S. Tziaferi. President FOHNEU Assistant Professor in Community Nursing Dep. of Nursing University of Peloponnese

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S. Tziaferi President FOHNEU Assistant Professor in Community Nursing Dep. of Nursing University of Peloponnese

Occupational Health (OH) Occupational health has been described as the 'promotion and maintenance of physical and mental well-being of all staff', by concentrating on the provision of a safe and healthy workplace where the welfare of staff is a major factor Risk assessment Risk management Prevention Protection of vulnerable people Reinsertion after injury or illness Health promotion

Occupational Health Nursing (OHN) Occupational Health Nursing aims at securing the health, safety and well-being of the workforce. This is achieved through assessing, monitoring and promoting the health status of the workers, and developing strategies to improve the working conditions and the total environment (www.fohneu.org)

Europe and the EU 28 members Framework Directive European Directives European Guidelines European Standards

FOHNEU The Federation of Occupational Health Nurses within the European Union is a nonprofit making organization. The Federation was founded on March 21st 1993 in the United Kingdom. FOHNEU was registered on June 27th 1996 in Brussels, Belgium. Registration No. 14230-96

Aims 1. To contribute to the total health, safety and well-being of the European working population 2. To raise the profile of Occupational Health Nursing within the European Union 3. To promote European training, education and standards for professional qualifications 4. To encourage research into areas of occupational health practice, education, management and service provision with appropriate dissemination and publication of results 5. To maintain an open dialogue with the EU organizations responsible for health and safety, public health and EU nursing authorities

Members / representatives / delegates

National Representatives FOHNEU collective membership shall be open to all Occupational Health Nurse, (OHN), Associations or OHN Groups within the European Union. Each Association or Group shall be entitled to send two (2) delegates to the FOHNEU Board Meetings. Observer States

Hanasaari Model The Hanasaari Conceptual Model for Occupational Health Nursing

Core Curriculum The work and interaction of an OHN Planning an OH service Administration and organizations Health promotion Evaluation and development of an OHS to find out the conditions under which OHNs are educated and practice within EU, as well as the extent to which the Core Curriculum developed by FOHNEU has been implemented so far, and compare findings with previous surveys conducted by FOHNEU

Education and Research of Occupational Health Nursing in the European Union Survey results 2012 (P. Sourtzi et al, 2012) Method: Questionnaire based on an existing one (Sourtzi 1992, FOHNEU 2004) with new information based on board members suggestions. Sent by e-mail to all FOHNEU members, official and observers. Completed questionnaires were also received electronically

Undergraduate education Undergraduate nursing education still diverse although there is a tendency to upgrade at university degree level 12 countries have included OH in undergraduate nursing education and two as an option in community/public health Content and length of study as well as clinical practice vary and are not comparable

Post-graduate/specialized education Specialized education has developed since 2004 11 countries reported that already have specialized education for OHNs, mostly at postgraduate diploma level and two more plan to start soon Two countries have only multidisciplinary MSc in OH&S Possibilities for MSc/PhD also exist in some countries There are also four countries that have included OH as part of other specialisations, such as community/public health nursing

OHN specialization Length of study has increased significantly since 2004 and varies from 6 months to 2 years full time. In most countries practice in the field accounts for 50% of the time. Content is wide (next slide) but in most programs the Core Curriculum content is included.

OHN specialization content I In all programs are included: Health promotion and health education Prevention policies at the workplace Environmental surveillance and health protection Emergency care at the workplace

OHN specialization content II In almost all programs are included: Health assessment and surveillance Occupational Epidemiology Organisation and Administration of OH Services Risk assessment methodology

OHN Status in EU Member States 2005-2012 Final Results (J. Staun, 2012) Approx. number of OHNurses in country 12000 10000 8000 6000 4000 2000 2005 2009 2012 0 Year Belgium Denmark Finland France Germany Greece Hungary Ireland the Netherlands Portugal Romania Spain Sweden UK 2005 850 80 2400 5000 N/I 100 N/I 200 1200 600 N/I 11000 1300 4000 2009 N/I 95 2355 5000 1500 100 3500 200 1000 650 N/I N/I 1200 7500 2012 800 150 2355 5000 N/I 100 2646 200 400 300 N/I N/I 1200 3332

country Belgium Denmark France Greece Hungary Ireland Spain Sweden Turkey UK Barriers to perform/participate in research barrier professional recognition OHNs do not have tradition in performing independent research but many participate in research projects. Some OHNs do not have enough knowledge how to search for financial support to perform research varied resources and levels of collaboration with others in the multidisciplinary team place research out of reach of many OHNs funding, experience, support, competition with OHPs lack of research experience funding and time constraints, lack of resources financial resources and media lack of knowledge financial, time, legal permission, training support from employers

Conclusions There are positive changes from previous FOHNEU surveys - in undergraduate education - in postgraduate education The FOHNEU CC is being taken into account in most countries The practiced role of OHNs is linked to education The future of OHN education & research seems positive although there are problems in some countries

Latest News-Dusseldorf 2014 Highlights from the National Updates (www.fohneu.org) Belgium Croatia Denmark Finland France Greece Ireland The Netherlands Slovenia Spain Sweden

Official Partner of EU OSHA s Campaigns Official Partner to the Campaign 2012-2013 FOHNEU continues as Official Partner to the Campaign 2013-2014

ΕU-OSHA, 2012 Europe changes Variety in each member state Holistic common approach

ΕU-OSHA, 2012 New hazards Νew forms of work organization New industrial sectors New careers New influences into health of employers & employees

Barriers to confront new risks Country Belgium Denmark Finland France recognition of the profession Barriers in confronting them lack of knowledge and managerial experience & documentation, constant and fast changes lack of training and available resources Germany Greece Hungary Ireland Slovenia Spain reduced funding, lack of professional support, unclear prof. rights, inadequate legislation lack of information lack of resources, budget constrains, lack of legal requirements obliging them to deal with the risk, lack of training lack of resources and expertise to address and treat Sweden Turkey UK lack of support by mgt and colleagues recognition of the profession

ΕU-OSHA, 2012 Law Lack of surveillance SMEs Worker s participation Leadership Management

EU OSHA - Bilbao, 2013 World s largest occupational safety and health campaign closes following a record level of involvement Together with EU-OSHA s Europe-wide network of focal points, a record number of official campaign partners 87 companies and organizations took part in the campaign, which has been running since April 2012 and has encouraged employees and managers to work together to manage risks in the workplace The event also offered a preview of EU-OSHA s 2014 15 campaign, Healthy Workplaces Manage Stress, which will be launched in spring 2014. The campaign will continue the collaborative theme and apply it to managing work-related stress and psychosocial risks, the second most reported OSH problem in Europe

New challenges! Communication skills for employee and family Communication with management Organization skills Research Recording and statistics Occupational hygiene for old and emerging risks (physical, chemical, ergonomic) Psychology work related stress Occupational traffic accidents

www.fohneu.org Thank you for listening! Muchas Gracias!