Intervention Wheel In Public Health Nursing

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The Intervention Wheel in Public Health Nursing: A Comprehensive Guide



Introduction:

Are you a public health nurse, student, or simply curious about the powerful tool guiding preventative care and community health initiatives? Then you've come to the right place. This comprehensive guide delves into the Intervention Wheel in Public Health Nursing, a visual framework that clarifies the multifaceted roles and responsibilities of public health nurses. We’ll explore each level of intervention, providing practical examples and insights to enhance your understanding and application of this crucial tool. By the end, you'll have a clear grasp of its structure, components, and practical implications in diverse public health settings. This guide will equip you to navigate the complexities of community health and improve your effectiveness in promoting well-being.


Understanding the Intervention Wheel: A Visual Roadmap for Public Health Nurses



The Intervention Wheel, a widely recognized model in public health nursing, provides a structured approach to understanding and implementing interventions at various levels. Unlike traditional models focused solely on individual patient care, it encompasses a broader spectrum of intervention strategies, targeting populations and communities to prevent disease and promote health. This framework emphasizes the dynamic interaction between individual, family, community, and societal factors, ultimately aiming for comprehensive health improvement.

The Three Levels of Prevention and Their Application



The Intervention Wheel is organized around three core levels of prevention, each requiring distinct strategies and approaches:

1. Primary Prevention: This level focuses on preventing disease or injury before it occurs. Think of it as building a strong foundation of health. Examples in public health nursing include:

Health Promotion: Educating the public about healthy lifestyles (e.g., balanced diet, regular exercise, avoiding smoking), promoting vaccination campaigns, and advocating for policies that support healthy choices.
Specific Protection: Implementing measures to prevent exposure to disease or injury (e.g., promoting safe sex practices, providing flu vaccines, advocating for seatbelt use).

2. Secondary Prevention: This level aims to detect and treat disease or injury early, preventing further progression and complications. It's about identifying problems early and intervening promptly. Examples include:

Early Diagnosis & Treatment: Conducting screenings for high-risk populations (e.g., mammograms, blood pressure checks, colonoscopies), providing prompt treatment for identified conditions.
Disability Limitation: Implementing interventions to limit the impact of existing disease or injury (e.g., providing rehabilitation services, managing chronic conditions effectively).


3. Tertiary Prevention: This level focuses on minimizing the long-term effects of disease or injury after it has occurred, improving quality of life and preventing further disability. This stage is about managing existing conditions and optimizing function. Examples are:

Rehabilitation: Providing services to restore function and independence (e.g., physical therapy, occupational therapy).
Continuing Care: Offering ongoing support to manage chronic conditions and improve quality of life (e.g., support groups, case management).


The Seventeen Interventions of the Wheel



Beyond the levels of prevention, the Intervention Wheel illustrates 17 distinct interventions, each representing a specific action a public health nurse might undertake. These interventions are grouped into three categories: surveillance, disease and other health event investigation, and outreach.

1. Surveillance: This involves systematically collecting and analyzing data to monitor health events and trends in the community. It informs decision-making and resource allocation. Examples include monitoring infectious disease outbreaks, tracking chronic disease prevalence, and assessing community health needs.

2. Disease and other health event investigation: This involves investigating outbreaks, identifying causes, and implementing control measures to prevent further spread. Examples include tracing contacts of infectious disease cases, investigating foodborne illness outbreaks, and evaluating the impact of environmental hazards.

3. Outreach: This involves proactively reaching out to populations at risk to offer services and information. Examples include providing health education to vulnerable groups, conducting health screenings in underserved communities, and offering immunizations in schools.

The remaining 14 interventions are integrated across the three levels of prevention and include:

Screening: Identifying individuals at risk for specific conditions.
Case finding: Identifying individuals who have a particular health condition but are unaware of it.
Referral & follow-up: Connecting individuals with appropriate services and monitoring their progress.
Case management: Coordinating care for individuals with complex health needs.
Delegation: Assigning tasks to other healthcare professionals.
Consultation: Providing expert advice and guidance to other healthcare providers.
Counseling: Providing individual or group guidance to individuals and families.
Health teaching: Educating individuals and groups about health promotion and disease prevention.
Collaboration: Working with other healthcare professionals and community partners.
Coalition building: Bringing together multiple groups to address a common health issue.
Community organizing: Engaging community members in planning and implementing health initiatives.
Advocacy: Supporting policies and programs that promote health.
Social marketing: Using marketing principles to promote healthy behaviors.
Policy development & enforcement: Developing and implementing policies to support health.


Applying the Intervention Wheel in Practice



The Intervention Wheel isn't just a theoretical model; it's a practical guide for public health nurses. It provides a framework for assessing community needs, identifying appropriate interventions, and evaluating the effectiveness of those interventions. By understanding the different levels of prevention and the various interventions available, nurses can tailor their approaches to meet the specific needs of their communities.


Example: Addressing Childhood Obesity



Let's consider childhood obesity. The Intervention Wheel can guide a comprehensive approach:

Primary Prevention: Implementing school-based nutrition education programs (health promotion), advocating for healthier food options in school cafeterias (specific protection), and promoting physical activity through recess and after-school programs.
Secondary Prevention: Screening children for obesity through BMI assessments (early diagnosis), providing nutritional counseling to families with overweight children (early treatment), and implementing weight management programs.
Tertiary Prevention: Providing ongoing support to children and families managing obesity (continuing care), offering referrals to specialists as needed, and advocating for policies that support healthy weight maintenance.

This multifaceted approach, guided by the Intervention Wheel, addresses childhood obesity at multiple levels, maximizing the potential for positive impact.


