Completing a comprehensive environmental exposure history and making appropriate referrals for conditions with probable environmental etiologies. Locating and providing appropriate scientific information for individual patients and communities. Advocacy, ethics, and risk communication.
Understanding the role of advocacy, principles of environmental justice, and risk communication in addressing environmental health issues. Understanding major areas of environmental health policy as well as state and national regulations addressing environmental health Pope et al. National Institute of Nursing Research The NINR initiative emphasizes the role of nursing research in correlating environmental agents and health consequences. Developing Strategies for Implementation The final session of a 5-day environmental health course was used to develop strategies for incorporating environmental health competencies into nursing practice.
Conducting a Nominal Group Process Exercise Nominal group process NGP was chosen as the method of soliciting and organizing input from attendees; a step-by step overview of this process is provided in Table 1. Step Group Facilitator Activities Group Member Activities Prior to group activity Identify and clearly define the nature and scope of the problem to be discussed. Inform group members on day 1 of conference that on day 5 the group process will occur.
Obtain poster board, tape, and felt-tipped pen. Request that group members write their solutions to the problem statement on the poster board. Introducing NGP to the group Explain that the objective of the group activity on day 5 is to increase their understanding of the priorities of the movement. Explain that NGP will be the method of exploring problems.
Relate time frame of 2 hr. Subdivide large groups into subgroups of 7—10 and provide a working place, recorder, and facilitator for each subgroup. Each group member lists solutions on a note pad and adheres the note pages to the poster board at the front of the room.
Nursing Health, & Environment: Strengthening the Relationship to Improve the Public's Health.
Group members work independently. Instruct group members to save their discussion of the problem statement for the group activity on day 5. Facilitated listing of ideas Appoint two group members to number and write each idea on the white board at the front of the room. Members may add additional items to the poster board while the listing process takes place if hearing the ideas of others inspires them.
Instruct the transcribers to leave a box to the left of each item where numeric rankings can be written later. Consider having a staff member collect the pieces of notepaper to confirm that all ideas are represented on the white board. This person may then enter the ideas into a laptop and track the scoring electronically as well. Discussion of ideas on white board during transcription process Position the white boards so that all participants can see all the distinct ideas.
Group members participate in rendering solutions as distinct or duplicate. Facilitate a discussion during the transcription process to clarify the meaning of similar sounding solutions and distinguish their differences. Similar solutions that are confirmed by the group members to be duplicates in meaning are identified and written as one solution. In this case 45 ideas were reduced to 38 distinct solutions Rank ordering ideas Advise participants to contemplate the solutions for 10 min to determine the five solutions they individually consider to be the most critical.
Group members ponder the ideas individually. Ask each of the group members to list the five most critical solutions from the list. Group members may take notes on the items they consider to be finalists. This will expedite the process of recording their numeric scores on the white board.
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Suggest that group members keep notes as they narrow the field to five to facilitate the scoring process. Group members take turns recording their scores on the white board. Provide dry erase markers and instruct 2—3 participants at a time to record their numeric ranking in the margins next to the solutions, as they are ready. Total rankings Before the totals are summed, the facilitator double-checks with the group members to be certain they recorded their votes with the number 1 appointed to their fifth choice.
Group members confirm that they recorded their scores in the correct order. After confirming that participants scored the ideas correctly, the facilitator and another group member each total the points for each item. Two people do this to ensure accuracy.
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Discussion After the ideas are ordered, group members are instructed to discuss the new list and then clarify and re-rank any of the items. Group members may wish to change or re-rank the items and re-tally the final score. Conclusion The process ends when there is group consensus on critical items and their rank ordering. The group may choose at this time to move into a discussion of solutions based on the analysis of the problem.
The facilitator thanks the group members for their attention and contributions. Group members observe trends in the data. Open in a separate window.
NIOSH, ATSDR, CDC 7 Continuing education program in AJN on nursing and the environment 8 More basic information for nurses to demystify environmental health nursing 9 Improve working relationships with interdepartmental persons—a team approach 10 Adequate funding for education, planning, and implementation 11 Internet- or televideo-based programs distance education for nominal fees 12 A textbook for beginning environmental health nursing 13 Get environmental health listed as a requirement or competency in undergraduate nursing education 14 Education and classes for family nurse practitioners and doctors 15 Provide knowledge of environmental health to guidance counselors in high school setting to promote interest in this field 16 Incorporate environmental epidemiology into undergraduate and graduate curricula 17 Promote and recognize nurses working with the environment i.
Analysis of Nominal Group Process Exercise The highest ranked item item 13 was to develop an across-the-curriculum approach to integrating environmental health into undergraduate nursing programs. Concepts and action steps to move environmental health into the mainstream of nursing. Conclusion Since the time of Florence Nightingale, communities have looked to nurses to provide leadership in environmental health.
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Contributor Information Laura S. Recovering a lost legacy: Nurses' leadership in environmental health. Journal of Nursing Education. The use of the nominal group technique in research with community nurses. Journal of Advanced Nursing. Journal of Nursing Administration.
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Reaching faculty consensus through the nominal group technique. Incorporating environmental sciences and nursing research: The use of the nominal group technique as an evaluative tool in medical undergraduate education. Finding diamonds in the trenches with the nominal group process. Nursing, health and the environment: Strengthening the Relationship to improve the public's health. National Academy Press; Designing a safety program for a college health service. Journal of American College Health. Good characteristics of a clinical supervisor: The nominal group technique as a research instrument for exploratory health studies.
American Journal of Public Health. Support Center Support Center. Principles of a Healthy, Sustainable Food System. Alliance of Nurses for Healthy Environments A network of nurses from around the country and world who are acting on the notion that our environment and health are inextricably connected. The Foundation does not engage in political campaign activities or communications.
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