What Is a Nursing Model and How Does It Apply To Occupational Health?

It is very important explain what is supposed via a ‘style’ as there are lots of other definitions. One of the helpful definitions is

“Some way for nurses to organise their occupied with nursing after which to switch that pondering into apply with order and effectiveness” McBain (2006)

Chang’s (1994) essential paintings on OH fashions states:

All of them supply a framework or conceptual style of OH nursing. However there are not unusual weaknesses in that they lack readability within the scope of OH nursing apply; lack a transparent definition of the OH nurse position; and absence empirical proof”

Newer fashions are the Centre for Nurse Follow Analysis and Building’s (CeNPRaD) style which emerged from a countrywide survey funded via the Nationwide Board for Nursing and Midwifery in Scotland (NBS) and used to be revised and up to date as CeNPRaD’s OH style 2005( McBain 2006). Additionally the Hanasaari style advanced to permit for flexibility in occupational well being nursing apply. It used to be devised right through a workshop at Hanasaari, Finland (1989) and has been used as a framework to expand the Occupational Well being Nursing Syllabus. It combines 3 basic ideas: overall surroundings; human, paintings and well being; and occupational well being nursing interplay (HSE 2005). This style used to be in large part attributed to Ruth Alston a significant contributor to the broadcast style in 2001.

A substantial amount of writings involved the governments creation of NHS Plus OH provider in 2001 together with tasks comparable to Place of business Well being Connection in 2006 (Paton 2007 p 21). This used to be an try via the then well being secretary Alan Millburn to increase and expand present NHS occupational well being departments to achieve out to employers of their communities, to handle the loss of OH provision recognized via the HSE in 2000, which estimated that handiest three% of UK employers have get entry to to occupational well being products and services (O’Reilly 2006). The opposite 97% now not lately having access to OH products and services come from the small and medium-sized companies (not up to 50 staff and not more than 250 staff) this being the marketplace to be addressed (Paton 2007).

O’Reilly (2006) identifies 3 vast teams of OH suppliers

1. NHS consultancies, which make use of OH physicians and their staff.

2. In-house OH departments typically nurse lead with hyperlinks to a multi-disciplinary groups.

three. Personal impartial sector.

The remaining team levels from impartial specialist corporations like myself, to primary operators comparable to Capita, Bupa, Atos Beginning and Aviva.

A structured manner is very important when putting in place a brand new provider or converting the point of interest of an present provider. Subsequently the nursing means of evaluation, making plans, implementation and analysis is a great instrument to reach luck (Kennaugh 1997,p 49)

A structured wishes evaluation must be performed to spot the real versus perceived wishes of the corporate (Harrington p336). This will likely act as a information in making plans learn how to put into effect the provider.

Issues to believe:

  • Corporate profile i.e. production, blue-collar, public sector, development. What hazards
  • What number of staff, form of control construction. Who’re the important thing stakeholders/resolution makers?
  • Inside/exterior forces, who do they make use of? Everlasting/seasonal group of workers?
  • Present products and services. What provision have that they had up to now? Is it a brand new mission?
  • What’s their working out of OH? What are previous absence price? Litigation prices?
  • The place does the corporate need OH division to be in five years time?

That is not at all conclusive, however will give an concept of which type of supply could be suitable and to what provider stage will also be agreed. This is able to vary from an in-house multi-staffed, purpose-built division servicing hundreds of staff, to at some point per week/month absence control or a one-off screening programme. There are a mess of diversifications between those extremes. This must be adapted to the corporate’s particular person wishes.

I might now like to take a look at the strengths, weak point, alternatives and threats (swot research) of differing supply fashions, specifically in-house and purchased in fashions.

In dwelling provider is administered inside the corporate and is slightly self-managed, made up of OH pros and gotten smaller specialties.


  • On web page to watch ongoing problems day-to-day if wanted.
  • Higher continuity of care, courting development with staff
  • Higher working out of ways the corporate runs and their priorities.
  • Higher sharing of data inside of corporate.
  • Higher OH presence

Weak spot

  • May well be top division operating price if now not used successfully
  • May well be remoted from evidence-based apply.


  • Skill to expand a various multi-disciplinary staff inside the OH division.
  • Higher talent to construct more potent hyperlinks with the broader control staff.
  • More straightforward to devise long-term objectives and techniques.


  • If now not appearing may well be outsourced.

Advert-hoc provider as and when wanted regardless that an occupational well being company, which may well be as soon as per week or a month or brief or long-term full-time.


  • Value affective, higher for small to medium corporations
  • Higher autonomy for the OH nurse.
  • Extra versatile to fulfill corporations wishes

Weak spot

  • Separating from shared wisdom inside of a OH staff.
  • Lowered continuity of care if now not observed common.
  • Laborious to devise rehabilitation systems for people
  • Not able to watch problems or put into effect adjustments briefly


  • To construct a well-managed proof founded provider.
  • Construct family members with native GP’s, physiotherapists, and so forth.


  • May just lack presence within the corporate
  • Laborious to precise the bigger position of OH
  • Might unfastened dedication from corporate if now not observed to fulfill wishes
  • OH would possibly simply be observed as overlaying H & S regulation. Fast repair.

On no account does this workout display the whole scope of problems highlighted despite the fact that differing fashions do wish to be deal with first for the luck of the occupational well being intervention.


McBain M (2006) This Years Style? Occupational Well being. 58(three) p16-19

Chang P.J.(1994) Components Influencing Occupational Well being Nursing Follow. Occupational Well being 58 (three) p17

HSE(2005) Applyomh Well being Fashions to 21st Century Occupational Wishes. Buxton.HSL

Paton, N (2007) A Image Of Well being? Occupational Well being. Vol 58; No 6. web page 21

O’Reilly (2006) Get admission to for all. Occupational Well being. Vol 58;No eight web page 20

Kennaugh A (1997) Putting in occupational well being products and services.’ In Oakley. Ok. Occupational Well being Nursing. London. Whurr. P49

Harrington J.M.(1998) Occupational Well being. 4th edn. London: Blackwell