Increasing the pipeline and diversity of doctorally prepared nurses: Description and preliminary evaluation of a health disparities summer research program

Despite calls to increase the number and diversity of doctorally prepared nurses, recent data indicate a severe shortage of PhD‐prepared nurses, especially those of racial/ethnic minority backgrounds. This is concerning, given that evidence indicates that racial/ethnic minority PhD‐prepared nurses are well‐positioned to address health disparities, by attending to the needs/concerns of medically underrepresented groups. The purpose of this article is to describe and provide a preliminary evaluation of a summer research program for minority nursing students. Online surveys were administered to assess for student satisfaction, knowledge gains, attitudes toward research, and intentions to pursue a PhD among minority undergraduate nursing students (N = 6) participating in the 10‐week program. Favorable trends were observed related to satisfaction, knowledge gains, and attitudes toward research. Fifty percent of the sample intended to pursue a PhD immediately after the program, compared to none before the program, and this result was maintained at 1‐year post‐program. The summer research program appears to be a promising strategy for increasing the number/diversity of PhD‐prepared nurses. More research on the implementation of programs exposing minority nursing students to health disparities research is needed to strengthen evidence that similar programs can serve to increase the pipeline of diverse doctorally prepared nurses.     

Cardiovascular conditions,hearing difficulty,and occupational noise exposure within US industries and occupations

Background

The purpose of this study was to estimate the prevalence of occupational noise exposure, hearing difficulty and cardiovascular conditions within US industries and occupations, and to examine any associations of these outcomes with occupational noise exposure.

Methods

National Health Interview Survey data from 2014 were examined. Weighted prevalence and adjusted prevalence ratios of self‐reported hearing difficulty, hypertension, elevated cholesterol, and coronary heart disease or stroke were estimated by level of occupational noise exposure, industry, and occupation.

Results

Twenty‐five percent of current workers had a history of occupational noise exposure (14% exposed in the last year), 12% had hearing difficulty, 24% had hypertension, 28% had elevated cholesterol; 58%, 14%, and 9% of these cases can be attributed to occupational noise exposure, respectively.

Conclusions

Hypertension, elevated cholesterol, and hearing difficulty are more prevalent among noise‐exposed workers. Reducing workplace noise levels is critical. Workplace‐based health and wellness programs should also be considered.

     

Prevalence of hearing loss among noise‐exposed workers within the agriculture,forestry, fishing,and hunting sector, 2003‐2012

Background

The purpose of this study was to estimate the prevalence of hearing loss among noise‐exposed US workers within the Agriculture, Forestry, Fishing, and Hunting (AFFH) sector.

Methods

Audiograms for 1.4 million workers (17 299 within AFFH) from 2003 to 2012 were examined. Prevalence, and the adjusted risk for hearing loss as compared with the reference industry (Couriers and Messengers), were estimated.

Results

The overall AFFH sector prevalence was 15% compared to 19% for all industries combined, but many of the AFFH sub‐sectors exceeded the overall prevalence. Forestry sub‐sector prevalences were highest with Forest Nurseries and Gathering of Forest Products at 36% and Timber Tract Operations at 22%. The Aquaculture sub‐sector had the highest adjusted risk of all AFFH sub‐sectors (PR = 1.70; CI = 1.42‐2.04).

Conclusions

High risk industries within the AFFH sector need continued hearing conservation efforts. Barriers to hearing loss prevention and early detection of hearing loss need to be recognized and addressed.

     

Zika virus in workers: Considerations for ongoing exposure prevention

Since at least 2015, a major Zika virus epidemic has impacted the Americas and the Caribbean. There is an ongoing risk of Aedes mosquito-borne transmission in more than 90 countries and territories worldwide. In these areas, as well as in places that are not experiencing active outbreaks, workers in a variety of jobs may be exposed to the virus. In addition to outdoor workers in places with ongoing, vector-borne transmission who may be exposed when bitten by Zika-infected mosquitoes, biomedical researchers studying the virus and health care workers and staff in clinical laboratories may encounter blood and infectious body fluids from infected individuals, including travelers from Zika virus-affected areas. Because of potentially serious health outcomes, including reproductive effects, sometimes associated with Zika, the Occupational Safety and Health Administration and National Institute for Occupational Safety and Health previously issued guidance to help US employers protect workers from exposure to the virus on the job. This commentary summarizes the details of these recommendations and explains their rationale, which is important to understand when adapting and implementing workplace controls to prevent occupational Zika virus exposures and infections at individual worksites. The industrial hygiene hierarchy of controls, including elimination and substitution, engineering controls, administrative controls, and safe work practices, and personal protective equipment, serves as a framework for infection prevention practices for at-risk workers discussed here.