Environmental, Occupational & School Health Nursing - Concept Map
Environmental, Occupational & School Health Nursing — Protection and Promotion of Population Health Across All Settings
Related concepts
Environmental Health and Sanitation
Sub concepts
- Water Supply and Water Safety (Levels I, II, III)
- Excreta and Sewage Disposal (Sanitary Toilets)
- Solid Waste Management (RA 9003)
- Food Safety and Sanitation (PD 856)
- Vector and Pest Control
- Primary Legislation (PD 856, RA 9275, RA 8749, RA 9003)
Relationship to central
Foundational component addressing physical, chemical, and biological factors affecting health in the community
Occupational Health Nursing
Sub concepts
- Classification of Occupational Hazards (Physical, Chemical, Biological, Ergonomic, Psychosocial)
- Hierarchy of Controls (Elimination, Engineering, Administrative, PPE)
- Pre-employment and Periodic Health Assessments
- Health Surveillance and Record-Keeping
- Workplace Health Promotion
- RA 11058 (Occupational Safety and Health Law)
- Employees' Compensation Program
Relationship to central
Specialized practice protecting workers' health and preventing occupational illness and injury
School Health Nursing
Sub concepts
- Health Services (Screening, Immunisation, First Aid)
- Healthful School Environment
- Health Education Integration
- Annual Health and Nutritional Assessment
- National Deworming Program
- School-Based Immunisation (MR, Td, HPV)
- Dental and Feeding Programs
- School Nurse Roles (Case-Finding, Teaching, Coordination)
Relationship to central
Population-focused practice promoting health and learning of school-age children and personnel
Nursing Roles Across All Three Environments
Sub concepts
- Health Educator
- Case-Finder and Screener
- First-Aid and Emergency Care Provider
- Coordinator and Referrer
- Advocate for Safe Environments
- Record-Keeper and Health Informaticist
- Primary Prevention Emphasis
Relationship to central
Consistent application of nursing process and professional responsibilities
Legal and Policy Framework
Sub concepts
- RA 9173 (Philippine Nursing Act)
- PD 856 (Code on Sanitation of the Philippines)
- RA 9003 (Ecological Solid Waste Management Act)
- RA 9275 (Clean Water Act)
- RA 8749 (Clean Air Act)
- RA 11058 (Occupational Safety and Health Law)
- RA 11223 (Universal Health Care Act)
- RA 10121 (Disaster Risk Reduction and Management Act)
Relationship to central
Regulatory environment guiding practice in environmental, occupational, and school health
Concept connections
- Environmental Health and SanitationPrimary PreventionEnvironmental sanitation directly implements primary prevention by controlling external factors before disease occurs
- Water Supply Levels (I, II, III)Faecal-Oral Disease PreventionSafe water supply breaks the transmission chain of water-borne diseases including typhoid, cholera, hepatitis A, and parasitic infections
- Excreta Disposal and Sanitary ToiletsWater Source ProtectionProper sewage disposal maintains minimum 25 m distance from water sources, preventing contamination and disease transmission
- Solid Waste Management (RA 9003)Vector and Pest ControlProper waste segregation and disposal eliminates breeding sites and food sources for disease vectors (flies, rats, mosquitoes)
- Food Safety and SanitationFoodborne Disease PreventionImplementation of WHO Five Keys and PD 856 requirements prevents contamination, survival, and multiplication of foodborne pathogens
- Occupational Hazard ClassificationHierarchy of ControlsEach hazard type (physical, chemical, biological, ergonomic, psychosocial) is managed through the same priority-based control framework
- Hierarchy of ControlsPersonal Protective EquipmentPPE is positioned as the final and least-preferred control measure, applied only when higher-level controls cannot eliminate or reduce hazards
- Occupational Health Nursing RolesRA 11058 ComplianceOccupational health nurses implement and monitor organizational compliance with the Occupational Safety and Health Law requirements
- School Health ServicesCase-Finding and ReferralHealth screening and assessment activities identify health problems in school-age populations, triggering appropriate nursing interventions and referrals
- National Deworming ProgramSchool Health NursingMass deworming (twice yearly) is a key school-based public health intervention administered by school health nurses under DepEd and DOH coordination
- School-Based ImmunisationCommunicable Disease PreventionSchool immunisation programs (MR, Td, HPV) provide primary prevention against vaccine-preventable diseases in school-age populations
- Healthful School EnvironmentHealth OutcomesSafe water, sanitation, clean canteen, and hazard-free facilities create conditions that support learning and prevent environment-related illness
- Health EducationBehavior ChangeIntegration of health education into curriculum and reinforcement of healthy behaviors support sustainable health practices in school populations
- Nursing Roles Across All EnvironmentsPrimary Prevention FocusAll three nursing practice settings emphasize primary prevention as the most cost-effective and sustainable approach to health protection
- Health Educator RoleCommunity EmpowermentTeaching households about environmental sanitation, vector control, food safety, and occupational hazards builds community capacity for self-protection
- Case-Finder RoleSecondary PreventionEarly identification of health problems enables timely intervention before progression to more severe disease states
