Health Legislation Research Articles

Political Law of Health Professions Organizations

Health professional organizations play a central role in providing guidelines, standards, and ethics that maintain the integrity and quality of health care. Health services are a crucial aspect of human life, and to ensure their quality, professional organizations are needed. Method. The research method is the study of literature. Using document data published between 2000 and 2023. English and Indonesian speaking. Using google data base and google scholar. By keywords: professional organizations, health legislation. Professional ethics Research results obtained from 20 literature reviews from google and google schoolar data search period between 2000-2023.Conclusion. After Health Law No. 17 of 2023, Health professional organizations no longer have functions as before, which still raises pros and cons in the Indonesian Health world.

Determination of Subcontractor Selection Criteria from the View of Occupational Health and Safety in the Construction Industry

Construction industry is characterized by labor-intensive workforces, subcontractor-based production, diverse activities, and related hazards. Given the commonality of contingent forms of contracting, the majority of construction work is carried out by subcontractors. Unlike main contractors, subcontractors are typically smaller or medium-sized companies. Their awareness, practice, and compliance with health and safety legislation can be problematic. Furthermore, establishing and implementing a safety management system for a specific project requires coordination and management of multiple subcontractors. In this paper, a model has been created for selecting the most suitable subcontractor through an evaluation of their occupational health and safety (OHS) management implementation. The selection criteria have been determined based on a literature review focused on OHS, followed by the development of a questionnaire that assesses the importance of the criteria with the support of five occupational safety experts. Three shopping mall projects were chosen for implementation based on expert evaluations using scores calculated through the Analytical Hierarchy Process. Importance rates for each criterion were calculated, allowing for the identification of the most significant subcontractor selection criteria. Fifteen on-site subcontractors were evaluated using the proposed method. The research suggests that in the absence of qualification-based selection criteria for subcontractors, unskilled personnel could be selected. Consequently, this could impede the safety oversight mechanism, the execution of OHS measures, as well as the mitigation and/or prevention of potential risks, while jeopardizing compliance with the applicable legislation throughout the project. Therefore, it is imperative to choose only competent subcontractors to guarantee the welfare of workers.

AN IN-DEPTH ANALYSIS OF DENGUE MOSQUITO DYNAMICS IN LAHORE: UNRAVELING THE IMPACT OF DENGUE OUTBREAKS AND ENVIRONMENTAL FACTORS

Dengue fever, caused by the Aedes mosquito-borne dengue virus, is still a major public health concern in many parts of the world, including Lahore, Pakistan. Lahore region is regarded as a dengue fever hotspot due to the large number of cases reported each year. The purpose of this research is to give an in-depth analysis of dengue mosquito dynamics in Lahore, with a particular emphasis on determining the influence of dengue epidemics and environmental factors. The current study was based on survey comprising 240 individuals from Lahore. In the study findings, 82.08% were positive cases and 17.91% were negative cases. The majority of respondents, were aware of the symptoms of dengue infection (62.33%), its transmission (90.83%), the cause of dengue (61%), safety precautions (73.33%), and the organ infected by the dengue virus (66.25). However, the majority of people are still clueless. 70% of participants indicate that television is their primary information source. Dengue fever cases have been found to have a seasonal pattern, peaking during the monsoon season (45.41%) when mosquito breeding conditions are perfect. The study's findings revealed that Aedes mosquitos, particularly Aedes aegypti, were widespread and identified as the primary vectors (61.66%) of dengue transmission in Lahore. It was revealed that temperature (49.58%), and rainfall all affected the number of Aedes mosquitoes. Overall, 81.6% were satisfied with Governmental efforts against the spread of dengue fever. Improved public knowledge is necessary to reduce dengue virus incidence. The findings of this study can assist public health professionals and legislators in developing targeted measures to mitigate the consequences of dengue epidemics and protect the public from this terrible infection.