Book Outline: Mastering the Intervention Wheel in Public Health Nursing



Title: Mastering the Intervention Wheel in Public Health Nursing: A Practical Guide to Community Health Interventions

Outline:

Introduction: What is the Intervention Wheel? Its importance in public health nursing.
Chapter 1: Understanding the Three Levels of Prevention: Primary, secondary, and tertiary prevention – detailed explanations with examples.
Chapter 2: The Seventeen Interventions in Detail: A thorough exploration of each intervention with practical examples and case studies.
Chapter 3: Applying the Intervention Wheel in Various Settings: Examples in school health, occupational health, and community health centers.
Chapter 4: Assessment and Planning using the Intervention Wheel: Practical steps for needs assessment and intervention planning.
Chapter 5: Evaluation and Program Improvement: Strategies for evaluating the effectiveness of interventions and making improvements.
Conclusion: The future of the Intervention Wheel and its ongoing relevance in public health nursing.


Detailed Explanation of Book Chapters:



(Note: This is a skeletal structure. A full book would require significantly more detail in each chapter.)


Chapter 1: Understanding the Three Levels of Prevention: This chapter would define primary, secondary, and tertiary prevention clearly, providing real-world examples relevant to various populations (e.g., elderly, children, specific disease groups). It would also explain the rationale behind each level and how they work together to achieve comprehensive health outcomes.

Chapter 2: The Seventeen Interventions in Detail: Each of the 17 interventions would be discussed individually, explaining its application, the skills required, ethical considerations, and potential challenges. Examples and case studies would illustrate their practical usage in various contexts. This chapter might be structured thematically, grouping similar interventions (e.g., those focused on education, those involving direct care).

Chapter 3: Applying the Intervention Wheel in Various Settings: This chapter explores how the Intervention Wheel is implemented in diverse practice settings – schools, workplaces, clinics, community-based organizations, etc. It would detail the unique considerations and adaptations required for each setting, highlighting practical challenges and successful case studies.

Chapter 4: Assessment and Planning using the Intervention Wheel: This chapter focuses on the practical application of the model. It would detail the steps involved in conducting community health assessments, identifying priority health needs, selecting appropriate interventions based on the Intervention Wheel, and developing comprehensive intervention plans. It would include examples of assessment tools and planning frameworks.

Chapter 5: Evaluation and Program Improvement: This chapter focuses on measuring the impact of interventions. It would explore methods for evaluating program effectiveness, collecting data, analyzing results, and using that information to improve interventions. It would also cover ethical considerations related to data collection and program evaluation.


FAQs:



1. What is the main purpose of the Intervention Wheel in public health nursing? To provide a framework for understanding and implementing public health interventions at various levels (individual, family, community) and across different levels of prevention.

2. How does the Intervention Wheel differ from other models of nursing care? It emphasizes population-level interventions and community-based approaches, not just individual patient care.

3. What are the three levels of prevention within the Intervention Wheel? Primary, secondary, and tertiary prevention.

4. What are some examples of primary prevention interventions? Health education, immunizations, advocating for healthy policies.

5. What are some examples of secondary prevention interventions? Screenings, early diagnosis and treatment, disease surveillance.

6. What are some examples of tertiary prevention interventions? Rehabilitation, case management, support groups.

7. How many interventions are depicted in the Intervention Wheel? Seventeen.

8. How can I use the Intervention Wheel in my practice as a public health nurse? To guide your assessment of community needs, selection of interventions, and evaluation of effectiveness.

9. Are there any resources available to learn more about the Intervention Wheel? Yes, many textbooks, online resources, and professional development courses cover this topic in detail.


Related Articles:



1. Public Health Nursing Roles and Responsibilities: Discusses the diverse roles and responsibilities of public health nurses, including their involvement in community health assessments, program planning, and intervention implementation.

2. Community Health Assessment: A Step-by-Step Guide: Explores the process of conducting comprehensive community health assessments, focusing on identifying priority health needs and community assets.

3. Health Promotion and Disease Prevention Strategies: Provides a comprehensive overview of various health promotion and disease prevention strategies applicable in public health nursing practice.

4. Case Management in Public Health: Explores the principles and practice of case management in public health, focusing on coordinating care for individuals with complex health needs.

5. Ethical Considerations in Public Health Nursing: Examines the ethical dilemmas and considerations faced by public health nurses in their work.

6. The Social Determinants of Health: Discusses the various social factors that influence health outcomes and how public health nurses can address these factors.

7. Health Disparities and Health Equity: Explores the concept of health disparities and health equity, and how public health nurses can work to address these disparities.

8. Data Analysis and Interpretation in Public Health: Provides guidance on how to analyze and interpret data collected in public health settings.

9. Program Evaluation in Public Health: Explains the principles and methods used to evaluate the effectiveness of public health programs.


