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DOCUMENT RESUME ED 061 434 VT 014 916 AUTHOR Keller, Marjorie -; May, W. Theodore TITLE Occupational Health Content inBaccalaureate Nu. sing Education. INSTITUTION Public Health Service (DHE. Cincinnati, Ohio. REPORT NO PHS-Pub-2176 PUB DATE 71 NOTE 126p. AVAILABLE FROMSuperintendent of Docum nts, U.S.Government Printing Office, Washington, D.C.20402 (HE 20.2802N93; S/N 1716-0002; $1.25) EDRS PRICE MF-$0.65 HC-$6.58 DESCRIPTORS Achievement Tests; BachelorsDegrees; *conceptual Schemes; *contentAnalysis; Course Content; *Curriculum Evaluation;Educational Research; *Health Occupations Education; InserviceEducation; Masters Degrees; *Nursing ABSTRACT A 4-year project wasconducted at the'University of Tennessee College ofNursing to identify occupatonal health nursing content essential inbaccalaureate education forprofessional nursing. In the process ofdetermining content, a reviewof relevant literature was male, and atheoretical framework wasdeveloped which consisted of an integrationof Leavell and Clark'slevels of prevention approach to health care,and Maslow's hierarchy ofneeds personality theory. Thistheoretical combination resultedin 25 categories, each labeledwith a level of preventionand basic human need. Within each category,competencies needed by a nursein occupational health care wereidentified, and correspondingacademic content was identifiedand delineated intoeducational levels (baccalaureate, graduate, andinservice). The theoreticalframework nursing was then utilizedto assess the contentof one baccalaureate program. Data werecollected by observing classes over a3-year period, and a content analysis wasconducted. Findings revealedth t the theoretical frameworkprovides a method forstructuring the curriculum desired and thatthe methodology can beapplied to all aspects of the nursingcurriculum. In addition tocontent analysis items for an achievementtest were developedand a standardization process wasstarted. (SB) - IP I,, SCOPE OF INTERESTNOTICE The ERIC Facility hasassigned this document for pr. sing to: In our judgement, thisdocument is also of interest to theclearing- houses noted to the right.Index- ing should reflect theirspecial points of view. f Occupational Health Content in Baccalaureate NursingEducation Marjorie J. Keller, R.N., B.S. N. , M.S. Assistant Professor of Nursing and Principal Investigator The University of Tennessee College of Nursing in association with W. Theodore May, Ph. D. Associate Professor, Department of Psychiatry The University of Tennessee College of Medicine The work upon which this publication is based was performed pursuant to Contract No. PH-86-64-66-106 and PH 86-66-179 with the U.S. Public Health Service, Department of Health, Education, and Welfare.Contract Project Officer:Miss Mary Louise Brown,Chief Nurse, Bureau of Occupational Safety and Health, Public Health S ervice, Department of Health, Education, and Welfare. U.S. DF:PARTMENT OF HEALTH, EDUCATION, AND WELFARE Public Health Service National Institute for Occupational Safety and Health Cincinnati. Ohio U$. DEPARTMENT OF HEALTH, EDUCATION & WELFARE OFFICE OF EDUCATION THIS DOCUMENT HAS BEEN REPRO- DUCED EXACTLY AS RECEIVED FROM THE PERSON OR ORGANIZATION ORIG- INATING IT. POINTS OF VIEW OR OPIN- IONS STATED DO NOT NECESSARILY REPRESENT OFFICIAL OFFICE OF EDU- CATION POSITION OR POLICY. Public Health Service Publication No. 2176 Reprinted 1971 For sale by the Superintendent of Documents, U.S. Government Printing Office ashin- on, D.C. 20402 - Price $1.25 tock Number 1716-0002 ii FOREW ORD Nursing leaders have long recognizedthe significance and contribution, both real and potential, of occupationalhealth nursing as part of the nursingforce in this country.In 1963 an ad hoc committee phi-pointed the need forclarification of the essentials of occupational health nursing inrelation to the baccalureate nursing curriculum. Steps initiated bythe committee led to the study herein described. The project was conducted with an openand investigative approach.Its course was influenced throughoutby the dynamic nature of nursing itself and thesignificant changes occurring in the health field during the yearsof its activation. These influences are reflected in thedelineation of the role of the occupational health nurse and in theresulting framework for curriculum study and des ign The focus of the project as completedextends beyond the occupational health setting. As interest andconviction have grown regarding the scope and significance ofcomprehensive health planning and care, so nursing, with otherhealth professions, has moved from restricted settingsinto broad community focus. This then is the base,in education and service,from which this study is derived. And thisis the core,with its changing concepts