Confinement of People with Mental Disorders from the Perspective of Spiritual Leaders of Banggai Culture, Indonesia: An Ethnosemantic Approach

The practice of confinement of people with mental disorders not only infringes upon individuals’ fundamental rights but also contravenes established health legislation, including in Indonesia, the setting for this study. In this country, confinement may be practiced by isolation or seclusion in a room or a small hut built in the family’s garden or rice field, some ten-minute walk from the house to the hut. Leg restraints or shackles may also be used. This study delved into the significance of confining individuals with mental disorders by analyzing the linguistic expressions of spiritual leaders from the Banggai culture in Central Sulawesi, Indonesia. Engaging with cultural and spiritual leaders within a community is imperative to gain insights into the underlying perspectives that influence family decisionmaking processes. This exploration involved a detailed examination of the linguistic expressions these leaders conducted within the cultural context of the Banggai community from March to June 2023. This study employed an ethnosemantic approach and in-depth interviews according to the framework outlined in Spradley’s Developmental Research Sequence model. The participants were 13 cultural and spiritual leaders in the Banggai region, commonly referred to as Talapu. They were chosen using snowball sampling techniques.The data-gathering process was facilitated through in-depth interviews structured to incorporate descriptive queries, structured inquiries, and contrasting questions. The data processing involved the analysis of interview transcripts utilizing domain analysis, taxonomic analysis, and component analysis techniques. This analytical approach yielded 11 domains, six taxonomies, and six paradigms, contributing to identifying three distinct cultural themes. These themes were utilizing spiritual rituals as an intervention for the treatment of individuals with mental disorders, the multifaceted roles played by Talapu in managing individuals with mental disorders, and the association between Talapu and the practice of confining individuals with mental disorders. The use of physical restraint and confinement by the Talapu in treating individuals with mental disorders raises ethical concerns, particularly regarding autonomy, non-maleficence, and adherence to international human rights standards in contemporary nursing practice. Nurses in Indonesia should engage in collaborative education with the Talapu, emphasizing the careful and strategic implementation of Indonesia’s health legislation to prohibit human rights infringements, ensuring effective treatment and psychosocial support for individuals with mental disorders, and promoting their seamless integration into family and society.

Perinatal Mental Disorders: The ‘Non Liquet’ Facet of Mental Health Legislative Instruments in India

Due to the impetus provided by the Millennium Development Goals and the Sustainable Development Goals, maternal health has become the subject matter of various legislative instruments worldwide. However, perinatal mental disorders have remained an underestimated public health issue in many countries. High prevalence rates of such perinatal disorders in India have been reported by various evidence-based studies. This makes it imperative to analyse the provisions of the mental healthcare legislative instruments that have been brought into force in India. This article aims to evaluate and analyse coverage of perinatal mental disorders under the provisions of the legislative instruments, especially statutes, providing for mental health in India. Websites of the Government of India, various Indian Ministries and other government agencies were visited to obtain relevant documents regarding the mental health policy and legislation. None of the mental health legislative instruments in India underscore perinatal mental disorders as a public health concern, whereby failing to identify the unique characteristics of perinatal mental disorders. They consequently do not provide for nationwide detection and treatment measures. There is an immediate and pertinent need to highlight perinatal mental disorders through legislative instruments. The National Mental Health Policy, 2014 provides for comprehensive healthcare services; however, it excludes measures for perinatal mental health services. The Mental Healthcare Act, 2017 should be amended to explicitly include women during the perinatal period, along with originally provided mental health services for children and elderly individuals.

Analysis of Chainsaw Emissions during Chestnut Wood Operations and Their Health Implications

In Italy, the use of chainsaws for field operations such as Felling (FE), Delimbing (DE), and Bucking (BU) is widespread due to the topography, the medium–small size of farms, and the predominant presence of broad-leaved forests managed through coppicing. However, this has led to an increase in injuries and illnesses due to exposure to physical factors (e.g., noise, dust, and vibrations) and chemical agents (e.g., various volatile compounds). Occupational health and safety legislation in Italy has undergone several phases, including the approval of U.T. 81/2008. The present study aims to evaluate the noise generated by chainsaws and the concentration of pollutants (CO, VOC, and C6H6) present in chainsaw exhaust gases during interventions in a chestnut coppice in relation to the limits set by current legislation. The analysis of the noise generated by chainsaws during chestnut cutting operations showed that it exceeded the legal noise limits during all chainsaw activities, with peak levels of about 110 dB. The detected noise could cause important critical issues in relation to the health and safety of specialized operators. Furthermore, the correlation between the specific work (FE, DE, and BU) and the ratio between maximum and average values of CO and VOC emissions was evaluated. Notably, comparable levels of maximum VOC emissions were observed during the FE and BU phases. However, the average emission values during these phases exhibited significant differences, suggesting higher VOC production when the engine was running but not actively engaged in cutting. The highest emissions were recorded during the FE phase (CO = 135 ppm, VOC = 17.28 ppm, and C6H6 = 2.13 ppm).

