos in 1971 and 1973, respectively. The approach taken by these agencies can best be understood through knowing the epidemiology of asbestos. The role of the occupational health nurse is centered around prevention of exposure to asbestos by educating employees on the risks of exposure, implementing engineering controls, and enforcing OSHA standards.

Asbestosis↗

Pesticides and their control.

1. Pesticides account for a small but important number of acute human poisonings. 2. When considering interventions for pesticide poisoning in the workplace, interaction may occur on a continuum from a one-to-one encounter to planning or educating in the context of the aggregate. 3. Occupational health nurses need to be aware of the potential harm inherent in human exposure to pesticides and to be prepared to initiate intervention strategies at all phases of injury--pre-event, event, and post-event.

Health Education↗

Incidence, prevalence, and variables associated with low back pain in staff nurses.

The morbidity, lost work time, and interference with effective work due to low back pain are markedly underestimated when only employee health service data are used. Injured subjects averaged more years of generic, orthopedic, and rehabilitation nursing experience than the non-injured group. Of the studied nurses who experienced work related low back pain within the past 6 months, 78% did not report it to management. More attention should be given to adequate staff availability for shared lifting activities, better design and use of mechanical lifting aids, and further research in how to safely perform tasks from the side of the bed.

Adult↗

Traumatic amputations in the workplace.

The purpose of this study was to identify variables associated with traumatic amputations in the workplace. Case files of work-related amputations in Minnesota during 1977 were accessed in cooperation with the Workers' Compensation Division of Minnesota. Data analysis was conducted by computer using the Statistical Package for Social Sciences. Of the 109 amputation cases, a mean age of 31 years (range 16 to 80) was identified; 50% of all cases were below the age of 25 years. By gender, males accounted for five times as many cases as females. Operatives incurred the largest number of amputations (40%); yet, they account for only 14% of the total work force. Manufacturing accounted for a majority (43.4%) of the traumatic amputations while including only 18 percent of the work force. Prevention strategies employed subsequent to the injuries included: training only (32.1%), engineering controls (10.1%), and mixed strategies (3.0%); further analysis revealed that although application of passive controls to the specific source (eg, machine) of the injury would have been most appropriate, training was frequently the only intervention incorporated. Recommendations, including Haddon's strategies for prevention and control of amputations are presented.

Accidents, Occupational↗