McDonald Anne, Frazer Kate, Duignan Catriona, Healy Marianne, Irving Annette, Marteinsson Patricia, Molloy Brenda, McNicholas Elizabeth
Health Service Executive Project Leader, Population Health Information Tool, Killester Health Centre, Dublin.
Br J Community Nurs. 2015 Mar;20(3):140-5. doi: 10.12968/bjcn.2015.20.3.140.
Illuminating the full range of nursing actions is a challenge for nurses globally; the invisibility of nursing and of public health nursing in particular is well documented. Visibility can be enhanced by identifying core functions of nursing and matching corresponding levels of interventions and outcomes. This is a priority for the contemporary Irish public health nursing (PHN) service. In the United States, public health nurses have developed an 'Intervention Wheel' naming public health interventions at community, systems and individual/family levels. This aimed to make visible the core functions of PHN practice. The values and beliefs underpinning the Intervention Wheel have been shown to capture the essence of public health nursing within the European context. In total, US nurses described 17 Wheel interventions by recording stories from practice. Owing to concern that the public health aspect of their role was not only invisible but was at risk of erosion, Irish PHNs decided to replicate this storytelling approach to provide evidence for and authenticate the 17 interventions on the Intervention Wheel from their day-to-day public health practice.
对全球护士来说，阐明护理行动的全貌是一项挑战；护理工作尤其是公共卫生护理工作的不为人所见已有充分记载。通过确定护理的核心功能并匹配相应的干预水平和结果，可以提高其可见性。这是当代爱尔兰公共卫生护理（PHN）服务的一项优先任务。在美国，公共卫生护士开发了一个“干预轮”，列出了社区、系统和个人/家庭层面的公共卫生干预措施。其目的是使公共卫生护理实践的核心功能变得可见。事实证明，支撑“干预轮”的价值观和信念体现了欧洲背景下公共卫生护理的精髓。美国护士通过记录实践中的故事，总共描述了17项“干预轮”干预措施。由于担心其角色中的公共卫生方面不仅不为人所见，而且有被削弱的风险，爱尔兰公共卫生护士决定采用这种讲故事的方法，从他们日常的公共卫生实践中为“干预轮”上的17项干预措施提供证据并加以验证。