Guiding Principles for Adolescent Web-Based Portal Access Policies: Interviews With Informatics Administrators.

Web-based patient portals are tools that could support adolescents in managing their health and developing autonomy. However, informatics administrators must navigate competing interests when developing portal access policies for adolescents and their parents. We aimed to assess the perspectives of informatics administrators on guiding principles for the development of web-based health care portal access policies in adolescent health care. We interviewed informatics administrators from US hospitals with ≥50 dedicated pediatric beds. We performed a thematic analysis of guiding principles for developing and implementing adolescent portal access policies. We interviewed 65 informatics leaders who represented 63 pediatric hospitals, 58 health care systems, 29 states, and 14,379 pediatric hospital beds. Participants described 9 guiding principles related to three overarching themes: (1) balancing confidentiality and other care needs, (2) balancing simplicity and granularity, and (3) collaborating and advocating. Participants described the central importance of prioritizing the health and safety of the adolescent while also complying with state and federal laws. However, there were differing beliefs about how to prioritize health and safety and what role parents should play in supporting the adolescent's health care. Participants also identified areas where clinicians and institutions can advocate for adolescents, especially with electronic health record vendors and legislators. Informatics administrators provided guiding principles for adolescent portal access policies that aimed to balance the competing needs of adolescent confidentiality and the usefulness of the portal. Portal access policies must prioritize the adolescent's health and safety while complying with state and federal laws. However, institutions must determine how to best enact these principles. Institutions and clinicians should strive for consensus on principles to strengthen advocacy efforts with institutional leadership, electronic health record vendors, and lawmakers.

Potential consequences of the Dobbs v. Jackson Women's Health Organization decision.

In June 2022, the U.S. Supreme Court released a landmark decision in which they held that the right to abortion is not protected by the U.S. Constitution, ending almost 50 years of federally legal abortion in the United States. Because prior research demonstrates linkages between reproductive health and substance use at multiple socioecological levels, in this special section, we present studies that take a broad scope to understanding how addictive behaviors and reproduction-related behaviors, options, and access to care interrelate across a variety of contexts. In this introduction, the guest editors detail the impetus for this special section, provide a brief overview of the present studies, discuss policy and intervention implications, and suggest future research directions. The five studies presented in this special section span a wide range of populations, methods, and substance use and reproduction-related issues, including reasons for past abortions among women with opioid use disorder, alcohol effects on men's condom use resistance, considerations regarding alcohol-involved rape on implementation of "rape exceptions" to abortion bans, the role of early exposure to substance use and sexual abuse on reproductive health outcomes, and the effects of exposure to abortion-related media coverage on alcohol use intentions following the Supreme Court decision. The studies in this special section highlight the ways in which substance use and reproductive health are inextricably intertwined. Recent and future changes in reproductive health legislation and policy underscore the critical need for continued empirical inquiry into these intersecting public health concerns. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Evolution of China’s Right to Health Legislation: A Historical Analysis and Contemporary Insight into Occupational Health Protection

Health is said to be the fundament for personal survival and development, happiness, and is the source ofprosperity and social progress for any nation. During the 20th National Congress of the Communist Party in China, it was ascertained that the protection of people’s health was given greater priority over development strategies. This article explored the changes and evolution of health laws in China over the past seven decades and specifically focused on the recent changes made to the law on the Prevention and Control of Occupational Diseases and the Occupational Health Protection Action Plan. The occupational health protection action plan outlined the objectives and specific actions and emphasized the importance of a systematic approach to safeguarding the health rights of workers. This article summarized the potential opportunities for further research and policy considerations aimed at addressing challenges in the evolving landscape of occupational health in China.

Burden of silica-attributed pneumoconiosis and tracheal, bronchus & lung cancer for global and countries in the national program for the elimination of silicosis, 1990–2019: a comparative study

