Occupational Nursing Health Promotion (Examples of Health and Medical…
Occupational Nursing Health Promotion
Examples of Health and Medical Surveillance
Conduct baseline assessments before exposure to hazardous substances, skin inspection records, skin health and exposure questionnaires, physical inspection.
Determine exposure limit values, medical examinations, respiratory questionnaire, spirometry, provide advice to employees.
Assess risk to employees from noise at work, take action to reduce the noise exposure, provide employees with hearing protection and information about the risks to their health.
Identify hazards, decided who might be harmed and how, evaluate risks and decide on precautions, recording and implement findings and review when necessary.
Health Surveillance encompasses the processes of systematically watching for early sings of work-related ill health in those exposed to certain health risks.
It includes ethical requirements such as the purpose of collecting personal information and how this is stored, there is a need to ensure tests and examinations are actually necessary and can be justified,
It is a legal requirement by WorkSafe.
Occupational health surveillance usually encompasses periodic clinical screening and medical examinations
Ethical Tensions and Health Promotion
Costs and Priorities - All health promotion measures have disadvantages including cost, as some people may not be able to access any of the proposed measures.
Cultural Differences - Not everyone holds the same views and different cultures may place greater priorities on some values than others.
Values - Those undertaking health promotion activities may often feel pulled in opposing directions in response to differing key ethical values.
Maori Ethics and Health Promotion
Manaakitanga - The acknowledgment and respect for all things Maori for example beliefs and cultural practices.
Kaitiakitanga - Guardianship and protection of cultural resources such as language.
Whakapapa - Identity-centered approach requiring the understanding that wellbeing includes the links between physical and social environments.
Whakawhanaungatanga - Recognises whanau structures and the potential of this to promote good health.
Ethics and Health Promotion
Within New Zealand, ethical foundations surrounding health promotion arise from The Treaty of Waitangi, Maori worldview and ideas in western thinking.
Ethics ensures healthcare professionals are meticulous in reasoning and ensures advocacy of interventions on the basis of facts as opposed to beliefs.
Ethics provides a basis for decision making and assists in the challenges often faced when deciding what may be the right thing to do.
Health promotion is the process by which people are enabled to increase control over and improve their health.
New Zealand health promotion's context encompasses the inclusion of Maori health models, Maori world views and incorporates the goals of enabling people to improve their health through all dimensions including spiritually.