Public Health Nursing Practice Manual
relevance as broad public health issues.” The indicators are: physical activity, overweight and obesity, tobacco use, substance abuse, responsible sexual behavior, mental health, injury and violence, environmental quality, immunization, and access to health care. Consideration of the ten leading Healthy People 2010 indicators during the initial steps of the nursing process helps to ensure that practice will be consistent with national priorities.
Local Indicators are an important additional consideration during assessment and diagnosis and can be addressed depending on local priorities and resources. Some communities may have pressing public health concerns not included in the Healthy People 2010 leading indicators and so must direct their energies accordingly.
The State of Minnesota Department of Health Services, Public Health Nursing Section2, spent several years identifying actions, or “interventions”, that public health nursing utilizes on behalf of individuals, families and communities to improve and promote the health status of populations. As a result of the study, seventeen PHN interventions were identified: surveillance, disease and health event investigation, case finding, outreach, screening, referral and follow-up, case management, delegated function, health teaching, counseling, consultation, collaboration, coalition building, community organizing, advocacy, social marketing, policy development and enforcement.
Minnesota recognized that there are three underlying assumptions to the seventeen interventions:
1. Selecting interventions is part of the planning step in the nursing process. This means that assessment, diagnosis and problem identification have already occurred.
The interventions are grounded in an assessment of the community’s health.
Interventions may be implemented alone or in conjunction with other interventions.
The development of this practice model is a dynamic and cyclical process. It is responsive to the current application of the concepts to the reality of local practice. Attempts to adjust the articulation of the practice model are continually made in reply to feedback, request for clarification, and recommendations for modifications for enhancing adaptation to the various practice settings and populations served at the local level.
1Quad Council of Public Health Nursing Organizations. (1999). Scope and Standards of Public Health Nursing Practice. Washington D.C.: American Nurses Association.
2Minnesota Department of Health, Public Health Nursing Section. (2000). Public Health Nursing Practice for the 21st Century: National Satellite Learning Conference; Competency Development in Population-based Practice October 5, November 2, December 7, 2000. St. Paul, MN: Minnesota Department of Health, Public Health Nursing Section. Retrieved May 7, 2001, from the World Wide Web: http://www.health.state.mn.us/divs/chs/phn/material.htm
3Public Health Functions Steering Committee. (1994, Fall). Public Health in America. Retrieved May 7, 2001, from the World Wide Web: http://health.gov/phfunctions/public.htm
© 2007 LAC DPH - Public Health Nursing