BackgroundIn industries worldwide, crystalline silica is pervasive and poses risks of pneumoconiosis and respiratory malignancies, with the latter being a knowledge gap in disease burden research that this study aims to address. By integrating both diseases, we also seek to provide an in-depth depiction of the silica-attributed disease burden.MethodsData from the Global Burden of Disease 2019 were extracted to analyze the disease burden due to silica exposure. The trends of age-standardized mortality rate (ASMR) and age-standardized DALY rate (ASDR) from 1990 to 2019, as well as the age-specific number and rate of deaths and disability-adjusted life years (DALYs) in 1990 and 2019, were presented using GraphPad Prism software. The average annual percentage changes (AAPCs) on ASMR and ASDR were calculated using joinpoint regression models.ResultsThe global trends of disease burden due to silica exposure from 1990 to 2019 showed a significant decrease, with AAPCs on ASMR and ASDR of -1.22 (-1.38, -1.06) and − 1.18 (-1.30, -1.05), respectively. Vietnam was an exception with an unprecedented climb in ASMR and ASDR in general over the years. The age-specific deaths and DALYs mainly peaked in the age group 60–64. In comparison to 1990, the number of deaths and DALYs became higher after 45 years old in 2019, while their rates stayed consistently lower in 2019. Males experienced an elevated age-specific burden than females. China’s general age-standardized burden of pneumoconiosis and tracheal, bronchus & lung (TBL) cancer ranked at the forefront, along with the highest burden of pneumoconiosis in Chilean males and South African females, as well as the prominent burden of TBL cancer in Turkish males, Thai females, and overall Vietnamese. The age-specific burden of TBL cancer surpassed that of pneumoconiosis, and a delay was presented in the pneumoconiosis pinnacle burden compared to the TBL cancer. Besides, the burden of pneumoconiosis indicated a sluggish growth trend with advancing age.ConclusionOur research highlights the cruciality of continuous enhancements in occupational health legislation for countries seriously suffering from industrial silica pollution and the necessity of prioritizing preventive measures for male workers and elderly retirees.

Carcinogenic Chemicals in Occupational Settings: A Tool for Comparison and Translation between Different Classification Systems

In the European Union, Occupational Safety and Health legislation generally refers to European Regulation (CE) n. 1272/2008 to define and classify carcinogens of concern for occupational risk assessment and exposure assessment. In Europe, the current reference is Directive (UE) 2022/431, regarding carcinogen, mutagen, and reprotoxic agent (CMR) exposure. However, at the worldwide level, different classification approaches are used to establish carcinogenicity of substances and it is often difficult to compare the classifications of carcinogenicity (CoCs) proposed by different international bodies. This study aims to investigate a list of carcinogens of concern in occupational settings based on the CLP (Classification Labelling Packaging) CoC and to create a tool that allows a rapid translation–comparison of some international CoCs with the reference one. CoCs proposed by various sources were consulted and used to apply a translation method, to favor an alignment of different CoCs according to a reference. Results outlined that, considering diverse sources, CoCs can result in different classifications of the same chemicals. Overall, this may have implications for the hazard assessment process, which is the base of risk assessment. The proposed tool is expected to help risk assessors in the occupational field when it is needed to have a comparison with different CoC systems.

A crisis planning and monitoring intervention to reduce compulsory hospital readmissions (FINCH study): protocol for a randomised controlled feasibility study

BackgroundRates of compulsory (also known as involuntary) detention under mental health legislation have been rising over several decades in countries including England. Avoiding such detentions should be a high priority given their potentially traumatic nature and departure from usual ethical principles of consent and collaboration. Those who have been detained previously are at high risk of being detained again, and thus a priority group for preventive interventions. In a very sparse literature, interventions based on crisis planning emerge as having more supporting evidence than other approaches to preventing compulsory detention.MethodWe have adapted and manualised an intervention previously trialled in Zürich Switzerland, aimed at reducing future compulsory detentions among people being discharged following a psychiatric admission that has included a period of compulsory detention. A co-production group including people with relevant lived and clinical experience has co-designed the adaptations to the intervention, drawing on evidence on crisis planning and self-management and on qualitative interviews with service users and clinicians. We will conduct a randomised controlled feasibility trial of the intervention, randomising 80 participants to either the intervention in addition to usual care, or usual care only. Feasibility and acceptability of the intervention and trial procedures will be assessed through process evaluation (including rates of randomisation, recruitment, and retention) and qualitative interviews. We will also assess and report on planned trial outcomes. The planned primary outcome for a full trial is repeat compulsory detention within one year of randomisation, and secondary outcomes include compulsory detention within 2 years, and symptoms, service satisfaction, self-rated recovery, self-management confidence, and service engagement. A health economic evaluation is also included.DiscussionThis feasibility study, and any subsequent full trial, will add to a currently limited literature on interventions to prevent involuntary detention, a goal valued highly by service users, carers, clinicians, and policymakers. There are significant potential impediments to recruiting and retaining this group, whose experiences of mental health care have often been negative and traumatising, and who are at high risk of disengagement.Trial registrationISRCTN, ISRCTN11627644. Registered 25th May 2022, https://www.isrctn.com/ISRCTN11627644.

