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. 6