A 2012 American Association of Occupational Health Nurses, Inc. (AAOHN) web-based membership survey of 5,138 members was designed to identify occupational health and safety issues facing members. A total of 2,123 members responded to the survey (41% response rate). Of the AAOHN members who responded to this survey, 61% reported health risk appraisal (HRA) priorities for 2012. HRA priority areas are identified among various subgroups of the AAOHN responders in this article. The top three HRA priority areas identified were weight management/nutrition/healthy eating, physical activity, and mental health/stress management. These priority areas were consistent across three industry sectors, three occupational health nurse job titles, and the smallest and largest employers. These results suggest that occupational health nurses should consider prioritizing their employee wellness efforts in these areas.
References
1.
AldanaS. G. (2001). Financial impact of health promotion programs: A comprehensive review of the literature. American Journal of Health Promotion, 15(5), 296–320.
2.
AndersonL. M.QuinnT. A.GlanzK.RamirezG.KahwatiL. C.JohnsonD. B.KatzD. L. (2009). The effectiveness of worksite nutrition and physical activity interventions for controlling employee overweight and obesity: A systematic review. American Journal of Preventive Medicine, 37(4), 340–357. doi:10.1016/j.amepre.2009.07.003
3.
BaickerK.CutlerD.SongZ. (2010). Workplace wellness programs can generate savings. Health Affairs, 29(2), 304–311.
4.
BerryL. L.MirabitoA. M. (2011). Partnering for prevention with workplace health promotion programs. Mayo Clinic Proceedings, 86(4), 335–337. doi:10.4065/mcp.2010.0803
5.
BerryL. L.MirabitoA. M.BaunW. B. (2010). What's the hard return on employee wellness programs?Harvard Business Review, 88(12), 105–112.
6.
BravemanP. A.CubbinC.EgerterS.ChideyaS.MarchiK. S.MetzlerM.PosnerS. (2005). Socioeconomic status in health research: One size does not fit all. Journal of the American Medical Association, 294(22), 2879–2888.
7.
BurgelB. J.KennerlyS. (2012). Snapshot of the AAOHN membership. Workplace Health & Safety, 60(11), 465–469. doi:10.3928/21650799-20121025-53
8.
CancelliereC.CassidyJ. D.AmmendoliaC.CôtéP. (2011). Are workplace health promotion programs effective at improving presenteeism in workers? A systematic review and best evidence synthesis of the literature. BioMed Central Public Health, 11, 395–405.
9.
Centers for Disease Control and Prevention. (2012). Total Worker Health: Essential elements of effective workplace programs. Retrieved from www.cdc.gov/niosh/TWH/essentials.html
10.
ChapmanL. S. (2005). Meta-evaluation of worksite health promotion economic return studies: 2005 update. American Journal of Health Promotion, 19(6), 1–11.
11.
ChurchT. S.ThomasD. M.Tudor-LockeC.KatzmarzykP. T.EarnestC. P.RodarteR. Q.BouchardC. (2011). Trends over 5 decades in U.S. occupation-related physical activity and their associations with obesity. PLoS One, 6(5), e19657. doi:10.1371/journal.pone0019657
12.
CollinsJ. J.BaaseC. M.ShardaC. E.OzminkowskiR. J.NicholsonS.BillottiG. M.BergerM. L. (2005). The assessment of chronic health conditions on work performance, absence, and total economic impact of employers. Journal of Occupational and Environmental Medicine, 47(6), 547–557.
13.
GoetzelR. Z.OzminkowskiR. J. (2008). The health and cost benefits of work site health-promotion programs. Annual Review of Public Health, 29, 303–323. doi:10.1146/annurev.publhealth.29.02 0907.090930
14.
GoetzelR. Z.OzminkowskiR. J.BrunoJ. A.RutterK. R.IsaacF.WangS. (2002). The long-term impact of Johnson & Johnson's health and wellness program on employee health risks. Journal of Occupational and Environmental Medicine, 44(5), 417–424.
15.
GrossmeierJ.TerryP. E.AndersonD. R.WrightS. (2012). Financial impact of population health management programs: Reevaluating the literature. Population Health Management, 15(3), 129–134. doi: 10.1089/pop.2010.0086
16.
HenkeR. M.GoetzelR. Z.McHughJ.IsaacF. (2011). Recent experience in health promotion at Johnson & Johnson: Lower health spending, strong return on investment. Health Affairs, 30(3), 490–499. doi:10.1377/hlthaff.2010.0806
17.
HuangY.HannonP. A.WilliamsB.HarrisJ. R. (2011). Workers' health risk behaviors by state, demographic characteristics, and health insurance status. Preventing Chronic Disease, 8(1), A12.
18.
KouvonenA.KivimäkiM.OksanenT.PenttiJ.HeponiemiT.VäänänenA.VahteraJ. (2012). Implementation of workplace-based smoking cessation support activities and smoking cessation among employees: The Finnish public sector study. American Journal of Public Health, 102(7), e56–e62. doi:10.2105/AJPH.2012.300823
19.
