Description
Please review the attachment! Prefer to Zipcode 77083.
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your Academic Coach.
Clinical Experience: Module One: Part One Windshield
Survey and Key Informant Interviews
Refer to the directions for Windshield survey assignment 1 in canvas.
Please complete the following information on this template about the community you have
selected. If you do not use this template there will be a 10- point grade penalty per
assignment, and you will be required to resubmit within 48 hrs. You may increase the size of
the block by continuing to type. Use as much space as necessary to provide your answers.
Directions
Locate a community focal/starting point (for example, neighborhood, church, clinic,
school, other) in the city or county where you live. Once you select a focal or starting
point, you will conduct a survey of the community surrounding the site. Specifically, you
will survey a 10-block radius of the facility – 10 blocks north, 10 blocks south, 10 blocks
east, and 10 blocks west. If something is not within the area of the community you are
surveying (for example, a Hospital), note such and state how far away it is and how people
will access it. If you do not see something within the community (for example, homeless
people) note that no homeless persons were observed.
General Subjective Data
1. Physical Environment: Make sure you address fully what you observed and NOTE if
something was not found within your community area.
•
Boundaries: Describe the area and its boundaries in the table below.
Area
Description
What defines the
boundaries;
roads, water,
railroads
Is the area known
for a particular
name?
What area is this
community
located in? i.e. zip
code,
neighborhood
name, city or
county name
•
Housing and Zoning: Describe the types of housing and zoning in table below.
What is the age of
the houses
Describe type of
construction
material,
appearance, and
general condition.
Do you see single
family housing?
Do you see any
Multi-family
housing?
•
Common Meeting Places: Describe common meeting places in the table below.
Where do people
in the
neighborhood
hang out?
Who hangs out
there and what
hours of the day?
Are there adults
and children?
•
Indicators of Growth or Decline: Describe indicators of growth or decline in the table
below.
Is this a “thriving”
community or does it
look “run down?”
Is there new or ongoing
construction?
Are there businesses and
Industries coming to the
area?
Are buildings, roadways,
and public areas clean
and well-kept?
Is it clean/well kept? Do
you see dirt, trash, or
graffiti?
•
Employment Opportunities: Describe employment opportunities in the table below.
Description
What places for
employment are there is
this area?
Name the businesses
and industries in this
area.
•
Transportation: Describe transportation in the table below.
Service
Description
How do people
primarily get from
one place to
another?
Is public
transportation
available? How
timely is it?
Personal autos?
Bikes?
Walking?
2. People: Make sure you address fully what you observed and NOTE if something was not
found within your community area.
•
Race and Ethnicity: Describe what you observed in the table below.
Characteristic
Description
Describe the races and
ethnic groups you
observed.
What is the majority racial
group represented?
What is the majority ethnic
group represented?
Describe the distribution
of gender
What are the approximate
ages
Describe family types
including single families,
multiple families,
generational families
•
Cultural Characteristics: Describe what you observed in the table below.
Characteristic
What cultural similarities
or differences do you
observe
Languages spoken
Clothing
Ethnic eating places
Culturally based
celebrations
Description
Signs in languages other
than English
•
Lifestyle Healthy Behaviors: Describe what you observed in the table below.
Behavior
Description
What healthy lifestyle
behaviors do you observe
Do you see people
exercising, wearing
helmets when biking, do
you observe seat belt
usage?
Are trash cans being used
for garbage disposal
Do you observe healthy
eating practices
•
Lifestyle Risk Behaviors: Describe what you observed in the table below.
Behavior
What unhealthy lifestyle
behaviors do you observe
Do you see people
practicing risky lifestyle
behaviors such as drinking
alcoholic beverages,
smoking, fighting
Do you see signs of
violence, gang activity,
drug use, criminal activity,
Description
and bars on doors and/or
windows
Do you see
overweight/underweight
persons
Do you see children
unattended playing out in
the streets
Describe gender, age, and
race/ethnicity of persons
observed
•
Poverty Indications
Indication
Description
Do you see any signs of
homelessness? People
living without adequate
shelter or in temporary
shelter?
Describe gender, age, and
race/ethnicity of persons
observed.
3. Services in the Community: Make sure you address fully what you observed and NOTE
if something was not found within your community area, how far away it is and how people
will access it.
