I never learned much about unions in my training as an occupational health nurse. so I'I'e had to learn on the j ob." TI is is a common sentiment voiced by occupational health nurses. In reality, there are many things occupational health nurses must learn on the job that were never taught in school. However. the many occupational health nurses intervie wed in the preparation of this article believed understanding how to work with union s is so critical that it needs to be integrated into more education programs for occup ational health nursing. This article presents elements to enhance education for occupational health nursing, including an explor ation of the range of different ways occupational health nurses work with labor unions ; background information about
Using a different test (number of spinning phrases chosen and the Beck Depression Inventory) and sample (201 undergraduates), data confirmed an observation by Thomas and Duzynski, as chosen spinning phrases were correlated with prior suicidal ideation. However, the numbers of phrases were not correlated with depression scores.
The following describes the structure of our clinic, how we got started, what we do, and how that has worked out with the Kellogg Foundation.Originally, in 1979 before I was there, a group of volunteers set up a clinic, which was based out of the employee health center and called the Workers Clinic. This group was, by its nature, interdisciplinary. It included doctors, health educators, industrial hygienists, people from labor, and people from the legal profession. They began the clinic in response to a perceived need in the community. After they were in operation for a while, they began to realize the need for institutional support-some kind of funding to really do the job well. A grant was written at that time; Kellogg responded and funded a multidisciplinary program starting in 1982. The original funding period ran from 1982 through 1985. Basically, they wanted to take aspects of a training program in place at the University of California and bring them together in a multidisciplinary setting, which would be our clinic. Some primary care community outreach was also built into the grant.Since that time, our program staff has consisted of staff physicians, attending physicians from other programs, an industrial hygienist, a health educator/ administrator, and an epidemiologist. We have been very successful in attracting other specialities to the clinic; e.g., dermatology, neurology, toxicology. Physicians from the State Health Department have also attended our clinic, which gives the residents and the other students a great deal of variety and perspective. We have ERC-funded residents who basically form the backbone of the clinic in terms of seeing patients. There is an occupational health nursing graduate program, which has an adult nurse practitioner track. These nurses rotate through our clinic on a quarterly basis, spending time seeing patients. Industrial hygiene students from the School of Public Health also have a rotation schedule with our clinic. Also available are health educators, epidemiology students, and other types of public health students, depending on our needs. In addition, we have a full-time epidemiologist on our staff, funded through grants; we have a full-time industrial hygienist; and of course, me-serving as administrator, nurse, and health educator. Patients are seen in our clinic three half-days a week, with all the people just mentioned participating during the clinic. The industrial hygiene students actually come in and learn about clinical medicine. They sit in on cases; they write industrial at SIMON FRASER LIBRARY on June 5, 2015 tih.sagepub.com Downloaded from
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