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What was a major revision made to the Scope and Standards of Public Health Nursing in 2005?

  1. Establishment of a competency framework

  2. Introduction of the Minnesota Department of Health's Intervention Wheel

  3. Creation of standards for doctoral-prepared nurses

  4. Implementation of a community health assessment model

The correct answer is: Establishment of a competency framework

The establishment of a competency framework marked a significant revision made to the Scope and Standards of Public Health Nursing in 2005. This competency framework was designed to clearly delineate the essential skills, knowledge, and abilities that public health nurses need to effectively contribute to the health of communities. By outlining specific competencies, the framework provided guidance on the expectations of public health nursing practice, thereby ensuring that practitioners have the requisite capabilities to address diverse public health challenges. This update emphasized the importance of competency-based practice in public health nursing and supported efforts for professional development and accountability within the field. It aimed to strengthen the role of public health nurses in diverse settings by providing a structured approach to training and evaluation of nursing competencies, which can enhance overall public health outcomes. Other options present alternative changes relevant to public health nursing but do not reflect the primary focus of the 2005 revision as follows: the Minnesota Department of Health's Intervention Wheel and community health assessment techniques were already established prior to 2005 and offered a framework for practice, while standards for doctoral-prepared nurses were addressed in subsequent discussions about graduate education in nursing, rather than being central to the 2005 revisions.