1. Assessment: Using the Public Health Nursing Assessment Tool
Chapter 3
Assessment: Using the Public Health Nursing Assessment Tool

2. Assessment
Provides information about health of individual, family, community, system, population.
Assessment tool guides public health nurse through process of discovery.

3. Assessment Indicators General health status
Health-related quality of life and well­being
Determinants of health
Disparities

4. 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.

5. PHNAT Four Foundational Health Measures
Determinants of Health
Biology
Genetics
Social factors
Health services
Policymaking
Individual behavior

6. 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.

7. 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

8. 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.

9. 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)

10. 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.

11. 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.

12. 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.

13. 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.

14. Applying the Minnesota Intervention Wheel Strategies
Working Together
Collaboration, coalition building, community organizing.
Getting the Word Out
Advocacy, social marketing, policy development and enforcement.

15. 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.

16. 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.

17. 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.

18. Reflection Self­reflection aids in decision­making process.
Causes public health nurse to be vigilant during assessment and implementation of plans.
Keep record of experience.