Wisconsin’s Public Health Nursing
Practice Model
Learning Objectives
1.
2.
Author and presenter:
3
3.
Susan J. Zahner, DrPH, RN
Associate Professor
LEAP Project Director
University of Wisconsin-Madison
School of Nursing
4.
Identify the nine major components of Wisconsin’s
Public Health Nursing Practice Model.
Provide examples of public health nursing practice in
each of the nine components of the model.
Know how to access additional information on each
model component.
Appreciate the utility of the model in guiding public
health professional practice.
Wisconsin’s PHN Model
Los Angeles County
(Smith & Bazini-Barakat,
2003)
2001 Model
(Giese & Theuer)
2007
Version 2
(LEAP; PHN Conference)
2007
Version 3
(LEAP AC 10/2007)
2007
Version 1
(DPH PHNC)
2008
Version 4
(LEAP AC 4/2008)
Healthiest Wisconsin 2010
Health priorities
Healthiest Wisconsin 2010
•Vision for the future
•Broad goals/directions
•Access to primary and preventive
health services
•Adequate and appropriate nutrition
•Alcohol and other substance abuse
and addiction
•Environmental and occupational health hazards
•Existing, emerging, and re-emerging communicable
diseases
•High risk sexual behavior
•Intentional and unintentional injuries and violence
•Mental health and mental disorders
•Overweight, obesity, and lack of physical activity
•Social and economic factors that influence health
•Tobacco use and exposure
1
Healthiest Wisconsin 2010
Infrastructure priorities
•Information systems
•Planning
•Partnership
•Workforce
•Fiscal
Wisconsin State Law
Wisconsin State Statutes
• Chapter 441:
Nurse Practice Act
• Chapter 146
Nursing practice
Wisconsin State Law
Wisconsin State Statutes
p
250.06
• Chapter
• Chapter 251.04(8)
Wisconsin State Law
Wisconsin Administrative Code
• Chapter N6
• Chapter N7
Nursing practice
Public health practice
To look up statutes online go to:
http://www.legis.state.wi.us/rsb/Statutes.html
To look up administrative rules online go to:
http://www.legis.state.wi.us/rsb/code.htm
(look under HFS, Health and Family Services)
Wisconsin State Law
Wisconsin Administrative Rule
• HFS 139.08
• HFS 140.04
For the specific statutes referenced in the WI PHN Model:
open the pdf version for both statutes and administrative rules
http://www.legis.state.wi.us/statutes/Stat0250.pdf
http://www.legis.state.wi.us/statutes/Stat0251.pdf
http://www.legis.state.wi.us/statutes/Stat0441.pdf
http://www.legis.state.wi.us/rsb/code/hfs/hfs139.pdf
http://www.legis.state.wi.us/rsb/code/hfs/hfs140.pdf
Public health practice
Public health and nursing statutes and rules
2
ANA PHN Scope and Standards of Practice (2007)
PH Nursing Process
Standards 1-6
1. Assessment
2. Population diagnosis &
priorities
3 Outcomes identification
3.
4. Planning
5. Implementation
6. Evaluation
Cornerstones
•
•
•
•
•
•
•
Focus on populations
Reflect community
priorities and needs
Caring relationships
Social justice
Multiple determinants
of health
Epidemiology
Collaboration
Minnesota Department of Health (2001)
ANA PHN Scope and Standards of Practice (2007)
Public Health Nursing: Scope and Standards of Practice (ANA, 2007)
(available for purchase at http://www.nursesbooks.org/).
ANA PHN Scope and Standards of Practice (2007)
PH Nursing Process
Standards 1-6
PH Nursing Process
Standards 1-6
1. Assessment
2. Population diagnosis &
priorities
3 Outcomes identification
3.
4. Planning
5. Implementation
6. Evaluation
ANA PHN Scope and Standards of Practice (2007)
PH Nursing Process
Standards 1-6
1. Assessment
2. Population diagnosis &
priorities
3. Outcomes identification
4. Planning
4
Pl
i
5. Implementation
6. Evaluation
•Involve stakeholders
•Cultural relevance
•Environment, ethical
•Continuity
•Modify
•Document
•Competencies
1. Assessment
2. Population diagnosis &
priorities
i iti
3.
4.
5.
6.
Outcomes identification
Planning
Implementation
Evaluation
ANA PHN Scope and Standards of Practice (2007)
PH Nursing Process
Standards 1-6
1. Assessment
2. Population diagnosis &
priorities
3. Outcomes identification
4. Planning
5. Implementation
6. Evaluation
3
ANA PHN Scope and Standards of Practice (2007)
PH Nursing Process
Standards 1-6
ANA PHN Scope and Standards of Practice (2007)
1. Assessment
2. Population diagnosis &
priorities
3. Outcomes identification
4. Planning
1. Assessment
2. Population diagnosis &
priorities
3. Outcomes identification
4. Planning
5 Implementation
5.