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  intervention wheel in public health nursing: Public Health Nursing E-Book Marcia Stanhope, Jeanette Lancaster, 2024-03-13 **Selected for Doody's Core Titles® 2024 in Community Health** Gain a solid understanding of community and public health nursing with this industry-standard text! Public Health Nursing: Population-Centered Health Care in the Community, 11th Edition, provides up-to-date information on issues such as infectious diseases, natural and man-made disasters, and healthcare policies affecting individuals, families, and communities. This edition has been thoroughly updated to reflect current data, issues, trends, and practices presented in an easy-to-understand, accessible format. Additionally, real-life scenarios show examples of health promotion and public health interventions, and case studies for the Next-Generation NCLEX® Examination help strengthen your clinical judgment. Ideal for BSN and Advanced Practice Nursing programs, this comprehensive, bestselling text will provide you with a greater understanding of public health nursing! - Focus on Quality and Safety Education for Nurses boxes give examples of how quality and safety goals, competencies, and objectives, knowledge, skills, and attitudes can be applied in nursing practice in the community. - Evidence-Based Practice boxes illustrate the use and application of the latest research findings in public/community health nursing. - Healthy People boxes describe federal health and wellness goals and objectives. - Check Your Practice boxes feature a scenario and questions to promote active learning and encourage students to use clinical judgment skills as they contemplate how to best approach the task or problem in the scenario. - Linking Content to Practice boxes describe the nurse's role in a variety of public and community health areas, giving specific examples of the nurse's role in caring for individuals, families, and populations. - UNIQUE! Separate chapters covering promoting healthy communities, the Intervention Wheel, and nurse-led health centers teach students the initiatives and various approaches to population and community-centered nursing care. - Levels of Prevention boxes address the primary, secondary, and tertiary levels of community/public health nursing as related to chapter content. - How To boxes provide practical application to practice. - End-of-chapter Practice Application scenarios, Key Points, and Clinical Judgment Activities promote application and in-depth understanding of chapter content.
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  intervention wheel in public health nursing: Advanced Public and Community Health Nursing Practice Naomi E. Ervin, PhD, RN, PHCNS-BC, FNAP, FAAN, Pamela Kulbok, DNSc, RN, APHN-BC, FAAN, 2018-03-28 Written by advanced practice public/community health nurse experts, this comprehensive resource for advanced practice nursing students and clinicians builds upon the core foundations of practice: social justice, interdisciplinary practice, community involvement, disease prevention, and health promotion. Interweaving theory, practice, and contemporary issues, Advanced Public and Community Health Nursing Practice, Second Edition, provides essential knowledge needed to successfully assess communities, diagnose community situations, plan programs and budgets, and evaluate programs in public and community health. This revised edition has been thoroughly updated to encompass the evolution of public/community health nursing practice during the past 15 years. With several examples of community assessments, community health program plans, and evidence-based and best-practice interventions, the content in this publication addresses the core processes of advanced public/community health nursing practice. Chapters integrate new material about the physical environment and cover key changes in nursing education and practice and healthcare financing and delivery. This new edition includes additional content on culture and diversity, in-depth theory and conceptual frameworks, doctoral preparation, and policy. New to the Second Edition: Completely new information reflecting changes in nursing education and practice and healthcare financing and delivery Abundant examples of community assessments and community health program plans Evidence-based/best-practice interventions, programs, and services Clinical/practicum activities to help learners apply content in varied settings Suggested readings and references to support more in-depth study Additional information about the physical environment, culture and diversity, doctoral preparation, and policy Interprofessional/interdisciplinary practice In-depth information regarding theories and conceptual frameworks New references, examples, case studies, problems, and discussion questions Key Features: Provides comprehensive, in-depth information regarding community assessment, program planning, program implementation, evaluation, and program revision Delivers timely knowledge about using evidence, practice standards, public health ethics, Healthy People 2020, and competent practice in varied settings Includes realistic case studies of program and evaluation plans Presents examples of programs and projects conducted by advanced practice public/community health nurses
  intervention wheel in public health nursing: Community Health Nursing Karen Saucier Lundy, Sharyn Janes, 2009 Historically, community health nursing has responded to the changing health care needs of the community and continues to meet those needs in a variety of diverse roles and settings. Community Health Nursing: Caring for the Public's Health, Second Edition reflects this response and is representative of what communities signify in the United States--a unified society made up of many different populations and unique health perspectives. This text provides an emphasis on population-based nursing directed toward health promotion and primary prevention in the community. It is both community-based and community-focused, reflecting the current dynamics of the health care system. The Second Edition contains new chapters on disaster nursing and community collaborations during emergencies. The chapters covering Family health, ethics, mental health, and pediatric nursing have all been significantly revised and updated.
  intervention wheel in public health nursing: Social Isolation and Loneliness in Older Adults National Academies of Sciences, Engineering, and Medicine, Division of Behavioral and Social Sciences and Education, Health and Medicine Division, Board on Behavioral, Cognitive, and Sensory Sciences, Board on Health Sciences Policy, Committee on the Health and Medical Dimensions of Social Isolation and Loneliness in Older Adults, 2020-05-14 Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.
  intervention wheel in public health nursing: Population-based Public Health Clinical Manual Marjorie Schaffer, Carolyn M. Garcia, Patricia M. Schoon, 2011 This hybrid of textbook and workbook provides a practical resource for students in community/public health courses. Each chapter includes: clinical example; competency components; evidence for the competency at individual/family, community, and systems levels; ethical considerations related to competency; learning examples; reflective practice questions/application of evidence; key points; resources. Sidebars and symbols improve navigation through text.
