public health intervention wheel surveillance

The focus on populations as opposed to individuals is a key characteristic that differentiates public health nursing from other areas of nursing practice. Policy Development and Enforcement. Determine evaluation methods for measuring process, intermediate, and outcome indicators. Populations may be understood as two categories. Community assessment generally results in a lengthy list of community problems and issues. The intervention of outreach: best practices. No single PHN is expected to perform every intervention at all three levels of practice. Comparison of registered and published intervention fidelity assessment in cluster randomised trials of public health interventions in low- and middle-income countries: systematic review protocol. The population of Sherburne County (Minnesota) increased almost 175% in 25 years (Minnesota Departments of Education, Health, Human Services, and Public Safety, 2007). Matern Child Health J. It keeps problems from occurring in the first place. The PHNs refer them to their medical providers or administer the immunizations through health department clinics. The PHNs assess for barriers and consult with the family to develop a plan to obtain immunizations either through a medical clinic or from a health department clinic. The Intervention Wheel, previously known as the Public Health Intervention Model, was originally introduced in 1998 by the Minnesota Department of Health, Section of Public Health Nursing. It keeps existing problems from getting worse. The green wedge consists of referral and follow-up, case management, and delegated functions—three interventions that, in practice, are often implemented together (Figure 9-3, B). A population is a collection of individuals who have one or more personal or environmental characteristics in common (Williams and Highriter, 1978). In these times of change, the public health system is constantly challenged to keep focused on the health of populations. She spent 20 years of her career in the Office of Public Health Practice at the Minnesota Department of Health. If you have any questions, email Jamie LaBrasca at the Northern Regional Office. Using best practices, determine intensity, sequencing, frequency of interventions. The evidence supporting the Intervention Wheel was recently subjected to a rigorous critique by regional and national experts. In response to the uncertainty, the consultant group presented a series of workshops across the state highlighting the core functions of public health nursing practice (see Chapter 1 for a description of these core functions). Apply the nursing process at three levels of practice. When a confirmed case of a vaccine-preventable disease occurs, PHNs work with epidemiologists to identify and locate everyone exposed to the index case. PHNs also provide feedback and guidance to clinicians and office staff for quality improvement. The population-basis of all public health interventions 2. Interventions at each level of practice contribute to the overall goal of improving population health. PHNs conduct audits of records in clinics that participate in the federal vaccine program. In 1999 the PHN consultant group at the Minnesota Department of Health designed and implemented a systematic process identifying more than 600 items from supporting evidence in the literature. Kalb KB, Cherry NM, Kauzloric J, Brender A, Green K, Miyagawa L, Shinoda-Mettler A. The mass production of the automobile in the 1920s killed the walkable city, which is why many older neighborhoods are deemed more pedestrian friendly and hospitable to walking. www.jwa.org/archive/jsp/gresInfo.jsp?resID=297, Committee for the Study of the Future of Public Health, 1988, Public Health Functions Steering Committee, 1995, Focuses on the health of entire populations, Establishes caring relationships with the communities, families, individuals, and systems that comprise the populations PHNs serve, Is grounded in social justice, compassion, sensitivity to diversity, and respect for the worth of all people, especially the vulnerable, Encompasses the mental, physical, emotional, social, spiritual, and environmental aspects of health, Promotes health through strategies driven by epidemiological evidence, Collaborates with community resources to achieve those strategies, but can and will work alone if necessary, Derives its authority for independent action from the Nurse Practice Act, Minnesota Departments of Education, Health, Human Services, and Public Safety, 2007. In Cohen EL, Cesta TG, editors: Nursing case management: from essentials to advanced practice applications, St Louis, 2005, Mosby, pp 129-140. Kawachi, Subramanian, and Alemeida-Filho, 2002, In 2006, the U.S. rate of infant deaths per 1000 live births was 6.7. Develop a common consensus among system partners of the health issue/problem and the desired changes. The photo below shows the settlement house’s backyard playground. Table 9-2 provides examples of the intervention at the three levels of practice for each of the 17 interventions. This critical process, which involved hundreds of public health nurses, resulted in a more robust Intervention Wheel and established the validity of the model. Using best practices, determine intensity, sequencing, frequency of interventions considering urgency, political will, resources. 