- Coordinator and Referrer RoleHealthcare System IntegrationCoordination between schools/workplaces and health centers ensures continuity of care and appropriate resource utilization
- PD 856 Code on SanitationEnvironmental Health EnforcementPD 856 is the primary regulatory framework governing water, food, waste, and sanitation standards that nurses monitor and advocate for
- RA 9173 Philippine Nursing ActCommunity Health Nursing PracticeRA 9173 establishes the legal scope and accountability of all nursing practice including environmental, occupational, and school health nursing
- Disaster and Emergency ResponseEnvironmental Health Priority ShiftDuring disasters, environmental health priorities shift to rapid safe water provision, emergency sanitation, and disease surveillance in evacuation centers
- Record-Keeping RoleHealth Data ManagementMaintenance of school health records, worker health records, and environmental sanitation inspection records supports program evaluation and policy development
- Maslow Hierarchy and Environmental SanitationPhysiological NeedsSafe water, proper sanitation, and safe food directly address Maslow's physiological needs, the foundation for all higher-level needs
- Occupational Health ServicesEmployees' Compensation ProgramWork-related illness and injury identified through occupational health nursing triggers coverage under the Employees' Compensation Program
Diagrams
Environmental, Occupational & School Health Nursing — Comprehensive Concept Map
Comprehensive mind map showing the hierarchical structure of Environmental, Occupational, and School Health Nursing with all key concepts, sub-components, and practical elements. This map demonstrates how the three main practice areas interconnect and share common nursing roles while addressing distinct population settings.
Water Supply Safety and Disinfection Process
Flowchart depicting the water supply hierarchy (Levels I–III) and corresponding disinfection methods. Emphasizes the critical steps of boiling (minimum 2 minutes at household level) and chlorination (0.3–1.5 ppm for community systems), with safety checks and disease-prevention outcomes aligned to PD 856 standards.
Excreta Disposal and Sanitary Toilet Classification
Flowchart illustrating the classification of toilet facilities across three levels based on population needs and infrastructure capacity. Highlights the key principle that all approved facilities must safely confine excreta, preventing contamination of water sources (maintaining 25 m minimum distance) and breaking the faecal-oral transmission pathway.
Hierarchy of Occupational Hazard Controls
Flowchart demonstrating the hierarchy of occupational hazard controls in order of preference and effectiveness. Emphasizes that PPE is the LAST resort, with elimination, engineering, and administrative controls prioritized first. This aligns with RA 11058 (Occupational Safety and Health Law) and professional occupational health nursing practice standards.
School Health Nursing Assessment and Intervention Process
Flowchart showing the comprehensive school health assessment process, from initial screening through case-finding, referral, and intervention. Demonstrates integration of multiple assessment components (anthropometric, vision, hearing, dental, nutritional) and links to key school health programs (deworming, immunisation, feeding) aligned with DepEd and DOH guidelines.
Solid Waste Management and Segregation Process
Flowchart illustrating RA 9003 (Ecological Solid Waste Management Act) compliance through segregation at source. Shows the four-category waste classification system (biodegradable, non-biodegradable, hazardous, residual) with corresponding disposal pathways. Highlights that healthcare waste follows separate color-coding protocols and emphasizes environmental protection outcomes.
Occupational Health Nurse Roles and Responsibilities
Comprehensive flowchart outlining the occupational health nurse's multifaceted roles across assessment, surveillance, intervention, and coordination. Demonstrates alignment with RA 11058 (Occupational Safety and Health Law) and the Employees' Compensation Program, emphasizing holistic protection of worker health and safety.
Distribution of Occupational Hazard Types in Philippine Workplaces
Pie chart illustrating the estimated distribution of occupational hazard categories in Philippine workplaces. Shows that ergonomic hazards (poor posture, repetitive motion, improper workstation design) represent the largest proportion, followed by physical hazards, chemical hazards, biological hazards, and psychosocial hazards. This distribution reflects the predominance of manufacturing, agriculture, and service-sector employment in the Philippines.
Food Safety and Sanitation Compliance
Flowchart demonstrating PD 856 compliance for food safety and sanitation in food establishments. Integrates WHO Five Keys to Safer Food framework (keep clean, separate, cook, maintain temperature, use safe water/materials) with Philippine regulatory requirements including health certification of food handlers, temperature danger-zone avoidance, and inspection/grading protocols.
Disease Prevention Through Environmental Sanitation Continuum
State diagram illustrating the continuum from unsafe to safe environmental conditions through nursing intervention. Demonstrates how poor sanitation leads to high disease burden, and how systematic application of environmental health nursing (water safety, excreta disposal, food sanitation) transitions populations from high to low disease incidence. Emphasizes primary prevention and continuous monitoring aligned with RA 9173 nursing practice standards.