Toward an Advanced Practice Nursing Specialty in Occupational Health: A Public Health Imperative in France

Resumen

Background: The French law of August 2, 2021, recognized the possibility for Advanced
Practice Nurses (APNs) to specialize in occupational health. However, to date, this
specialization remains unimplemented despite growing evidence of its relevance [1,2].
Objective: This article advocates for the establishment of an APN specialty in occupational
health, responding to critical gaps in employee health monitoring and aligning with
interprofessional cooperation goals [2,3].
Methods: We conducted a narrative review of legislative frameworks, workforce health
needs, and current nursing competencies. Reports from professional bodies and government
sources were analyzed to assess feasibility and demand.
Results: Many workers in France have no regular occupational health follow-up [4,5]. Nurses
trained in occupational health already contribute to primary prevention but are limited in their
clinical scope. A formal APN role would enable broader diagnostic, prescriptive, and
preventive capabilities [1,3].

Conclusion: Creating an APN specialty in occupational health is a pragmatic and evidence-
based response to unmet public health needs. It would support early detection of occupational

diseases, improve access to care, and enhance multidisciplinary coordination.