of health and health practice,which has shaped its methodology and findings. The project is itself a beginning step, reflecting asit pro- gressed the changing currents of our time inprofessional education and service.It is our hope and belief that theframework and methodology, and the subsequent fthdingsand recommendations, will form a sound base for continuing studyand implementation destined to strengthen both nursing educationand nursina practice. Julia Dupuy Smith Project Director Professor of Public Health Nursin College of Nursing The University of Tennessee (*Now retired) iii PREFACE This manual presents a methodology foridentifying specific content in a curriculum. It further presentsthe utilization of this methodology in delineating the occupationalhealth nursing content in baccalaureate nursing education and suggestsits application to graduate education. The process and contentshould be of value to individuals concerned withnursing education and nursing practice. In each chapter the processes involved areclearly described, and the relation between process and contentisdelineated. A theoretical framework is presented utilizing anintegration of a theory from public health and a theory frompsychology.Pertinent literature is reviewed, competencies andcontent for occupational health nursing are identified,and realistic immediate and long term recommendations for leaders in nursingeducation and for practicing occupational health nurses are made. Ruth Neil Murry, Dean College of Nursing The University of Temlessee ACKNOWLEDGMENTS The Principal Investigatoracknowledges with appreciation the cooperation, assistance, andpatience of The University ofTennessee College of Nursing facultyand students.Speciax acknowledgment goes to Dean RuthNeil Murry; Julia D. Smith,?roject Director; W. T. May, Ph. D. ResearchConsultant; and the members ofthe Fac- ulty Advisory Committee,Mary Morris, MargaretAnn Newman, and Ruth Bryce. Spec ial Recognition goes to the secretarialpersonnel in- volved in the typing andclerical dccails necessary tocomplete the project Appreciation is alsoexpressed to the staffof the Mooney Memorial Library at TheUniversity of TennesseeMedical Units for their unfailingcooperation.Valuable assistance wasalso pro- vided by the librarians atSouthwestern-at-Memphis, MemphisState University, and Memphisand Shelby CountyPublic Libraries. Particular acknowledgmentis made for thecontributions of Mary Louise Brown,Chief Nurse, OccupationalHealth Program, who served as ProjectOfficer.Without her interest,efforts, and support there would nothave been a project.The contributions of Jane Lee andRuthReilschneider,Nurse Consultants, andLorice Ede, Program Editor,of the OccupationalHealth Program in reviewing and making recommendationsregarding the content aregratefully acknowledged. In addition, theproject personnel and FacultyAdvisory Committee wish to recognize theinterest and assistanceof the members of the project's ad hoc OccupationalHealth Committee: BettyByers, Anita Harris, Jean S. Felton, M.D.,and Harold Magnuson,M.D.; and the members of the project's adhoc Nurse EducatorsCommittee: Ruth Bryce, Mary Morris,Margaret Shetland,and Catherine Tinkham. v_. ACKNOWLEDGMENTS (Continued) Credit goes to E. E. Cureton, Ph D for his encouragement and consultation in the standardization of the achievement test in occupational health nursing.Acknowledgment is extended to the National League for Nursing Testing Service and Educational Testing Service, Incorporated, for their Lnstruction in item writing. Appreciation is also expressed to the faculty and students of schools of nursing taking part in the testing aspect of the project. These included _Fiac ific Lutheran University, University of Wyoming, University of Iowa, University of Texas, Florida State University, Texas Woman's University, Indiana University, Northeast Louisana State College, San Diego State College, California State College at Long Beach, Tuskeege Institute, College of St. Teresa, University of Tennessee, Marymount College, Anila College, Duke University, University of Maryland, Goshen College, Brigham Young University, Northwestern State College, Ohio State University,University of Washington, Arizona State University,Catholic University of America, GustavAis Adolphus College, and University of California at San Francisco. Thanks are due to :thany other groups and individuals, too nu emus to mention, who contributed knowingly and unknowingly. M. Keller viii THE THREE BEST THINGS WORK Let me but do my workfrom day to day, In field or forest, at desk orloom, In roving market-place ortranquil room; Let me but find it in myheart to say, When vagrant wishes beckon meastray, "This is my work; my blessing, not mydoom; "Of all who live, I am the only oneby whom "This work can best be