•
Social Services: Do you see evidence of social services? For services that are not
available, how far must persons travel to access these services? Describe each.
Service
Description
For services that are not
available, how far must
persons travel to access
these services
Parks
Recreation
•
Health Services: Do you see evidence of health services? For services that are not
available, how far must persons travel to access these services? Describe each.
Service
Description
For services that are not
available, how far must
persons travel to access
these services
Hospitals, Dr’s
Offices, Clinics
Mental health
services
Are there any
signs of alternative
services in the
area, such as
healers
(curanderos),
herbalists, herbal
stores, palm
readers,
acupunctures,
chiropractors
•
Fire and Police Services: Describe fire and police services
Service
Description
Include where is the
closet station
Fire
Police
•
Educational Resources: Describe educational resources.
Service
Description
For services that are not
available, how far must
persons travel to access
these services
Public library
Schools and
Universities/Community
colleges
•
Religions: Describe religions in the community
Service
Description
Discuss the types of
churches, mosques,
temples
What services are offered
by these places of worship?
e.g., Day Care, Mother’s
Day Out, Summer Camps,
Languages Classes,
Citizenship Classes, Food
Banks, Clothing, other.
4. Business & Industry: Make sure you address fully what you observed and NOTE if
something was not found within your community area.
Service
Description
What type of businesses
exist? Manufactures? Light
or heavy industry? Large
employers? Small business
owners? Retail? Hospitality
industry
Describe stores and shops
available in the community,
e.g., grocery stores, gas
stations, department stores
Do people have to seek
employment elsewhere? Is
this considered a “bedroom
community”- where people
work outside this
community but live here?
5. Politics: Make sure you address fully what you observed and NOTE if something was not
found within your community area.
Indicators
Description
What indicators do you see
about politics? Posters?
Headquarters?
6. Media: Make sure you address fully what you observed and NOTE if something was not
found within your community area.
Indicators
Do you see indicators of
what people read?
Description
Listen to the radio? Watch
TV?
Are there any signs of media
language other than English
7. Key Informants
You will conduct 2 interviews. Interview a fireman or police office. And also interview a
librarian, schoolteacher, school nurse or administrator.
Ask each person interviewed to share their perceptions of the community’s health issues,
safety issues and strengths of the community. Cite personal communication as appropriate.
a. Interview with fireman or police officer
Community’s Health issues
Community’s Safety issues
Strengths of the Community
b. Interview with librarian, schoolteacher, school nurse or administrator
Community’s Health issues
Community’s Safety issues
Strengths of the Community
8. Analysis of Windshield Survey
Analyze and summarize your observations and the input from key informants. Write a 3paragraph summary of community. Identify health or lifestyle issues (include at least 2),
safety issues (include at least 1) and strengthens (at least 2) of the community. Remember to
cite personal communication as appropriate:
References if needed
Module 2 (Week 2) Part Two: Statistical Analysis of
Community Health Problem
Also refer to the directions in Canvas
Please complete the following information on this template. If you do not use this template
there will be a 10-point grade penalty per assignment, and you will be required to resubmit
within 48 hrs. You may increase the size of the block by continuing to type. Use as much space
as necessary to provide your answers.
Instructions: Enter your response in each category marked below. Provide objective, statistical
support for your subjective findings.
● Include all the data listed in the Objective Data Criteria listed below.
● Add supplemental data as needed for your community.
● Compare objective data for your community with local (city), state, and national data.
You may increase the size of the block by continuing to type. Use as much space as necessary
to provide your answers.
In this assignment, you will review and assess statistical data for the community you selected for
your community Windshield Survey. By reviewing demographic, health, crime, income, and
educational data, and by comparing local data with city, county, state, and national data, you will
be able to determine how well the selected community functions.
Your statistical analysis will address the community in general using the categories noted above.
In addition, based on your observations from Module 1 subjective assignment, (windshield survey
and key informants) provide Morbidity, Mortality (M&M) and risk data for the health problems
you identified in your community, and gather comparative data from the local, city, county, state
and national levels specific to those health issues. For Example 1: if you observed obesity in your
community then present obesity rates and health conditions associated with obesity [i.e. CVD,
HD, Depression, etc.). These variables may include the following: gender (who does this problem
affect the most, men or women); age distribution; ethnicity or racial group(s) mostly-affected;
morbidity and mortality rates; any data related to life-expectancy in light of the health issues; is
there a geographic area where the health problems mainly exist; is there a relationship between
the health issue(s) and environmental health hazards; are these life-threatening health issues?