  intervention wheel in public health nursing: Public Health Nursing - E-Book Marcia Stanhope, Jeanette Lancaster, 2015-09-16 Prepare for a successful career as a community/public health nurse! Public Health Nursing: Population-Centered Health Care in the Community, 9th Edition provides up-to-date information on issues that impact public health nursing, such as infectious diseases, natural and man-made disasters, and health care policies affecting individuals, families, and communities. Real-life scenarios show examples of health promotion and public health interventions. New to this edition is an emphasis on QSEN skills and an explanation of the influence of the Affordable Care Act on public health. Written by well-known nursing educators Marcia Stanhope and Jeanette Lancaster, this comprehensive, bestselling text is ideal for students in both BSN and Advanced Practice Nursing programs. Evidence-Based Practice and Cutting Edge boxes illustrate the use and application of the latest research findings in public/community health nursing. Healthy People 2020 boxes highlight goals and objectives for promoting the nation’s health and wellness over the next decade. Levels of Prevention boxes identify specific nursing interventions at the primary, secondary, and tertiary levels. Practice Application scenarios help you apply chapter content to the practice setting by analyzing case situations and answering critical thinking questions. Linking Content to Practice boxes provide examples of the nurse’s role in caring for individuals, families, and populations in community health settings. Unique! Separate chapters on healthy cities, the Minnesota Intervention Wheel, and nursing centers describe different approaches to community health initiatives. Community/Public Health Nursing Online consists of 14 modules that bring community health situations to life, each including a reading assignment, case scenarios with learning activities, an assessment quiz, and critical thinking questions. Sold separately. NEW! Coverage of health care reform discusses the impact of The Patient Protection and Affordable Care Act of 2010 (ACA) on public health nursing. NEW! Focus on Quality and Safety Education for Nurses boxes give examples of how quality and safety goals, knowledge, competencies and skills, and attitudes can be applied to nursing practice in the community.
  intervention wheel in public health nursing: Public Health Nursing Marcia Stanhope, PhD, RN, FAAN, Jeanette Lancaster, PhD, RN, FAAN, 2015-10-07 Prepare for a successful career as a community/public health nurse! Public Health Nursing: Population-Centered Health Care in the Community, 9th Edition provides up-to-date information on issues that impact public health nursing, such as infectious diseases, natural and man-made disasters, and health care policies affecting individuals, families, and communities. Real-life scenarios show examples of health promotion and public health interventions. New to this edition is an emphasis on QSEN skills and an explanation of the influence of the Affordable Care Act on public health. Written by well-known nursing educators Marcia Stanhope and Jeanette Lancaster, this comprehensive, bestselling text is ideal for students in both BSN and Advanced Practice Nursing programs. Evidence-Based Practice and Cutting Edge boxes illustrate the use and application of the latest research findings in public/community health nursing. Healthy People 2020 boxes highlight goals and objectives for promoting the nation's health and wellness over the next decade. Levels of Prevention boxes identify specific nursing interventions at the primary, secondary, and tertiary levels. Practice Application scenarios help you apply chapter content to the practice setting by analyzing case situations and answering critical thinking questions. Linking Content to Practice boxes provide examples of the nurse's role in caring for individuals, families, and populations in community health settings. Unique! Separate chapters on healthy cities, the Minnesota Intervention Wheel, and nursing centers describe different approaches to community health initiatives. Community/Public Health Nursing Online consists of 14 modules that bring community health situations to life, each including a reading assignment, case scenarios with learning activities, an assessment quiz, and critical thinking questions. Sold separately. NEW! Coverage of health care reform discusses the impact of The Patient Protection and Affordable Care Act of 2010 (ACA) on public health nursing. NEW! Focus on Quality and Safety Education for Nurses boxes give examples of how quality and safety goals, knowledge, competencies and skills, and attitudes can be applied to nursing practice in the community.
  intervention wheel in public health nursing: Community/public Health Nursing Practice Frances A. Maurer, Claudia M. Smith, 2009 Maurer and Smith (both: U. of Maryland School of Nursing) intend this updated text for undergraduates in community/public health nursing. Thirty-three chapter topics are organized into eight units which address the role and context of the community health nurse; an introduction to epidemiology and consideration of environment-related health risks and the role of cultural competency in the profession; a discussion of strategies for working with and assessing families as clients; coverage of the community and population approach to community health nursing; strategies for population-focused intervention; discussion of contemporary problems in the field including vulnerable populations, disaster management, family and community violence, and teenage pregnancy; detailed discussion of persons with disabilities, children, and elderly person; and settings for community/public health nursing practice. Expanded content in this update includes discussion of the most current Healthy People 2010 objectives, in-home care of the ill, migrant health problems, contemporary tools for addictions screening, interventions for improving responsible teen sexual behaviors, and environmental aspects of school health, among many other topics. Annotation ©2009 Book News, Inc., Portland, OR (booknews.com) distributed by Syndetic Solutions, LLC.
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  intervention wheel in public health nursing: Community/Public Health Nursing Online for Stanhope and Lancaster, Public Health Nursing (User Guide, Access Code and Textbook Package) Marcia Stanhope, Jeanette Lancaster, 2011-11-12 This money-saving package includes the 8th edition of Community/Public Health Nursing Online for Stanhope and Lancaster, Public Health Nursing (User Guide and Access Code) and Public Health Nursing, 8th edition textbook.
  intervention wheel in public health nursing: Public Health Nursing Marie Truglio-Londrigan, Sandra Lewenson, 2013 With new chapters on disaster management, primary health care, and new technologies used in public health nursing and public health education, this newly revised edition of Public Health Nursing: Practicing Population-Based Care is a must-have resource for students interested in public health nursing and education.
