Public Health Nursing Intervention Wheel – Flashcards

An organized approach to public health nursing interventions that are applicable to the community, the system, and the individual

1. You're practicing PHN 2. You have a population you're focusing on 3. You've considered SDOH 4. You're guided by communities' priorities 5. You want to emphasize prevention 6. You're using the nursing process 7. You want a common set of interventions 8. You want to do something on all 3 levels

Individual = Goal is to identify individuals that need specific attention Community = Goal is to increase knowledge & attitude of entire community System = Goal is to change laws, practices, policies that influence other 2 levels

1. Population based (focused on populations with specific needs recognized through a nursing assessment) 2. Has 3 levels of practice (while different, they contribute together to overall population health and PHNs often intervene on all 3 levels simultaneously) 3. Has 17 public health interventions (applicable to all 3 levels of care, with few exceptions)

community organizing coalition building

surveillance disease investigation outreach screening (the other reds)

Red = individual & family Green = individual & family Blue = individual & family Orange = systems, community Yellow = systems, community

Population at risk = a population with a common identified risk factor or risk exposure that poses a threat to health (people with diabetes are at risk for CVD) Population of interest = a population that is essentially healthy but that could improve factors that promote or protect health (healthy adolescents & sexual health classes)

Primary = protects against threats to health, keeps problem from happening in the first place (immunizations) Secondary = detects problems and treats them in early stages, keeps problem from causing serious or long-term effects (screenings for HTN) Tertiary = limits further negative effects, keeps a problem from getting worse (directly observed therapy or DOT to ensure medication compliance in tb patients)

1. Monitor health status to identify problems 2. Diagnose & investigate problems 3. Educate people about health issues 4. Mobilize community partnerships to help solve problems 5. Develop policies, plans 6. Enforce laws that protect health/safety 7. Link needed help with individuals in need 8. Ensure a competent public health & personal health workforce 9. Evaluate effectiveness, accessibility, & quality of services 10. Research for new solutions in health problems

1. Community assessment (obesity stats for kids in a certain community) 2. Community diagnosis (unacceptable overweight/obese percentage in children in community) 3. Community action plan (we need to start a 24 week intervention program involving x, y, z) 4. Community implementation plan (social marketing, health teaching, collaboration, surveillance) 5. Community evaluation (following up with statistics/assessments, was it effective?)