General Objective Data Criteria for the Community-at-Large
1. Demographics: Complete the table below for your community and city, state, and
national data. Then write a paragraph comparing the objective data for your community
to the city, state and national data. If city data is not available you may use county data.
Remember to cite sources as appropriate. If all your data is from the same source, you
can cite your reference once at the end of the chart. If your data is from different
sources, enter your citations in each box of the chart.
Demographic
Local
(This can be your
neighborhood, city
or county)
State
National
Total Population
Age distribution
Gender distribution
Family characteristics
(single patent, multifamily, etc.)
After gathering this demographic data write a narrative paragraph below comparing
your community with the state and national data.
2. Racial/Ethnic Characteristics: Remember compare objective data for your community
with local (city), state, and national data. Remember to cite sources as appropriate. If
all your data is from the same source, you can cite your reference once at the end of the
chart. If your data is from different sources, enter your citations in each box of the chart.
Demographic
Local
(This can be your
neighborhood, city
or county)
State
National
White
Hispanic
Black
Asian
Native American
Other
After gathering this demographic data write a narrative paragraph below comparing
your community with the state and national data.
3. Economy: poverty rate, unemployment rates, median income. Remember compare
objective data for your community with local (city), state, and national data.
Remember to cite sources as appropriate. If all your data is from the same source, you
can cite your reference once at the end of the chart. If your data is from different
sources, enter your citations in each box of the chart.
Demographic
Poverty rate
Local
(This can be your
neighborhood, city
or county)
State
National
Unemployment
Median income
After gathering this demographic data write a narrative paragraph below comparing
your community with the state and national data.
4. Education: High school completion rates; higher education statistics. Remember
compare objective data for your community with local (city), state, and national data.
Remember to cite sources as appropriate. If all your data is from the same source, you
can cite your reference once at the end of the chart. If your data is from different
sources, enter your citations in each box of the chart.
Demographic
Local
(This can be your
neighborhood, city
or county)
State
National
High school
completion rate
Higher education
completion rate
After gathering this demographic data write a narrative paragraph below comparing
your community with the state and national data.
5. Identify two Morbidity and Mortality/Risk Problems: (Based on your observations from
Week 1 subjective assignment, windshield survey and key informants provide Morbidity,
Mortality (M&M) and risk data for your community… Example 1: if you observed obesity
in your community then present obesity rates and health conditions associated with
obesity [i.e. CVD, HD, Depression, etc.). Example 2: smoking/drinking rates and health
conditions associated with smoking [i.e. Lung Cancer, COPD, etc]. These variables may
include the following: gender (who does this problem affect the most, men or women);
age distribution; ethnicity or racial group(s) mostly-affected; morbidity and mortality
rates; any data related to life-expectancy in light of the health issues; is there a
geographic area where the health problems mainly exist; is there a relationship
between the health issue(s) and environmental health hazards; are these lifethreatening health issues? Remember compare objective data for your community with
local (city), state, and national data. Remember to cite sources as appropriate.
Name of first problem
Problem #1:
Complete the table below with Mortality and Morbidity rates and associated risks for
first problem.
Local
(This can be your
neighborhood,
city or county)
Mortality Rates for problem #1
Morbidity Rates for Problem #1
State
National
Associated risk: Name the
associated risk here:
Associated Risk: Name the
associated risk here:
Name of second problem
Problem #2:
Complete the table below with Mortality and Morbidity rates and associated risks for
second problem.
Local
(This can be your
neighborhood, city
or county)
State
National
Mortality Rates for problem #2
Morbidity Rates for Problem #2
Associated risk: Name the
associated risk here:
Associated Risk: Name the
associated risk here:
After gathering this demographic data write a narrative paragraph below comparing
your community with the state and national data.
6. Other data (air or water quality, crimes rates). Remember compare objective data for
your community with local (city), state, and national data. Remember to cite sources
as appropriate. If all your data is from the same source, you can cite your reference
once at the end of the chart. If your data is from different sources, enter your citations
in each box of the chart.