  intervention wheel in public health nursing: Foundations for Population Health in Community/Public Health Nursing - E-Book Marcia Stanhope, Jeanette Lancaster, 2017-09-20 Get the essential information you need to know about population health and community health nursing! Foundations for Population Health in Community/Public Health Nursing, 5th Edition includes concise, focused coverage of community health nursing — from nursing roles and care settings to vulnerable population groups. The book uses a practical, community-oriented approach and places an emphasis on health promotion and disease prevention. Practical application of concepts is highlighted throughout the text in case studies, critical thinking activities, QSEN competencies, and Healthy People 2020 objectives. - QSEN boxes illustrate how quality and safety goals, competencies, objectives, knowledge, skills, and attitudes can be applied in nursing practice in the community. - Healthy People 2020 objectives in every chapter address the health priorities and emerging health issues expected in the next decade. - Genomics coverage provides a history of genetics and genomics and how they impact public/community health nursing care. - Focus on health promotion throughout the text emphasizes initiatives, strategies, and interventions that promote the health of the community. - Clinical Application scenarios present practice situations with questions and answers to help you apply chapter concepts to practice in the community. - Evidence-Based Practice boxes highlight current research findings, their application to practice, and how community/public health nurses can apply the study results. - Levels of Prevention boxes identify specific nursing interventions at the primary, secondary, and tertiary levels, to reinforce the concept of prevention as it pertains to community and public health care. - Feature box on Linking Content to Practice highlights how chapter content is applied in the role of public/community health nursing. - NEW! Coverage of health care reform includes discussions of the impact of The Patient Protection and Affordable Care Act of 2010 (ACA) on public health nursing and the potential implications of its repeal. - NEW! Check Your Practice boxes feature scenarios and discussion questions to promote active learning.
  intervention wheel in public health nursing: Knowledge Translation in Health Care Sharon E. Straus, Jacqueline Tetroe, Ian D. Graham, 2011-08-24 Health care systems worldwide are faced with the challenge of improving the quality of care. Providing evidence from health research is necessary but not sufficient for the provision of optimal care and so knowledge translation (KT), the scientific study of methods for closing the knowledge-to-action gap and of the barriers and facilitators inherent in the process, is gaining significance. Knowledge Translation in Health Care explains how to use research findings to improve health care in real life, everyday situations. The authors define and describe knowledge translation, and outline strategies for successful knowledge translation in practice and policy making. The book is full of examples of how knowledge translation models work in closing the gap between evidence and action. Written by a team of authors closely involved in the development of knowledge translation this unique book aims to extend understanding and implementation worldwide. It is an introductory guide to an emerging hot topic in evidence-based care and essential for health policy makers, researchers, managers, clinicians and trainees.
  intervention wheel in public health nursing: Community/Public Health Nursing Practice Frances A. Maurer, Claudia M. Smith, 2012-10-01 Focusing on practical, need-to-know information, Community/Public Health Nursing Practice helps you learn how to apply the nursing process at the community and family level. It features an engaging, easy-to-understand writing style, as well as assessment tools, detailed case studies, and clinical examples that demonstrate how key concepts apply to real-world practice. Additional resources on the companion Evolve website expand and enhance content within the text. Practical features including Case Studies, Ethics in Practice, and The Nursing Process in Practice illustrate real-world applications of key community/public health nursing concepts. A complete unit on the community as client helps you understand how the assessment, diagnosis, planning, intervention, and evaluation steps of the nursing process apply to the community, as opposed to an individual. A chapter devoted to community assessment provides a complete assessment tool and shows you how the tool applies to two different types of communities. UNIQUE! A chapter on screening and referral promotes population-focused practice, which is the crux of community/public health nursing. A separate unit on the family emphasizes the importance of viewing the family as a singular client. A complete discussion of the Minnesota Wheel helps you better understand this widely-accepted framework for community/public health nursing practice. Helpful sections such as Focus Questions, Chapter Outlines, Key Ideas, and Learning by Experience and Reflection help you pinpoint essential information. NEW! Healthy People 2020 objectives throughout the text help you identify common health risk factors in populations and families. NEW! Coverage of health care reform, including the Patient Protection and Affordable Care Act of 2010 (PPACA), explores how current health care legislation impacts community/public health nursing. NEW! Discussions of community health hot button issues, such as human trafficking, genital circumcision, and bullying, introduce you to today's health care challenges. NEW! Information on weather-related disaster fatalities, bioterrorism, and national and state planning responses familiarize you with current, relevant issues which affect the health of populations worldwide and shape the role of the community/public health nurse.
  intervention wheel in public health nursing: Population-Based Public Health Clinical Manual, Fourth Edition: Using EBP to Transform Policy in Nursing and Healthcare Patricia M. Schoon, Carolyn Marie Porta, 2023-06-29 “This 4th edition is an invaluable resource for PHN educators, students, and practitioners. Authoritative and practical, this volume reflects the authors’ solid understanding of public health nursing practice today. The reality-based insights and much-needed guidance about population health and public health nursing place this book in the forefront of educational resources for public health and community health nursing educators.” – Marla E. Salmon, ScD, RN, FAAN Professor, Nursing and Global Health Affiliate Professor, Governance and Public Policy University of Washington Population-Based Public Health Clinical Manual: The Henry Street Model for Nurses has proven to be one of the most important public health texts for students and practitioners alike. Focused on developing evidence-based public health nursing practice in diverse settings, and built on the framework of the Henry Street Consortium’s 13 competencies for population-based, entry-level public health nursing, this new, full-color fourth edition is fully revised and updated to support readers’ exploration of the field of public health nursing and the unique responsibilities and challenges that come with being a public health nurse. TABLE OF CONTENTS Part I: Foundational Concepts for Public Health Nursing Practice Chapter 1: Introduction to Public Health Nursing Practice Chapter 2: Evidence-Based Public Health Nursing