Assessment: Using the Public Health Nursing Assessment Tool

Chapter 3

Assessment

• Provides information about health of individual, family, community, system, population.

• Assessment tool guides public health nurse through process of discovery.

Assessment

• Indicators– General health status– Health-related quality of life and well being– Determinants of health– Disparities

Assessment

• Determine priority needs of community.• Develop, implement, evaluate plan using

intervention wheel strategies as guide. • Reflect on experience of doing public

health nursing assessment.

PHNAT Four Foundational Health Measures

• Determinants of Health– Biology– Genetics– Social factors– Health services– Policymaking– Individual behavior

PHNAT Four Foundational Health Measures

• Determinants of Health– Age, race, gender.– Interactions and connections with family,

friends, others in community.– Physical environment: that which can be seen,

touched, heard, smelled, tasted.

PHNAT Four Foundational Health Measures

• Determinants of Health– Physical, social, mental health programs in

community.– Seven A’s

• Access• Awareness• Availability• Affordability• Acceptability• Appropriateness• Adequacy of service

PHNAT Four Foundational Health Measures

• Determinants of Health– Assess policies that influence health of

individual, family, community, system, population(Presentation assignment)

– Knowledgeable about political infrastructure; be familiar with how it works.

– Type of behavior individual or population exhibits affects health.

PHNAT Four Foundational Health Measures

• Disparities– Health outcome greater or lesser extent

between populations.– Race or ethnicity, sex, sexual identity, age,

disability, socioeconomic status, geographic location (demographic section of assessment)

Analysis of Health

• Analyzes information gathered during assessment process (last page of assessment: think carefully about this info)

• Public health nurse does not do this alone; takes part in partnership.

• Identifies issues in community.• Sets priorities.

Prioritize Public Health Issues

• Partnerships work together to form common understanding of issue.

• Agree on priority issue; essential for positive outcome.

• Partners confer with Healthy People 2020 topic areas and objectives for guidance in creating and implementing plan.

Applying the Minnesota Intervention Wheel Strategies

• 17 nursing interventions.• Levels of practice: individual/family,

community, system.• Strategies visually depicted; color coded.• Common language or catalog of actions

used by public health nurses across all practice settings.

Applying the Minnesota Intervention Wheel Strategies

• Hitting the Pavement – Case finding, surveillance, disease and health

event investigation, outreach, screening. • Running the Show

– Referral and follow-up, case management, delegated functions.

• Working it Out– Health teaching, counseling, consultation.

Applying the Minnesota Intervention Wheel Strategies

• Working Together– Collaboration, coalition building, community

organizing. • Getting the Word Out

– Advocacy, social marketing, policy development and enforcement.

Applying the Minnesota Intervention Wheel Strategies

• Population to be targeted for plan. • Short-term goal(s), long -term goal(s). • Community resources: human, financial,

time, technology, educational.• Financing of implementation and

evaluation of plan. • Evidence supports intervention for

population.

Applying the Minnesota Intervention Wheel Strategies

• Evidence strategy culturally appropriate. • Evidence Seven A’s accounted for. • Best place to implement strategy. • Best person to implement strategy. • How to evaluate whether outcomes met.

Tracking and Evaluation

• What type of information collected.• Where it will be collected.• Who will collect it.• Where it will be stored.• What kind of technology will be used.• How it will be collected.• What type of resources needed.

Reflection

• Self reflection aids in decision making process.

• Causes public health nurse to be vigilant during assessment and implementation of plans.

• Keep record of experience.