2006 Mar-Apr;23(2):161-7. doi: 10.1111/j.1525-1446.2006.230207.x. • Case finding locates individuals and families with identified risk factors and connects them with resources. The Health, United States, 2009 Chartbook (CDC, 2009) provides the following examples: • In 2006, the U.S. rate of infant deaths per 1000 live births was 6.7. • Disease and other health event investigation systematically gathers and analyzes data regarding threats to the health of populations, ascertains the source of the threat, identifies cases and others at risk, and determines control measures. Apply results to modify community interventions. The Intervention Wheel provides a framework, a way of thinking about public health nursing practice. A registry provides official immunization records for schools, day-care centers, health departments, and clinics. Assess the health issue/problem (demographics, health determinants, past and current efforts). Recruit additional partners (local, regional, state, national) from systems that are key to impacting and/or who have an interest in the health issue/problem. Community-level practice changes community norms, community attitudes, community awareness, community practices, and community behaviors. %PDF-1.5 %���� The department asked undergraduate nursing students who were in their public health nursing clinical program to design, implement, and evaluate a walkability project. Begin/continue establishing relationship with community partners and population of interest. Pérez MC, Minoyan N, Ridde V, Sylvestre MP, Johri M. Trials. The primary focus of public health nursing is to promote health and prevent disease for entire population groups. This is a community-level primary prevention strategy. It keeps problems from causing serious or long-term effects or from affecting others. Interventions are the means through which public health practitioners implement the 10 essential services. PHNs use the registry to identify children with delayed or missing immunizations. Sue Strohschein’s public health nursing career spans more than 40 years and includes practice in both local and state health departments in Minnesota. 2008 Mar-Apr;25(2):166-75. doi: 10.1111/j.1525-1446.2008.00693.x. Define the wedges and interventions of the Intervention Wheel. The numerous new housing developments characterized urban sprawl, which has been implicated in the current obesity epidemic in both children and adults (Dunton et al, 2009; Renalds, Smith, and Hale, 2010). Examples of Interventions Applied to Definition of Prevention. endstream endobj 3766 0 obj <>/Metadata 299 0 R/Pages 3763 0 R/StructTreeRoot 3021 0 R/Type/Catalog>> endobj 3767 0 obj <>/MediaBox[0 0 540 715.2]/Parent 3763 0 R/Resources<>/Font<>/Pattern<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 3768 0 obj <>stream PHNs also work with health care providers in the community to ensure that providers accurately report vaccine-preventable diseases as legally required by state statute. manual, commonly known as the Public Health Intervention Wheel, to public health departments and public health nurses in 2001. The Public Health Intervention Wheel The Intervention Wheel Framework to define the scope of public health nursing practice. The interventions were subjected to an extensive review of supporting evidence in the literature through a grant from the federal Division of Nursing awarded to the Minnesota Department of Health in the 1990s. Reassess and modify plan at each contact as necessary. For example, clinics may be held in response to an epidemic of mumps, a case of hepatitis A attributable to a foodborne exposure in a restaurant, or an influenza pandemic in the general population. It gives PHNs a means to describe the full scope and breadth of their practice. Health department staff recognized the impact of urban sprawl on their built environment (Renalds, Smith, and Hale, 2010), or the “human-made space in which people live, work and recreate on a day-to-day basis” (Roof and Oleru, 2008). National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Interventions are the how of public health practice (Public Health Functions Steering Committee, 1995). From Keller LO, Strohschein S, Lia-Hoagberg B, Schaffer M: Population-based public health nursing interventions: a model from practice, Public Health Nurs 15:311-320, 1998. Provide feedback to system’s representatives. 2006 Mar-Apr;23(2):115-38. doi: 10.1111/j.1525-1446.2006.230204.x. For infants born to white women the rate was 3.7; for Black and African-American women, 9.2; for Hispanic or Latina women, 3.9; for American Indian or Alaskan Native, 4.3; for Asian or Pacific Islanders, 3.3 (Table 21, pp 182-183). The title “public health nurse” designates a registered nurse with educational preparation in both public health and nursing. Available at www.jwa.org/archive/jsp/gresInfo.jsp?resID=297. These are only selected examples of strategies to improve immunization rates; it is not an inclusive list.

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