Practice Part II: Entry-Level Population-Based Public Health Nursing Competencies Chapter 3: COMPETENCY 1: Applies the Public Health Nursing Process to Individuals, Families, Communities, and Systems Chapter 4: COMPETENCY 2: Utilizes Basic Epidemiological Principles in Public Health Nursing Practice Chapter 5: COMPETENCY 3: Utilizes the Principles and Science of Environmental Health to Promote Safe and Sustainable Environments for Individuals, Families, Communities, and Systems Chapter 6: COMPETENCY 4: Practices Public Health Nursing Within the Auspices of the Nurse Practice Act Chapter 7: COMPETENCY 5: Works Within the Responsibility and Authority of the Governmental Public Health System Chapter 8: COMPETENCY 6: Utilizes Collaboration to Achieve Public Health Goals Chapter 9: COMPETENCY 7: Effectively Communicates With Individuals, Families, Communities, and Systems Chapter 10: COMPETENCY 8: Establishes and Maintains Caring Relationships With Individuals, Families, Communities, and Systems Chapter 11: COMPETENCY 9: Incorporates Mental, Physical, Emotional, Social, Spiritual, and Environmental Aspects of Health Into Assessment, Planning, Implementation, and Evaluation Chapter 12: COMPETENCY 10: Demonstrates Nonjudgmental and Unconditional Acceptance of People Different From Self Chapter 13: COMPETENCY 11: Shows Evidence of Commitment to Social Justice, the Greater Good, Reducing Racial and Health Disparities, and Increasing Health Equity Chapter 14: COMPETENCY 12: Demonstrates Leadership in Public Health Nursing Practices With Individuals and Families, Communities, and Systems Chapter 15: COMPETENCY 13: Promotes, Assesses, and Coordinates Population Health at the Individual, Family, Community, and Systems Levels of Practice to Create Healthier Individuals, Families, Populations, and Communities Chapter 16: Putting It All Together: What It Means to Be a Public Health Nurse Part III: Appendices Appendix A: Entry-Level Population-Based Public Health Nursing (PHN) Competencies for the New Graduate or Novice Public Health Nurse Appendix B: Omaha System Appendix C: Chapter 15 Population Health Exemplar Appendix D: Spotlight: Population Health Appendix E: Spotlight: Population Health Outreach ABOUT THE AUTHORS Patricia M. Schoon, DNP, MPH, RN, PHN, is a tenured Associate Professor at Metropolitan State University in St. Paul, Minnesota. She is a founding member of the Henry Street Consortium and has taught nursing and public health for almost 50 years. Carolyn M. Porta, PhD, MPH, RN, PHN, SANE-A, FAAN, FNAP, is an Associate Vice President for Clinical Affairs at the University of Minnesota and a tenured Professor in the School of Nursing. She holds adjunct faculty appointments in the School of Public Health at the University of Minnesota, the Kaohsiung Medical University School of Nursing, and the Manipal Academy of Higher Education School of Nursing.
  intervention wheel in public health nursing: Social Marketing Nancy R. Lee, Philip Kotler, 2011-10-20 The Fourth Edition of Social Marketing is the definitive textbook for the planning and implementation of programs designed to bring about social change. No other text is as comprehensive and foundational when it comes to taking key marketing principles and applying them to campaigns and efforts to influence social action. It provides a solid foundation of fundamental marketing principles and techniques, and then expands them to illustrate techniques specific to practitioners and agencies with missions to enhance public health, prevent injuries, protect the environment, and motivate community involvement.This book is coauthored by arguably the most influential individual in the field of marketing, Philip Kotler, who coined the term social marketing in 1971 (with Gerald Zaltman) and Nancy R. Lee, a preeminent lecturer, consultant, and author in social marketing. Key Features: - Presents an introductory case for each chapter, and a concluding case for a majority of chapters to demonstrate for students why and how social marketing works. - Enhances understanding with chapter summaries of key points and questions for discussion. - Provides a step-by-step guide to developing a marketing plan, with chapters presented sequentially to support planning development and the inclusion of worksheets in the appendix; - It incorporates contributions from a range of internationally known social marketers who provide real cases to set the stage for each chapter. Past contributors have included individuals from the CDC, National Centre for Social Marketing, AARP, the Office of National Drug Control Policy, and others.
  intervention wheel in public health nursing: Community & Public Health Nursing Rosanna DeMarco, Judith Healey-Walsh, 2019-03-19 Ensuring students meet the competencies outlined in the Quad Council of Public Health Nursing Organizations (ACHNE, 2011) and AACN’s (2008) publication Essentials of Baccalaureate Education for Professional Nursing Practice Community and Public Health Nursing, the 3rd Edition of Community & Public Health is a primer to community, public, and population health nursing that develops students’ abstract critical thinking skills and complex reasoning abilities through case studies, exercises, and examples throughout the highly illustrated text. Authors DeMarco & Healey-Walsh introduce public health concepts from an evidence-based perspective, allowing students to make connections between data and practice decisions. Because evidence-based practice guides quality performance improvements, the authors teach students to gather, assess, analyze, apply, and evaluate evidence— derived from epidemiology and other sources— for making public health practice decisions and for planning the care of individuals, families, and groups in the community. Examples assist students in interpreting and applying statistical data. The authors integrate timely topics (major challenges to nursing practice in the community, community and public health nursing specialties, cultural diversity, health disparities, globalism, epidemiology and basic biostatistics, and ethical considerations, Preventative immunizations, political proactiveness, advanced practice preparation, sustainable health goals, ebola, telehealth, opioid epidemic, veterans and LBGQ as a underserved populations, iPrepare, health literacy, health promotion conferences, and Healthy People 2020.) Special attention will be given to add additional features and ancillaries that allow students to actively learn. Healthy People 2020, and students will complete short active learning activities/questions will allow students apply the goals to real-life scenarios. NEW to this edition’s ancillary package are unfolding case studies related to our new clinical replacement solution Lippincott Clinical Experiences: Community, Public, and Population Health. Our PowerPoints have been enhanced and are now heavily illustrated.
  intervention wheel in public health nursing: Foundations of Clinical Nurse Specialist Practice Dr. Janet S. Fulton PhD, RN, Dr. Brenda L. Lyon PhD, Dr. Kelly Goudreau PhD, 2009-10-16 cs.nurse.nurspract