Examining trends in epidemic typhus using historical texts.

Although associated with conflict, epidemic typhus was endemic across Europe into the modem period. The extent of the problem it caused is uncertain as record keeping in the most affected socioeconomic groups was rare. Google Ngram Viewer details the frequency of word usage in written language over time. The objective was to examine whether use of the word typhus reflected potential patterns in epidemic typhus. The frequency of the word 'typhus' was used in British English was studied between 1800 and 2019 and trends were examined. Clear differences in word usage were apparent; use increased throughout the 19 th century corresponding to increasing industrialization. Peaks coinciding with World Wars 1 and 2 were apparent. Strong correlations with the words "conflict", "warfare" and "industry" were seen. Mean shifts corresponded to public health legislation in the UK and the introduction of antibiotics. This study illustrates how examination of word usage can illuminate aspects of disease occurrence where official data sources are lacking.

Enforcement of work health and safety laws in services for people with disabilities: issues for policymakers and regulators

This article builds on an earlier study of more than two decades of Australian work health and safety prosecutions and enforceable undertakings involving services for people with disabilities that identified lessons for disability service providers. Through a cross case thematic analysis of the 27 cases in the earlier study, we identify systemic work health and safety issues that are beyond the control of individual organisations. We identify seven issues for policymakers and regulators to consider in stewarding the evolution of work health and safety law and practice and which might be pursued by advocacy organisations in seeking change. First, regulators should not ignore work health and safety crimes against people with disabilities. Second, work health and safety interventions should emphasise the prevention of challenging behaviours not just their control. Third, a quadripartite approach - including the voices of people supported - should be adopted in work health and safety policy and legislation. Fourth, there needs to be greater awareness of the scope for third-party advocacy and third-party enforcement. Fifth, funders should at times bear the work health and safety consequences of their decisions. Sixth, legislation should allow beneficial arrangements for supporting people with very complex needs. Seventh, governments should have full legal liability for their criminal acts; the degree of liability of not-for-profits should continue to be decided on a case-by-case basis.

Interview with Dr. Ruth Balser: A psychologist's journey into politics.

In 1998, Dr. Ruth Balser, a licensed practicing psychologist in Massachusetts, was elected to the Massachusetts House of Representatives to represent the 12th Middlesex District. She is the first psychologist to serve in the Massachusetts legislature and has won each reelection since she first ran, making this her 12th term in office. Having worked in the field of mental health for 30 years, Dr. Balser was 50 years old when she first ran for office. Throughout the interview, Dr. Balser was clear that she continues to strongly identify as a practicing psychologist, who is also a legislator and politician committed to advocating for and improving mental health legislation. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The Impact of Climate Change and Extreme Weather Conditions on Cardiovascular Health and Acute Cardiovascular Diseases

Climate change is widely recognized as one of the most significant challenges facing our planet and human civilization. Human activities such as the burning of fossil fuels, deforestation, and industrial processes release greenhouse gases into the atmosphere, leading to a warming of the Earth’s climate. The relationship between climate change and cardiovascular (CV) health, mediated by air pollution and increased ambient temperatures, is complex and very heterogeneous. The main mechanisms underlying the pathogenesis of CV disease at extreme temperatures involve several regulatory pathways, including temperature-sympathetic reactivity, the cold-activated renin-angiotensin system, dehydration, extreme temperature-induced electrolyte imbalances, and heat stroke-induced systemic inflammatory responses. The interplay of these mechanisms may vary based on individual factors, environmental conditions, and an overall health background. The net outcome is a significant increase in CV mortality and a higher incidence of hypertension, type II diabetes mellitus, acute myocardial infarction (AMI), heart failure, and cardiac arrhythmias. Patients with pre-existing CV disorders may be more vulnerable to the effects of global warming and extreme temperatures. There is an urgent need for a comprehensive intervention that spans from the individual level to a systemic or global approach to effectively address this existential problem. Future programs aimed at reducing CV and environmental burdens should require cross-disciplinary collaboration involving physicians, researchers, public health workers, political scientists, legislators, and national leaders to mitigate the effects of climate change.

Prevention of oral diseases for the older person (Part 2).

