PHN 652 Choose the tool used in public health that is, in your opinion, the most effective
PHN 652 Choose the tool used in public health that is, in your opinion, the most effective
The Population-Based Intervention Information video was a great source of knowledge. The Public Health Nursing Interventions (PHI) Model was developed through a collaborative process by public health nurses at the state and local levels. The purpose of the model was to define the practice of public health nursing more clearly and to better describe the work of public health nurses at the community and systems levels. The video discussed some important aspects of population health management-continuum of health needs and opportunities. To meet the needs of the public through public health, community-based partners, and social services within the health system. Population health interventions, like programs, policies, and resource distribution approaches that impact a number of people by changing the underlying conditions of risk and facilitating health improvement or maintenance for the population as a whole. This is a great guide for public health nurses to plan programs for health promotion to disease prevention in communities to develop effective outreach programs to reach the targeted population.
Week 2 Summary: Models and Tools Used in Public Health
This week we learned about the importance of public health models in providing quality health care. This week we also learned about the origins and evolution of the Intervention Wheel that outlines the assumptions that serves as its foundation. The wheel is a conceptual framework that has proved to be a useful model in defining population-based practice and explaining how it contributes to improving population health. It has become a valuable tool for use in practice, education, and management. When the nurse understands the three components of the intervention wheel, this serves as a tool for applying the nursing process at multiple levels, including individual and family, community, and a systems level of practice.
Joshua 1:9-“Be strong and courageous; do not be frightened or dismayed, for the Lord your God is with you wherever you go.”
There are so many tools available for public health nurse to guide them to implement their goals and improve the process in assessment and planning such as Community Health Assessment and Group Evaluation (CHANGE), Community Toolbox, Healthy People 2030, National Public Health Performance Standards, and Planned Approach to Community Health (Centers for Disease Control and Prevention, n.d.).
Healthy People was established in 1979 by Surgeon General Julius Richmond which he issued a report entitled Healthy People: The Surgeon General’s Report on Health Promotion and Disease Prevention (U.S. Department of Health and Human Services, n.d.). This report was created to reduce preventable death and injury which was followed by another report after a decade. Healthy People 2030 framework is the fifth edition which aims to face the new challenges and to apply lessons learned from the last four decades. Healthy People is useful and very effective in guiding communities across the U.S. through its objectives and goals. Municipalities can adjust the goals and objectives to fit in their own needs ((U.S. Department of Health and Human Services, n.d.). Since the Healthy People began, the U.S. has made impressive progress including reducing the major cause of death such heart disease and cancer, reducing infant and maternal mortality, and reducing risk factor such tobacco smoking and elevated cholesterol. Healthy People is an effective way to guide communities to improve their health.
Centers for Disease Control and Prevention. (n.d.). Assessment & planning models, frameworks & tools.
Retrieved from https://www.cdc.gov/publichealthgateway/cha/assessment.html
U.S. Department of Health and Human Services. (n.d.). Healthy people 2030 framework. Retrieved from
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I agree there are many public health tools that can be utilized. Healthy people are a great tool to use in public health.
The continued update Encourages collaborations across communities and sectors. Empower individuals toward making informed health decisions. Measure the impact of prevention activities. Healthy people focus on the whole population, to determine the best solution to keep individuals healthy. In my opinion, social determinants are a major risk factor in the health and well-being of the population. Social determinants of health (SDOH) are the conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks, (U.S. Department of Health and Human Services, n.d.). Understanding how to address these risk factors will possibly help decrease some of these preventive illnesses.
U.S. Department of Health and Human Services. (n.d.). Healthy people 2030 framework. Social determinants of health. Retrieved from: https://health.gov/healthypeople/priority-areas/social-determinants-health
In a changing and complex health care system, public health nurses face challenges to explain their work and contributions to health outcomes. The tool in my opinion is beneficial to public health is Public Health Nursing Intervention Model (PHI). Using this model focuses on the greater good of the population. It’s a great tool that guides public health nursing practice. This framework, known as the Intervention Wheel, defines the scope of public health nursing practice by type of intervention and level of practice (individual/family, community, or systems), rather than by the site of services such as home, school, occupational health, clinic, and others. The Intervention Wheel describes the scope of practice by what is similar across settings and describes the practice of public health nursing at the individual/family, community, or systems level, (Minnesota Department of Health, 2019). The Intervention Wheel answers the question, “What do public health nurses do?” and delineates public health nursing as a specialty practice of nursing.
Each intervention and practice level contributes to improving population health. The public health nurse will be guided on how to use this tool at the community and system levels. An example of when this tool has been used to increase outreach effectiveness. Recommendations include providing education on population-based concepts, such as community assessment and at-risk populations, and using interventions from the Public Health Intervention Wheel in conjunction with community outreach programs. According to Stanhope & Lancaster (2019), noted that “one example is the use of health education for health teaching. These interventions are not exclusive to public health nursing, as they are also used by other public health disciplines.
Minnesota Department of Health. (2019). Public health interventions: Applications for public health nursing practice (2nd ed.).
Stanhope, M. & Lancaster, J. (2019). Public health nursing: Population-centered health care in the community (10th ed.). St. Louis, MO: Elsevier. ISBN-13: 9780323582247
Public health surveillance is a beneficial tool that enables experts in the sector to learn more about the status of health among people who have either illnesses or are prone to them. Disease surveillance is the cornerstone of public health tracking and prevention. Public health surveillance acts as a sentinel for identifying trends in disease and emerging public health concerns and helps to identify potential points of intervention. Surveillance data can provide benchmarks for evaluating intervention measures for curbing disease spread in populations and allow health experts to set priorities and policies (Aiello et al., 2020). When public health officials are encountering health challenges, they use surveillance to enable the collection and interpretation of data to learn about ways to develop solutions to the concerns (Aiello et al., 2020). The information that is collected can lead to the understanding of a need for experts to intervene. Professionals also use the tool to collect information to learn if they have controlled certain diseases through the strategies used.
The National Health and Nutrition Examination Survey (NHANES) is an example of a modern-day survey that has been applicable in public health in the United States. The survey took place in 2017 to collect information useful in learning the nutrition status of individuals in the country. This survey is one of the series of health-related programs conducted by the National Center for Health Statistics to provide information on the health and nutritional status of the noninstitutionalized civilian resident population in the United States (Chen et al., 2020). People are faced with many health challenges like obesity and diabetes which arise from their diets. The survey results have been useful in developing ways to prevent the development of complications from these diseases.
Aiello, A.E., Renson, A., & Zivich, P. (2020). Social media-and internet-based disease surveillance for public health. Annual Review of Public Health, 41, 101.
Chen TC, Clark J, Riddles MK, Mohadjer LK, Fakhouri THI. (2020). National Health and Nutrition Examination Survey, 2015−2018: Sample design and estimation procedures. National Center for Health Statistics. Vital Health Stat 2(184). https://www.cdc.gov/nchs/data/series/sr_02/sr02-184-508.pdf