  intervention wheel in public health nursing: Strengths-Based Nursing Care Laurie N. Gottlieb, PhD, RN, 2012-08-22 This is the first practical guide for nurses on how to incorporate the knowledge, skills, and tools of Strength-Based Nursing Care (SBC) into everyday practice. The text, based on a model developed by the McGill University Nursing Program, signifies a paradigm shift from a deficit-based model to one that focuses on individual, family, and community strengths as a cornerstone of effective nursing care. The book develops the theoretical foundations underlying SBC, promotes the acquisition of fundamental skills needed for SBC practice, and offers specific strategies, techniques, and tools for identifying strengths and harnessing them to facilitate healing and health. The testimony of 46 nurses demonstrates how SBC can be effectively used in multiple settings across the lifespan.
  intervention wheel in public health nursing: Public Health at the Crossroads Robert Beaglehole, Ruth Bonita, 2004-04-22 Reviewing epidemiological and demographic trends internationally, this book provides an overview of major health trends, summarises the current state of the world's health, and reviews recent estimates of the global burden of disease.
  intervention wheel in public health nursing: Public Health Nursing American Nurses Association, 2014-05-14 Health care in the U.S. is in the throes of shifting its emphasis from an illness care system to one focused on health promotion and disease prevention. The convergence of multiple economic, political, and social factors including Healthy People 2020, the Obama Administration's National Prevention Strategy, and the Patient Protection and Affordable Care Act (ACA) provide a road map for improving the health of the public. Public health nurses should be in the forefront of health care to lead change in all sectors from public to private and local to global. This revised edition of Public Health Nursing: Scope and Standards of Practice looks to the future of public health nursing and provides essential guidance in the form of standards and competencies for generalist and the advanced public health nurse. This is a must-have title for public health nursing practitioners, educators, students, researchers and others directly involved in public health. Employers, insurers, lawyers, regulators, policy makers and stakeholders will find value in referencing this publication.
  intervention wheel in public health nursing: Foundations of Nursing in the Community Marcia Stanhope, RN, DSN, FAAN, Jeanette Lancaster, RN, PhD, FAAN, 2013-10-21 With concise, focused coverage of community health nursing, Foundations of Nursing in the Community: Community-Oriented Practice, 4th Edition provides essential information for community practice - from nursing roles and care settings to vulnerable population groups. The book uses a practical, community-oriented approach and places an emphasis on health promotion and disease prevention. Practical application of concepts is highlighted throughout the text in case studies, critical thinking activities, QSEN competencies, and Healthy People 2020 objectives. Evidence-Based Practice boxes highlight current research findings, their application to practice, and how community/public health nurses can apply the study results. Levels of Prevention boxes identify specific nursing interventions at the primary, secondary, and tertiary levels, to reinforce the concept of prevention as it pertains to community and public health care. Focus on health promotion throughout the text emphasizes initiatives, strategies, and interventions that promote the health of the community. Clinical Application scenarios offer realistic situations with questions and answers to help you apply chapter concepts to practice in the community. Case Studies provide client scenarios within the community/public health setting to help you develop assessment and critical thinking skills. What Would You Do? boxes present problem-solving challenges that encourage both independent and collaborative thinking required in community settings. How To boxes offer specific instructions on nursing interventions. NEW! QSEN boxes illustrate how quality and safety goals, competencies, objectives, knowledge, skills, and attitudes can be applied in nursing practice in the community. NEW! Feature box on Linking Content to Practice highlights how chapter content is applied in the role of public/community health nursing. NEW! Healthy People 2020 objectives in every chapter address the health priorities and emerging health issues expected in the next decade.
  intervention wheel in public health nursing: Community as Partner , 2015
  intervention wheel in public health nursing: Intervention Research Bernadette Mazurek Melnyk, PhD, APRN-CNP, FAANP, FNAP, FAAN, Dianne Morrison-Beedy, PhD, RN, WHNP, FNAP, FAANP, FAAN, 2012-04-23 2012 First Place AJN Book of the Year Award Winner in Nursing Research! This is a resource for success and should be a part of any researcher's library.--Doody's Medical Reviews This book is a practical, user-friendly guide for health care researchers across multiple disciplines who are involved in intervention research. It provides all of the essential elements needed for understanding how to design, conduct, analyze, and fund intervention studies that are replicable and can withstand the scrutiny of the Institutional Review Board and peer review. Developed from an annual continuing education workshop on intervention studies conducted by Dr. Melnyk, this text is the most comprehensive body of information available on this topic. Contributors address the design of interventions that are ethically considerate and sensitive to culture, race/ethnicity, and gender, minimizing threats to external and internal validity, measurement, and budgeting. The guide explores such implementation issues as subject recruitment and retention, data management, and specialized settings, cost analysis, and explaining intervention effects. The text also guides readers in writing grant applications that fund , and addresses how to move intervention study findings into the real world. A unique addition to the book is the availability of digital examples of progress reports, final reports, and research grant applications that have received funding from the National Institutes of Health and other relevant organizations. This text is a valuable resource for all health care professionals conducting research and for doctoral students in health care studies. Key Features: Presents the essential tools for designing, conducting, analyzing, and funding intervention studies Designed for use by health care professionals conducting intervention research Provides comprehensive, accessible guidelines for doctoral students across all health care disciplines Instructs readers on writing grant applications that fund Includes digital examples of funded research grants, progress reports, and final reports
  intervention wheel in public health nursing: Public Health Nursing Marcia Stanhope, Jeanette Lancaster, 2008 This respected text gives you a solid foundation in community and public health nursing concepts and interventions for individuals, families, and communities. Throughout, health promotion and disease prevention concepts are integrated into the multifaceted role of population-focused, community-oriented nursing practice. You'll find timely coverage of topics such as nursing roles following terrorist attacks and during infectious disease outbreaks; parish nursing; nurse-managed centers; and important client populations such as clients with AIDS, pregnant teens, and the homeless. --from publisher description.
