Exam 1: Public Health Nursing Intervention Wheel

Question 1

Public Health Nursing Intervention Wheel and application to Nursing Practice

Answer 1

Wheel provides categories of interventions that apply to the Community (largest), System, and Individual (smallest)

Question 2

Components of Wheel

Answer 2

1) Model is population Based
2) Model encompasses Three Levels of Practice (Community, Systems, Individual/Family)
3) Model identifies and defines 17 public health interventions

Question 3

Assumptions Underlying Intervention Wheel

Answer 3

1) Practicing PH Nurse
2) Focuses on Populations
3) Consider Determinants of Health
4) Guided by Community Priorities
5) Emphasizes Prevention
6) All Levels of practice (community, systems, individual)
7) Use nursing process
8) Common set of interventions

Question 4

Three Levels of Practice

Answer 4

Community, systems, individual/family

Question 5

Populations at risk versus populations of interest

Answer 5

population at risk is a population with a
common identified risk factor or risk exposure that poses a threat to health. For example, all adults who are overweight and hypertensive constitute a population at risk for cardiovascular disease.

vs
population of interest is a population that is essentially healthy but that could improve
factors that promote or protect health. For
instance, healthy adolescents are a population
of interest that could benefit from social
competency training.

Question 6

Levels of Prevention

Answer 6

Primary: Health teaching (but not always), vaccination to high risk population
Secondary: Screening homeless adults for HTN and TB
Tertiary: Collaborating w/ local community coalition to reduce levels of drug abuse in the community.

Question 7

The Intervention Wheel as conceptual model and framework for nursing practice

Answer 7

Conceptual framework to guide population-based practice.

Derived and applicable to public health nursing practice, but important to note other public health members of the interprofessional team also use these interventions

Question 8

17 Public Health Interventions

Answer 8

1) Surveillance
2) Disease and other health investigation
3) outreach
4) Screening
5) Case finding
6) Referral and follow-up
7) Case Management
8) Delegated functions
9) Health teaching
10) Consultation
11) Counseling
12) Collaboration
13) Coalition building
14) Community organizing
15) Advocacy
16) Social Marketing
17) Policy development and enforcement.