Demographic
Local
(This can be your
neighborhood, city
or county)
State
National
Air quality
Water quality
Crime rates
After gathering this demographic data write a narrative paragraph below comparing
your community with the state and national data.
Analysis of Data
1. Based on your subjective and objective review of your findings, what conclusions have
you arrived at? Remember to cite sources as appropriate.
•
What impressions from your subjective observations were unfounded/invalid?
•
Given the objective data, what impressions were validated/substantiated?
•
What cause-and-effect relationships did you discover/identify?
2. Problem Analysis for Community/Zip Code:
Problem: List two (2) problems within your community (for example, Infant Malnutrition,
CVD, Lung Cancer, Obesity, Alcoholism, Violence) NOTE: These problems need to be
something the Community Health Nurse can impact (for example, a CHN cannot build a
sidewalk, repair a street, implement a new bus route, etc.). Remember to cite sources as
appropriate.
1. ____________________________________________
2. ____________________________________________
Select one of the problems above and complete the 3 rows of the Problem Analysis chart
below.
Problem Correlates*
Relationship of Correlate to
Problem
Data Supportive of Relationship
+
Ex. Inadequate diet
Ex. Diets lacking in required
nutrients contribute to
malnutrition
Ex. All infants and children seen
at the local Public Health Clinic
are referred to the nutritionist
because of poor diets (X.Y.
personal communication, date).
Of infants measured, 60% were in
the lower percent for their
weight/height (X report, date).
1.
2.
3.
*These are factors that contribute to problem and outcomes.
+ Refer to appropriate sections of the database and relevant research of the findings in current
literature. Data in the third column could be local, state, or national statistics.
3. Community Health Nursing Diagnoses:
Based on your subjective and objective assessment findings above for both Weeks 1 and 2,
write TWO priority community health nursing diagnoses.
You must use this format for correctly writing a CH nursing diagnosis (do NOT use NANDA):
*RISK OF AMONG RELATED TO
Health *Risk/problem of (specific injury, illness, or potential of, complication of, etc) Among
(specific population) Related to (supporting evidence from your assessment findings).
➢ Your CHN Diagnoses MUST be something that a community/public health nurse can do
something about. See example below.
➢ Note: Poverty is NOT a CHN diagnosis.
➢ Remember do NOT use NANDA Nursing Diagnoses.
For example: Risk of asthma complications among children in SE Dallas County related to
observations of overcrowded living conditions, lack of public transportation (may result in
inability to access health care), high number of animals observed living in homes, poverty
indications (may result in lack of access to medications).
Community Health Nursing Diagnosis #1
Community Health Nursing Diagnosis #2
References
Module 3 (Week 3) Part Three: Community Health
Nursing Intervention
Directions: Please complete each section below, providing the requested information on this
template. If you do not use this template there will be a 10- point grade penalty per
assignment, and you will be required to resubmit within 48 hrs. You may increase the size of
the block by continuing to type. Use as much space as necessary to provide your answers.
Introduction: State the PURPOSE of your paper. Provide a brief synopsis of your community
and present two CHN diagnoses with supporting evidence from your observations, reports
from Key Informants and the statistical data from the previous two assignments. Include key
supporting evidence for the two CHN diagnoses.
Remember to cite sources as appropriate.
1. Introduction: You will state the PURPOSE of your paper. You will also provide
a brief synopsis of your community and present two CHN from your
observations and the statistical data from the previous two assignments. You
will include key supporting evidence for the two CHN diagnoses.
2. Select ONE Diagnosis/problem based on the two (2) CHN Diagnoses you
developed in Week 2 OR a newly developed CHN diagnosis based on Coach
feedback from your two (2) CHN diagnoses in Assignment 2.
•
Discuss the rationale for selecting this problem/Diagnosis.
o Consider the following Problem Priority Criteria when discussing
your rationale.
Criteria that have been helpful in ranking identified problems include
the following:
1. Community awareness on the problem
2. Community motivation to resolve or better manage the problem
3. Nurses ability to influence problem solution
4. Availability of expertise to solve the problem
5. Severity of the outcomes if the problem is unresolved
6. Speed with which the problem can be solved
Stanhope and Lancaster. 2014. Public Health Nursing. Elsevier
•
Provide supporting community and scientific evidence, for example, Healthy
People 2020, Center for Disease Control (CDC), American Heart Association
(AHA), and others for this diagnosis.