Older adults often experience poorer levels of oral health than younger adults, especially if they have become dependent on a third party to support their daily oral care routine. However, the deterioration of oral health does not need to be a part of the ageing process. Most oral diseases are largely preventable with the daily removal of dental plaque that forms on teeth and dentures, using a fluoride toothpaste, eating a healthy diet and reducing any tobacco consumption. The dental team have a duty of care to ensure that older people receive evidence-based oral health preventative advice tailored to the individual, taking into account individual risk factors that can increase with age. This can include the clinical application of topical fluoride and minimally invasive dentistry. Older people at an increased risk of poor oral health include those with cognitive conditions, physical impairments and certain medical conditions. Care home residents face particular barriers to attaining a satisfactory standard of oral care which are discussed herein. Good oral health preventative routines must be established early after the diagnosis of progressive chronic conditions and will help to prevent the need for dental intervention later in life when treatment can be more difficult to tolerate. Inclusion of oral health prevention within health policy and legislation is necessary to improve the oral health for older people living in all health and care settings.

The challenges of epidemiologic translation: communicating with physicians, policymakers, and the public.

Translational epidemiology refers to the practical application of population-health research findings to efforts addressing health disparities and other public health issues. A principal focus of epidemiologic translation is on the communication of results to constituencies who can best make use of this information to effect positive health-related change. Indeed, it is contended that findings from epidemiologic research are of greatest use only if adequately communicated to health professionals, legislators and policymakers, and the public. This paper details the challenges faced by efforts to communicate findings to the these constituencies, especially three types of miscommunication that can derail efforts at translation. These include perceived misinformation, perceived disinformation, and perceived censorship. Epidemiologists are ethically obliged to avoid these types of miscommunication, and, accordingly, are advised to place greater emphasis on messaging and media outreach to physicians, government officials, medical educators, and the general public.

Prevention of oral diseases for the older person (Part 1).

Older adults often experience poorer levels of oral health than younger adults, especially if they have become dependent on a third party to support their daily oral care routine. However, the deterioration of oral health does not need to be a part of the ageing process. Most oral diseases are largely preventable with the daily removal of dental plaque that forms on teeth and dentures, using a fluoride toothpaste, eating a healthy diet and reducing any tobacco consumption. The dental team have a duty of care to ensure that older people receive evidence-based oral health preventative advice tailored to the individual, taking into account individual risk factors that can increase with age. This can include the clinical application of topical fluoride and minimally invasive dentistry. Older people at an increased risk of poor oral health include those with cognitive conditions, physical impairments and certain medical conditions. Care home residents face particular barriers to attaining a satisfactory standard of oral care which are discussed herein. Good oral health preventative routines must be established early after the diagnosis of progressive chronic conditions and will help to prevent the need for dental intervention later in life when treatment can be more difficult to tolerate. Inclusion of oral health prevention within health policy and legislation is necessary to improve the oral health for older people living in all health and care settings.

Remote area nurses' experiences of workplace safety in very remote primary health clinics: A qualitative study.

To explore Remote Area Nurses' experiences of the implementation of workplace health and safety policies and risk mitigation strategies in Australian very remote primary health clinics. This qualitative study used online semi-structured interviews, with participants purposively sampled to maximize variation in work location and service type. Data were analysed using a reflexive thematic analysis approach. Coding was carried out inductively, with NVivo 12 aiding data management. The interviews were conducted from 24 Februrary 2021 to 06 March 2021 with Remote Area Nurses from very remote primary health clinics in Australia. Fifteen Remote Area Nurses participated in the study. Thematic analysis revealed varied approaches to workplace safety among the different health services and regions. While the spread of 'never alone' policies in many clinics addressed one of the significant risks faced by Remote Area Nurses, gaps remained even for hazards specifically highlighted in existing work health and safety legislation. Meaningful collaboration with staff and the community, local orientation, preparation for the role and providing quality care were protective factors for staff safety. Understaffing, unsafe infrastructure and inadequate equipment were common concerns among Remote Area Nurses. Health services need to prioritize workplace safety and take a continuous quality improvement approach to its implementation. This will include ensuring safety strategies are appropriate for the local context, improving infrastructure maintenance, and establishing sustainable second responder systems such as a pool of drivers with local knowledge. Poor personal safety contributes to burnout and high turnover of staff. Nurses' insights into the barriers and enablers of current workplace safety strategies will aid policymakers and employers in future improvements. COREQ reporting guidelines were followed. A panel of six Remote Area Nurses collaborated in the development of this project.