A Model for Population-Based Public Health Nursing Practices: Intervention Wheel

Abstract

Intervention wheel is a model developed for public health practices by the Department of Public Health Nursing in Minnesota. The wheel is composed of a colorful external circle, five slices and 17 public health interventions. Interventions are actions conducted by public health nurses for the purpose of promoting or protecting the health status of people at the levels of individual/family, community, and the system. Individual-level interventions aim at changing the knowledge, attitudes, beliefs, practices or behaviors of individuals. Community-level interventions aim at changing the norms, attitudes, awareness, practices or behaviors of communities or groups. Systemlevel interventions focus on the change in organizations, policies, regulations and power structures. The combined use of several interventions by public health nurses at different levels strengthens the possibility of promoting community health. The intervention wheel offers a model for public health nurses to perform population-based work and guide. It also guides them. The aim of this review is to introduce the intervention wheel. It is believed that the review will guide public health nurses in Turkey to use the wheel in education, research, and practices.

Keywords

• Intervention wheel
• public health nurse
• population-based practices
• model

Toplum Temelli Halk Sağlığı Hemşireliği Uygulamaları için Bir Model: Müdahale Çarkı

Abstract

Müdahale çarkı, Minnesota'da Halk Sağlığı Hemşireliği Bölümü tarafından halk sağlığı uygulamaları için geliştirilen bir modeldir. Çark renkli bir dış halkadan, beş dilimden ve 17 halk sağlığı müdahalesinden oluşmaktadır. Müdahaleler, halk sağlığı hemşirelerinin birey/aile, topluluk ve sistem düzeyinde kişilerin sağlık durumunu iyileştirmek veya korumak için gerçekleştirdiği
eylemlerdir. Bireysel düzeyde müdahaleler, kişilerin bilgi, tutum, inanç, uygulama veya davranışlarını değiştirmeye yöneliktir. Topluluk düzeyinde müdahaleler, toplulukların veya
grupların normlarını, tutumlarını, farkındalığını, uygulamalarını veya davranışlarını değiştirmeyi amaçlamaktadır. Sistem düzeyindeki müdahaleler, organizasyonlar, politikalar, yasalar ve güç
yapılarındaki değişime odaklanmaktadır. Halk sağlığı hemşireleri tarafından birçok müdahalenin farklı seviyelerde bir araya getirilerek kullanılması toplumun sağlığını geliştirme olasılığını
güçlendirmektedir. Müdahale çarkı halk sağlığı hemşirelerinin toplum temelli çalışmasını sağlamak ve yönlendirmek için bir model sunmaktadır. Bu derlemede müdahale çarkının tanıtılması
amaçlanmış olup Türkiye’de de halk sağlığı hemşireleri tarafından eğitim, araştırma ve uygulamalarda kullanılmasına rehberlik edeceği düşünülmektedir.

Keywords

• Müdahale çarkı
• halk sağlığı hemşiresi
• toplum temelli uygulama
• model

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