3. Develop a plan of nursing intervention. Explain the intervention time line.
Remember to be realistic when setting the goals and the time line for the
various intervention activities to take place.
•
•
•
Describe the Goals (minimum of 2) and objective (2-3 PER goal) of the CHN
nursing intervention. Remember, goals are where you want to go.
Objectives are how you plan to accomplish the goals. Goals and objectives
need to be realistic.
Explain the intervention objective time line. This time line needs to be realistic.
Include your plan of intervention activities and evaluation measures. The
evaluation should measure the outcomes of your intervention. Be specific.
4. Summary and conclusions: Summarize your assessment findings, your
proposed community health nursing intervention, and the community public
health outcomes that you anticipate as a result of the intervention. This can be
one or two brief paragraphs
5. References: Follow APA guidelines
6. All APA writing guidelines apply.
Based on the 2 CHN Diagnoses you developed in Assignment 2 or modified, select ONE
problem and develop a CH Nursing intervention. Remember to cite sources as appropriate.
1. CHN Diagnosis/Problem you selected:
2. Why did you select this problem? Provide your rational for selecting this problem in 12 comprehensive paragraphs (Consider the problem priority criterion below. Provide
supporting community and scientific/authoritative evidence, for example, HEALTHY
PEOPLE 2020, CDC, AHA, other. Remember to cite sources as appropriate. Discuss the
rationale for selecting this problem/Diagnosis.
Problem Priority Criteria: Consider the following Problem Priority Criteria when
discussing your rationale. Criteria that have been helpful in ranking identified problems
include the following:
1. Community awareness on the problem
2. Community motivation to resolve or better manage the problem
3. Nurses ability to influence problem solution
4. Availability of expertise to solve the problem
5. Severity of the outcomes if the problem is unresolved
6. Speed with which the problem can be solved
(Stanhope and Lancaster. 2014. Public Health Nursing. Elsevier)
3. Develop a plan of nursing intervention. Explain the intervention time line. Remember
to be realistic when setting the goals and the time line for the various intervention
activities to take place.
a) Goals and Objectives
•
Identify two (2) Goals. For example, goals indicate where you want to go.
•
Then, identify two to three (2-3) objectives per goal. For example,
objectives should indicate how you plan to get there, or how you plan to
accomplish the goal(s).
Goal 1:
1. Objective:
2. Objective:
3. Objective:
Goal 2:
1. Objective:
2. Objective:
3. Objective:
b) Intervention Objectives Timeline
Explain the intervention objective time line. This time line needs to be realistic.
Under Interventions you should have an intervention for EACH objective you list (if you
have 4 objectives then you should list 4 interventions; if you have 6 objectives (3 for
each goal), then 6 interventions). You can insert rows into that table to accommodate if
needed. If one intervention addressed more than one objective, you must make it clear
in your paper. See the example in the table.
Present Date
Objective( Number and Statement)
Anticipated
Completion Date
Enter Date
Ex. Eighty-percent (80%) of infants seen by health
department, neighborhood health center, and
private physicians will have developmental levels
assessed.
Enter Date
c) Plan of Intervention and Evaluation.
Include your plan of intervention activities and evaluation measures. The evaluation
should measure the outcomes of your intervention. Be specific.
Date
Intervention
Activities
Responsible
Agency/Person
Evaluation
Measures
Target Date of
Completion
Enter
start
date.
Ex. Community
Health Nurse
identifies and trains
lay advisors in
community as case
finders
Ex. Community
Health Nurse
Ex. • Lay advisors
will be able to
verbally describe
case-finding
methods to CHN
Ex. Lay advisor
training completed
by
(CHN)
• Number of new
WIC cases will be
tracked by CHN on
monthly basis for 1
year to determine if
goal of 80% has
been met
enter date of
estimated
completion.
4. Summary/Conclusion: Summarize your assessment findings, your proposed community
health nursing intervention, and the community public health outcomes that you
anticipate as a result of the intervention. This can be one or two brief paragraphs.
Remember to cite sources as appropriate.
References
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