How is the Intervention Wheel used?

• A. As a framework for community and public health nursing practices
• B. Only for hospital management
• C. To replace all other models
• D. For clinical trial design

Answer: (A)

The Intervention Wheel functions as a framework for community and public health nursing practices. It lays out 17 public health interventions across three levels of practice—individual/family, community, and systems—so nurses can choose a coordinated set of actions to improve population health. It guides the public health nursing process from assessment through planning, implementation, and evaluation, helping nurses design and document population-focused strategies rather than just clinical care. For example, to address low immunization rates, a nurse might combine outreach to find unvaccinated people, health teaching about vaccines, counseling to address concerns, referrals and follow-up, collaboration with other agencies, and advocacy for supportive policies. This framework is not for hospital management, not meant to replace all other models, and not a tool for designing clinical trials.