I l
t ti
5. Implementation
6. Evaluation
6. Evaluation
•Coordination
•Health education &
promotion
•Consultation
•Regulatory activities
•Evaluation
ANA PHN Scope and Standards of Practice (2007)
Standards 7-16
7. Quality
8. Education
9. Professional practice evaluation
10. Professional relationships
11. Collaboration
12. Ethics
13. Research
14. Resource utilization
15. Leadership
16. Advocacy
•Systematic
•Ongoing
•Monitor
•Utilize
•Document
•Disseminate
ANA PHN Scope and Standards of Practice (2007)
7. Quality
8. Education
9. Professional practice evaluation
10. Professional relationships
11. Collaboration
12. Ethics
13. Research
14. Resource utilization
15. Leadership
16. Advocacy
Public Health Functions
Steering Committee, 1994
Healthiest Wisconsin 2010
•Assure access
•Promote social &
economic conditions to
support health
Public health interventions
Standards 7-16
Essential public health
services
Essential public health
services
•Monitor
•Identify/investigate
•Educate
•Mobilize partnerships
•Create policies & plans
•Enforce laws
•Link people to services
•Assure workforce
•Evaluate
•Research
PH Nursing Process
Standards 1-6
Public Health Functions
Steering Committee, 1994
Healthiest Wisconsin 2010
PH Interventions
PH Intervention Wheel
Minnesota Dept. of
Health, 2001
4
PH Interventions
PH Interventions
1. Individual/family
2. Community
3 System
3.
MDH, 2001
PH Interventions
MDH, 2001
PH Interventions
MDH, 2001
PH Interventions
MDH, 2001
PH Interventions
MDH, 2001
MDH, 2001
5
Essential public health
services
Wisconsin’s PHN Model
Public Health Functions
Steering Committee, 1994
Healthiest Wisconsin 2010
PH Interventions
MDH, 2001
Acknowledgements
This module was developed as an activity of the “Linking Education
and Practice for Excellence in Public Health Nursing Project,” a
partnership between the Wisconsin Department of Health Services and
the University of Wisconsin-Madison School of Nursing funded by
DHHS/HRSA/ Grant #D11HP07731.
The guidance provided by Margaret Schmelzer, MSPH, RN, Director of
Public Health Nursing and Heath Policy, and the Regional Public
Health Nurse Consultants of the Wisconsin Division of Public Health,
was essential to the creation of this training module. Thanks also to
Linda Walter and Tracy Mocheck for their careful review and helpful
feedback. The important work of LEAP Project staff Brenda Kupsch,
Marilyn Haynes-Brokopp, and Marina DePablo in graphic development
and editing for this module is also acknowledged.
References-1
References-2
American Nurses Association. (2001). Code of Ethics for nurses with
interpretive statements. Washington, DC: American Nurses Publishing.
American Nurses Association. (2004). Nursing: Scope and Standards of
Practice. Silver Spring, MD: American Nurses Association.
American Nurses Association. (2007). Public Health Nursing: Scope and
Standards of Practice. Silver Spring, MD: American Nurses Association.
Essential Public Health Services Working Group of the Core Public Health
Functions Steering Committee, 1994, US Public Health Service. In B.J.
Turnock. (2001). Public health: What it is and how it works. 2nd edition.
Gaithersburg MD: Aspen Publishers
Gaithersburg,
Publishers, Inc
Inc.
Evans, R.G., & Stoddart, G.I. (1994). Predicting Health, Consuming Health
Care. Social Science Medicine, 31:1347-1363.
Harkness, G. (1995). Epidemiology in nursing practice, St. Louis: Mosby, In
Nies, MA & McEwen, M. (2007). Community/Public Health Nursing:
Promoting the Health of Populations, 4th ed., Philadelphia: Saunders
Elsevier.
Minnesota Department of Health (2001). Cornerstones. (Accessed at
http://www.health.state.mn.us/divs/cfh/ophp/resources/docs/cornerstones_d
efinition_revised2007.pdf)
Nies, M.A., McEwen, M. (2001) Community Health Nursing: Promoting
the Health of Populations. 3rd Ed. Philadelphia: WB Saunders
Company.
Public Health Leadership Society. (2002). Principles of the ethical
practice of public health, version 2.2 retrieved from
http://www.phls.org., in American Nurses Association (2007). Public
Health Nursing: Scope and Standards of Practice. Silver Spring,
MD: American Nurses Association.
Public Health Nursing Section: Public Health Interventions–Applications
Interventions Applications
for Public Health Nursing Practice. St. Paul: Minnesota Department
of Health, 2001. (Accessed at
http://www.health.state.mn.us/divs/cfh/ophp/resources/docs/phinterv
entions_manual2001.pdf).
Smith, K., Bazini-Barakat, N. (2003). A PHN Practice Model: Melding
Public Health Principles with the Nursing Process. Public Health
Nursing 20(1): 42-48.
Wisconsin DHFS/DPH. (2002). Healthiest Wisconsin 2010: A
Partnership Plan to Improve the Health of the Public. PPH 0276
(04/02). Madison, Wisconsin: Wisconsin Department of Health and
Family Services, Division of Public Health.
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