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A Response to Draper et al., “Occupational Health Nursing and the Quest for Professional Authority”

Draper et al., in their article “Occupational Health Nursing and the Quest for Professional Authority” [1], argue that occupational health nursing is at the root of poor occupational health services to workers because occupational health nurses (OHNs) are not true professionals and because one (of several) professional associations promotes the program management skills of OHNs as being cost-effective. The authors also maintain that National Institute for Occupational Safety and Health / National Occupational Research Agenda (NIOSH/NORA) programs and policies support the expansion of occupational health nurse mediocrity and that OHNs have hijacked NIOSH offices and the NORA agenda. The authors argue vigorously for unnamed reforms to address their perceived problem with occupational health nursing and the “overreaching” of OHN skills and training. The paper taps into the underbelly of medical and nursing scope of practice, professional status, and competence, as well as professional ethics. The discussion and conclusions of the paper appear to be influenced by the authors’ very strongly held personal beliefs that OHNs lack personal authority, and the authors support this position with a set of papers and policy chapters that have been selected on the basis of supporting these beliefs. It is our contention that the authors’ statements are based on isolated personal and professional experiences and are not representative of the experience of collaborative