Online Program

Developing a Field Framework from Program Logics for Fields of Applied Interventions

Sunday, November 1, 2015

Margaret S. Wright, RN, MSN, PHCNS-BC, DrPH, Section of Public Health Nursing, State of Alaska, Juneau, AK

Often public health must respond to community needs before theories have been developed for ‘logical' interventions. A theoretical framework for the field is needed to evaluate and further develop interventions. A method was developed using techniques from retrospective logic modeling, case studies, key informant interviews, and qualitative analysis.  Two examples will be discussed: participatory governance in disaster refugee public health programs, and county public health nursing programs in the several US states.



A methodology was built for developing a theoretical frame work for a field of practice interventions using individual program logics and rationale which drawing on several bodies of methodology -embedded cases with critical multiplism, policy/scientific approach to retrospective documentation of program logic, and program logic modeling. The daily program development and implementation across the field of interventions are the data to build a theoretical framework for the field based on actual objectives, activities and goals.  For refugee participatory guidance example over 50 cases were included and key informant interviews validated framework.  For the US example over 50 county public health programs (and sub-programs) were included.



Theoretical frameworks were developed for each example that can be used to evaluate the field and the programs within the field.  Frameworks also allow for linking of program objectives, activities and outcomes allowing for systematic research in the fields.


Entire fields of interventions can used to develop theoretical frameworks for application to the field evaluation which means being able to evaluate participatory interventions using a theoretical context.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Program planning
Public health or related nursing
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
List at least two sources of validity in methodology. State purpose of method, that is what questions the method could answer. List at least three sources of information for the method that could be used to develop the theoretical framework.

Keyword(s): Practice-Based Research, Evaluation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Presenter developed and tested this particular methodology. Presenter has taught program evaluation methods and continues in current position to mentor others and establish methods for program evaluation in public health nursing. Currently develops and maintains quality improvement program for a public health nursing organization.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.