The Intervention Wheel (Wheel), previously known as the “Minnesota Model”, is a conceptual framework used in the public health nursing practice for “defining population-based practice and explaining how it contributes to improving population health” (Stanhope & Lancaster, 2014, p. 187). Three core levels make up the Wheel: first, it is population based; secondly, it incorporates three areas of practice consisting of individual, family, community, and systems; and lastly, it recognizes 17 public health interventions, as well as describes them (Stanhope & Lancaster, 2014, p. 188). By incorporating all of these levels into the Wheel, it creates a structure, which helps public health nurses (PHN) to identify and document their interventions, as well as documents the essence of their work (Stanhope & Lancaster, 2014, pp. 193-195). Even though the Wheel is regarded as one model, it covers three different components. The first component of the Wheel is centered on identifying populations of interest that are at risk for health issues. They are identified by community assessments and assignment priorities. Next, the model intervenes with the family, individual, community, and systems by identifying when a family/individual has a health related issue; by educating the community, to increase their knowledge and attitude, about the identified health issue, …show more content…
as well as the consequences of the issue if not treated; followed by the promotion of obtaining preventative treatments throughout the community, as well as working to change policies and laws if needed (Stanhope & Lancaster, 2014, pp. 195-197). Each level applied “further indicates how appropriate these interventions are to improving the health of individuals, populations, and communities, thus improving the health of the nation” (Stanhope & Lancaster, 2014, p. 208). Although the practice levels of the Wheel are separate, they are all of equal importance. In fact, many times all three levels are used simultaneously (Stanhope & Lancaster, 2014, p. 196). By adopting the principles of the Wheel, I will be able to adapt my nursing process skills to the three levels of practice (Stanhope & Lancaster, 2014, p.
208). This in turn will allow me to identify populations of interest and those which are at risk for health issues. In addition, providing education to my patients and the community about available resources, will help prevent illnesses, and promote wellness. Lastly, by using the 17 public health interventions, I will be able to use a variety of interventions to help improve the quality of care I provide to my patients (Stanhope & Lancaster, 2014, pp.
196-197).
By focusing on the extensive understanding of community health nursing and foundational nursing concepts I have been opened up to new perspectives throughout this term. Through concentrating on foundational nursing topics taught in Nursing 285, 287, 288, and 289 I have gained the tools needed to critically reason and examine situations in my life and actively practice and incorporate the knowledge I have learned. The Public Health
As the efforts made by the government to improve health through both services and medical treatment
The educator role of the APHN and NP includes health education within a nursing framework and professional nurse educator roles. The APHN analyzes groups at risk within a community and implements health education interventions. The APHN and NP boost wellness and contribute to conserving and advocating health by teaching the importance of a healthy lifestyle, stress management, physical exercise, and good nutrition. They educate about disease processes and the importance of following treatment systems. In addition, they provide guidance and educate clients on the use of birth control methods, diet, medications, and other therapeutic procedures. They also counsel groups, families, clients, and the community on the importance of assuming responsibility for their own
When I started nursing school, I began to learn of the same disease processes I had heard sitting at the bedside of family members. It was then that I realized the role that education and appropriate management play in preventing complications and the difference those tools could have made for my family. As a first-generation child of a afghan immigrant and without a education, my family did not have access to those tools. Within our community, there was no emphasis on health promotion or education. However, I see this not as an obstacle but an opportunity for change: with the training from the Family Nurse Practitioner program, I can educate other families on how to live a longer and healthier life.
A community can be defined as a group of people, who live, learn, work and play in an environment at a given time. (Yiu, 2012, p.213) There are many factors that may influence the community’s development and health status. These can include resources available, accessibility, transportation, safety, community needs etc… These influences may combine together to form community strengths and as well as community challenges or weaknesses. As a community health care nurse, it is significant for us to assess and identify these strengths and challenges within the community in order for us to intervene and provide the appropriate needed health care services for the community members. This individual scholarly paper will explore and focus on one challenge issue identified from our group community assessment.
