Twenty years with the public health intervention wheel: Evidence for practice.

The Public Health Intervention Wheel (PHI Wheel) is a population-based practice model for public health nursing practice that encompasses three levels of practice (community, systems, individual/family) and 17 public health interventions. This article shares the story of how the PHI Wheel was created, disseminated, implemented by public health nurses (PHNs) and educators across the globe, and updated with new evidence published in the second edition of Public Health Interventions: Applications for Public Health Nursing in 2019. Evidence on the relevance of PHI Wheel interventions for public health practice in cultural and international settings supports the model's value in explaining PHN practice. This article highlights the experiences of various countries with the PHI Wheel including Canada, Ireland, New Zealand, Norway, Sweden, the United Kingdom, and the United States. The evidence update confirms the relevance of the model to PHN education and practice and reinforces the conviction that development of new evidence is essential for promoting population health.

The Public Health Intervention Wheel in Norway.

OBJECTIVE: This study explored experiences Norwegian public health nurses (PHNs) have with using interventions from the Public Health Intervention Wheel (PHIW). DESIGN AND SAMPLE: The researchers used both quantitative and qualitative measures to explore how Norwegian PHNs use PHIW interventions in their practice. Data were gathered from six focus group meetings with 15 school and 16 family health nurses in Norway. METHOD: Instruments included: (a) demographic data form, (b) the Public Health Intervention Questionnaire developed by the researchers, and (c) focus group questions. RESULTS: Following discussion of PHIW interventions in focus groups, PHNs reported they had a clearer understanding of each intervention and they had performed activities in their practice consistent with each of the Wheel interventions. CONCLUSION: Descriptions of the Wheel interventions provided the PHNs with the terminology and language to identify and explain their work in public health nursing practice. Although there are some differences between the United States and Norway in the structure of public health nursing practice, the PHIW is a framework that is applicable to the work of PHNs in Norway.

A falls case summary: Application of the public health nursing intervention wheel.

BACKGROUND: The Public Health Intervention Wheel (PHIW) is a population-based practice model that encompasses three levels of practice (community, systems, and individual/family) and 17 public health interventions. Each intervention and practice level contributes to improving population health. Public health nurses (PHNs) provide care at the three levels of practice. Prevention of falls is a public health issue and the majority of falls happen at home. Therefore, prevention and management of falls in the community could benefit from a public health systems approach by PHNs underpinned by the PHIW. CASE PRESENTATION: A hypothetical case is presented of a 78-year-old gentleman who had a fall which resulted in a fractured right acetabulum and surgery before being discharged home. METHODS: The aim of this paper was to use a case summary to illustrate PHN practice in the context of the PHIW as applied to falls management and prevention. This paper focuses on fall incidence and PHN response in Ireland and Norway. The PHIW is described and relevant interventions from the PHIW are applied to PHN practice in managing the case. CONCLUSIONS: The PHIW model provides insight into the potential scope of public health nursing in falls, articulating PHN practice in the community.

Public Health Interventions: School Nurse Practice Stories.

This study describes and analyzes school nurses' (SN) experiences with understanding and using public health interventions from the Public Health Intervention Wheel. The Wheel offers a model for naming interventions provided by SNs from a public health perspective. Research teams from academic and SN practice settings conducted six focus groups with school nurses from Minnesota. Participants were asked to share experiences through telling stories from their practice that represented a specific wedge of the Wheel. Researchers organized data by intervention; often stories represented more than one intervention. Stories represented all levels of practice. This study highlights important contributions of school nurses to promote the health of school populations through the use of Wheel interventions. The integration of Wheel interventions in the application of the Framework for 21st-Century School Nursing Practice™ provides SNs with a language to document and communicate their expert professional practice.