LaingS. S.HannonP. A.TalburtA.KimpeS.WilliamsB.HarrisJ. R. (2012). Increasing evidence-based workplace health promotion best practices in small and low-wage companies, Mason County, Washington, 2009. Preventing Chronic Disease, 9. doi:http://dx.doi.org/10.5888/pcd9.110186
20.
LinnanL.BowlingM.ChildressJ.LindsayG.BlakeyC.PronkS.RoyallP. (2008). Results of the 2004 worksite health promotion survey. American Journal of Public Health, 98(8), 1503–1509.
21.
LoeppkeR.TaitelM.HaufleV.ParryT.KesslerR. C.JinnettK. (2009). Health and productivity as a business strategy: A multiemployer study. Journal of Occupational and Environmental Medicine, 51(4), 411–428. doi:10.1097/JOM.0b013e3181a39180
22.
MarineA.RuotsalainenJ. H.SerraC.VerbeekJ. H. (2006). Preventing occupational stress in healthcare workers. Cochrane Database of Systematic Reviews, 4, CD002892. doi:10.1002/14651858.CD002892.pub2
23.
MellorG.St JohnW. (2007). Occupational health nurses' perceptions of their current and future roles. Journal of Advanced Nursing, 58(6), 585–593.
24.
MooreP. V.BlakeK.CordakC.KowalskiR. (2009). Threats to the American workforce—aging, obesity, and smoking: Occupational health nurses' actions and ability to impact these trends. Presented at the International Congress on Occupational Health, Cape Town, South Africa.
25.
NaumanenP. (2006). The health promotion of aging workers from the perspective of occupational health professionals. Public Health Nursing, 23(1), 37–45. doi:10.1111/j.0737–1209.2006.230106.x
26.
MhurchuC. NiAstonL. M.JebbS. A. (2010). Effects of worksite health promotion interventions on employee diets: A systematic review. BMC Public Health, 10(62). doi:10.1186/1471-2458-10-62
27.
ParksK. M.SteelmanL. A. (2008). Organizational wellness programs: A meta-analysis. Journal of Occupational Health Psychology, 13(1), 58–68. doi:10.1037/1076–8998.13.1.58
28.
PelletierK. R. (2005). A review and analysis of the clinical and cost-effectiveness studies of comprehensive health promotion and disease management programs at the worksite: Update VI 2000–2004. Journal of Occupational and Environmental Medicine, 47(10), 1051–1058.
29.
PimpleS.PednekarM.MazumdarP.GoswamiS.ShastriS. (2012). Predictors of quitting smoking: Results of a worksite tobacco cessation service program among factory workers in Mumbai, India. Asian Pacific Journal of Cancer Prevention, 13(2), 533–538.
30.
RanbyK. W.MacKinnonD. P.FairchildA. J.ElliotD. L.KuehlK. S.GoldbergL. (2011). The PHLAME (Promoting Healthy Lifestyles: Alternative Models' Effects) firefighter study: Testing mediating mechanisms. Journal of Occupational Health Psychology, 16(4), 501–513. doi:10.1037/a0023002
31.
RichardsonK. M.RothsteinH. R. (2008). Effects of occupational stress management intervention programs: A meta-analysis. Journal of Occupational Health Psychology, 13(1), 69–93. doi:10.1037/1076–8998.13.1.69
32.
RushK. L. (1997). Health promotion ideology and nursing education. Journal of Advanced Nursing, 25(6), 1292–1298.
33.
SargentG. M.ForrestL. E.ParkerR. M. (2012). Nurse delivered lifestyle interventions in primary health care to treat chronic disease risk factors associated with obesity: A systematic review. Obesity Reviews, 13(12), 1148–1171. doi:10.1111/j.1467–789X.2012.01029.x
34.
SawyerA.GreenD.MoranA.BrettJ. (2009). Should the nurse change the light globe? Human service professionals managing risk on the frontline. Journal of Sociology, 45(4), 361–381.
35.
SchulteP. A.PandalaiS.WulsinV.ChunH. (2012). Interaction of occupational and personal risk factors in workforce health and safety. American Journal of Public Health, 102(3), 434–448. doi:10.2105/AJPH.2011.300249
36.
SochalskiJ.WeinerJ. (2011). Health care system reform and the nursing workforce: Matching nursing practice and skills to future needs, not past demands. In Institute of Medicine, The future of nursing: Leading change, advancing health (Appendix F., pp. 375–400). Washington, DC: The National Academies Press.
37.
SolerR. E.LeeksK. D.RaziS.HopkinsD. P.GriffithM.AtenA.WalkerA. M. (2010). A systematic review of selected interventions for worksite health promotion: The assessment of health risks with feedback. American Journal of Preventive Medicine, 38(2 Suppl.), S237–S262.
38.
TaimelaS.AronenP.MalmivaaraA.SintonenH.AroT. (2010). Effectiveness of a targeted occupational health intervention in workers with high risk of sickness absence: Baseline characteristics and adherence as effect modifying factors in a randomized controlled trial. Journal of Occupational Rehabilitation, 20(1), 14–20. doi:10.1007/s10926-009-9221-0
39.
WengS. F.AliS.Leonardi-BeeJ. (2012). Smoking and absence from work: Systematic review and meta-analysis of occupational studies. Addiction, 108(2), 307–319. doi:10.1111/add.12015