  intervention wheel in public health nursing: Homelessness, Health, and Human Needs Institute of Medicine, Committee on Health Care for Homeless People, 1988-02-01 There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.
  intervention wheel in public health nursing: The Behaviour Change Wheel Susan Michie, Lou Atkins, Robert West, 2014-05 Designing Interventions' brings together theory-based tools developed in behavioural science to understand and change behaviour to form a step-by-step intervention design manual. This book is for anyone with an interest in changing behaviour regardless of whether they have a background in behavioural science.
  intervention wheel in public health nursing: Foundations for Population Health in Community/Public Health Nursing Marcia Stanhope, Jeanette Lancaster, 2017-10-12 Foundations of Nursing in the Community - Elsevieron VitalSource
  intervention wheel in public health nursing: Community and Public Health Nursing Cherie Rector, Mary Jo Stanley, 2020-12-22 Community and Public Health Nursing: Promoting the Public’s Health, 10th Edition delivers an engaging introduction to the principles of public health nursing and employs a highly visual, student-friendly approach to guide students in developing the understanding and skills to confidently promote health, foster disease prevention, and protect at-risk populations — including older adults, homeless populations, veterans, refugees, and the LGBTQ community — whether practicing in acute care or community and public health settings. Extensively revised and featuring a wealth of real-world examples, this updated edition reflects today’s most prominent public health issues and empowers students to provide the most effective nursing care wherever they may choose to practice.
  intervention wheel in public health nursing: Health Literacy in Nursing Terri Ann Parnell, 2014-08-18 Print+CourseSmart
  intervention wheel in public health nursing: Evidence-Based Public Health Ross C. Brownson, Elizabeth A. Baker, Terry L. Leet, Kathleen N. Gillespie, William R. True, 2010-12-03 There are at least three ways in which a public health program or policy may not reach stated goals for success: 1) Choosing an intervention approach whose effectiveness is not established in the scientific literature; 2) Selecting a potentially effective program or policy yet achieving only weak, incomplete implementation or reach, thereby failing to attain objectives; 3) Conducting an inadequate or incorrect evaluation that results in a lack of generalizable knowledge on the effectiveness of a program or policy; and 4) Paying inadequate attention to adapting an intervention to the population and context of interest To enhance evidence-based practice, this book addresses all four possibilities and attempts to provide practical guidance on how to choose, carry out, and evaluate evidence-based programs and policies in public health settings. It also begins to address a fifth, overarching need for a highly trained public health workforce. This book deals not only with finding and using scientific evidence, but also with implementation and evaluation of interventions that generate new evidence on effectiveness. Because all these topics are broad and require multi-disciplinary skills and perspectives, each chapter covers the basic issues and provides multiple examples to illustrate important concepts. In addition, each chapter provides links to the diverse literature and selected websites for readers wanting more detailed information. An indispensable volume for professionals, students, and researchers in the public health sciences and preventative medicine, this new and updated edition of Evidence-Based Public Health aims to bridge research and evidence with policies and the practice of public health.
  intervention wheel in public health nursing: Essentials of Public Health Communication Claudia Parvanta, 2011 Health Behavior, Education, & Promotion
  intervention wheel in public health nursing: The Guide to Community Preventive Services Task Force on Community Preventive Services, 2005-02-17 The gold standard for evidence-based public health, The Guide to Community Preventive Services is a primary resource to improve health and prevent disease in states, communities, independent, nonfederal Task Force on Community Preventive Services, The Guide uses comprehensive systemic review methods to evaluate population-oriented health interventions. The recommendations of the Task Force are explicitly linked to the scientific evidence developed during systematic reviews. This volume examines the effectiveness and efficiency of interventions to combat such risky behaviors as tobacco use, physical inactivity, and violence; to reduce the impact and suffering of specific conditions such as cancer, diabetes, vaccine-preventable diseases, and motor vehicle injuries; and to address social determinants oh health such as education, housing, and access to care. The chapters are grouped into three broad categories: changing risk behaviors; reducing specific diseases, injuries, and impairments; and methodological background for the book itself.
  intervention wheel in public health nursing: Community/public Health Nursing Mary Albrecht Nies, Melanie McEwen, 2007 Community/Public Health Nursing: Promoting the Health of Populations, 4th Edition focuses on the issues and responsibilities of contemporary community/public health nursing. Its emphasis on working with populations combined with the unique upstream preventive approach prepares the reader to assume an active role in caring for the health of clients in community and public settings. Plus, the new full-color design highlights special features and enhances content. Features photo-novellas to engage students and demonstrate applications of important community health nursing concepts. Provides detailed case studies that emphasize community aspects of all steps of the nursing process to promote the community perspective in all health situations. Examines issues of social justice and discusses how to target inequalities in arenas such as education, jobs, and housing to prepare students to function in a community-focused health care system. Demonstrates the use of theoretical frameworks common to community and public health nursing showing how familiar and new theory bases can be used to solve problems and challenges in the community. Illustrates real-life situations with highlighted Clinical Examples depicting today's community/public health care. Discussion of Levels of Prevention presented within the Case Studies address specific applications for each level. Provides Learning Activities at the end of each chapter to challenge students to apply chapter material outside the classroom. Includes a disaster management and preparedness chapter to examine this important new area of concern and responsibility in community health. Offers content on forensic nursing to explore this new subspecialty in community health. Summarizes research study findings pertinent to chapter topics in Research Highlights boxes. Highlights specific ethical issues in Ethical Insights boxes. Presents Healthy People 2010 objectives in feature boxes in appropriate chapters. Provides a Media Resources section at the front of each chapter that details the numerous Evolve components available to students. Chapter outline added to the front of chapters makes locating information in the chapter easier.