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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.
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.
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. 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.
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.