The National Institute of Nursing Research (NINR) Strategic Plan approached the clinical intervention studies, implementation research approaches, comparative effectiveness research and analysis of the cost, outcome and quality of care. Furthermore, NINR is committed in advancing the health of populations, irrespective of race, ethnicity, age, gender, socioeconomic status, and or sexual orientation to develop culturally responsive, evidence-based interventions.
This paper is being submitted on January 31, 2017, for Eugenie Cook’s Fundamentals of Professional Nursing Course.
Professional Development Plan Nursing is a profession of caring and respect for human dignity, which is the core value I strive to maintain throughout my career. My primary goal while in school with Walden University is to complete the MSN-Family Nurse Practitioner (FNP) program. Advocacy is the consequence of that respect required of a nurse, and with Walden University mission and vision I am bestowed with the ability to understand healthcare from the patient’s perspective and range of socio-cultural factors that influence their decisions. I have acquired the knowledge to assess how each individual interacts with and relates to others, families, and communities within a consistently changing society. As a nurse and agent of change, it is my responsibility to analyze how their environment positively and negatively affects health and research means that will promote the modification of stressors and develop alternative resources that can be made available to the individual.
- Health care facilities have discovered that Interventions should teach and include different types of methods.
The United States Department of Education Office of Special Education Rehabilitative Services sent a letter to OSERS concerning strategies that delay certain evaluations for children. It was apparent to the Office of Special Education Programs (OSEP) that occasionally local educational agencies (LEAs) were using Response to Intervention (RTI) practices to delay or even deny a timely primary evaluation for young children suspected of having disabilities.
It is through these resources that an individual or family gets the help required to overcome their health care obstacles. This approach understands that family is a small segment of a larger group and that these segments interact on an ongoing basis. This approach is mainly used in the community nurse setting.
I strongly agree with the statement that health promotion programs and policies informed by a social ecological (SE) framework would allow for a comprehensive approach to intervention. The SE model is a very valuable framework for theorizing multiple levels of determinants of health behaviors (Glanz, Rimer, & Viswanath, 2015). These levels include intrapersonal, interpersonal, institutional/organizational, community, and public policy. The SE model includes different factors or levels that are important for addressing major public health issues and these levels are useful guides for the design of comprehensive multilevel interventions (Glanz, Rimer, & Viswanath, 2015). Interventions that consider a multiple levels of influence and are tailored to specific health behaviors are more likely to yield sustainable effects and affect many more people (Glanz, Rimer, & Viswanath, 2015).
Guided by my team’s Public Health Nurses and Managers, during my Integration Practicum I have increased my knowledge about the roles and responsibilities of public nurses related to Chronic Disease and Injury Prevention (CDIP) programs (Youth focus). I was working collaboratively with my CDIP Team to proactively contribute to the organization’s planning and implementation processes (such as meetings, professional events, various workshops, etc.). For example, I have revised and referenced the document about smoke- free housing in Ontario, as well as prepared presentation on the meeting related to the agency training workplans necessary for updating of Community/ School Consultation Tools. I was involved in a multidisciplinary
Since the primary goal of public health nursing is promoting health and preventing disease within the community, it’s essential that nurses be able to gather and assess demographic information to diagnose the local needs of the population and consider that information when developing a health improvement plan (Nies & McEwan, 2015). The assignment this week is to gather statistics from county, state and national databases and analyze the findings to identify actual or potential areas of concern.
These blueprints for the future are aimed at improving American health one step at a time through education and the whole health care system (Cummings, J., McArdle, C., McQueen, F., & White, J. 2016). The Robert Wood Johnson Foundation and the Institute of Medicine report is being used as a framework for the government, health care organizations, insurance agencies, and businesses both private and public. A great example of a research foundation that has used the four key messages from the report to change nursing practice would be The National Institute of Nursing Research (NINR). The NINR is dedicated to improving health care through nursing science and research to allow for progression of nursing practice through evidence based understanding of health care challenges (Grady, P. A., & Gough, L. L.