Karen Heaton

Background: Chronic health conditions are highly prevalent among truck drivers due to many unique occupational and environmental stressors. Health promotion programs are shown to be effective in improving truck driver health outcomes; however, there is no research on whether such programs can increase the length of a driver’s Department of Transportation (DOT) medical certificate. The purpose of this quality improvement project was to evaluate Fit to Pass (FTP), a remotely accessible health promotion program available for truck drivers on improved health outcomes and increased DOT medical certificate length. Method: Program evaluation included an evaluation of the FTP coaching guide against evidence-based practice guidelines. An analysis of a limited dataset of 22 truck driver records examined the effectiveness of the program in achieving improved health outcomes and increased medical certification length. Findings: A review of the literature revealed three major themes: (a) motivational interviewing to increase driver intention and self-efficacy; (b) mobile health care technology to connect hard-to-reach truck drivers; and (c) effectiveness of structured multicomponent health promotion programs. After participation in FTP, truck drivers experienced a mean decrease in weight and body mass index (BMI) of 4.6 lbs and 1.3 kg/m 2 , respectively. The lengths of initial DOT medical certificates were compared with DOT medical certificates received at the time of recertification (post—FTP). Only eight participants had the potential for improvement in certificate length. Of those, three truck drivers achieved an increased DOT medical certificate length at the time of recertification. Conclusion/Applications to Practice: FTP offers tailored and comprehensive health coaching for truck drivers using current evidence-based practice guidelines to educate and reinforce healthy lifestyle habits. Analysis of a limited dataset revealed a mean decrease in BMI and a trend of increased DOT medical certification lengths after participation in FTP; however, further research with larger sample sizes is recommended.

Background: Approximately 50% of women in all workplaces experience sexual harassment. Women who work in male-dominated occupations may be more susceptible to sexual harassment than those who work in non-male-dominated occupations. Research on factors contributing to workplace sexual harassment in male-dominated occupations is limited. This paper reviews the known antecedents that put female workers at risk of sexual harassment in select male-dominated occupations and to identify gaps in the literature and opportunities for future occupational health nursing research. Methods: A search was conducted using PubMed, CINAHL, PsycINFO, and Web of Science. Included articles addressed sexual harassment of female workers in male-dominated occupations such as law enforcement, firefighting, truck driving, and construction. Results: The search yielded 25 relevant research articles. Antecedents to sexual harassment in the workplace included lower rank, shorter tenure, physicality of the job, job insecurity, negative relationships with peers and/or supervisors, treating women as outsiders, exaggerated gender differences, unequal gender ratios, and promotions based on gender. Common antecedents to sexual harassment in the workplace identified in the literature include organizational culture and gender composition. Conclusion/Application to Practice: Workplace sexual harassment of women is a problem in male-dominated occupations. Research is needed to better understand the organizational antecedents of sexual harassment in male-dominated occupations within community settings to prevent workplace sexual harassment.