COMMUNITY ASSESSMENT, ANALYSIS, and NURSING INTERVENTION

Module One (Week One): Part One Windshield Survey and Key Informant Interviews
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 30 pts penalty You may increase the size of the block by continuing to type. Use as much space as necessary to provide your answers
Elements Descriptors
Physical Environment Make sure you address fully what you observed and NOTE if something was not found within your community area.
● Boundaries What defines the boundaries? Roads, water, railroads. Is the area known for a particular name? What area is this community located in?

● Housing and Zoning What is the age of the houses? Describe type of construction material, appearance, and general condition. Do you see single family housing? Multi-family housing?

● Common Meeting Places Where do people in the neighborhood hang out? Who hangs out there and what hours of the day?

● Indicators of Growth or Decline Is this a “thriving” community or does it look “run down?” Is there new or ongoing construction? Businesses and Industries coming to the area? Are buildings, roadways, and public areas clean and well-kept. Do you see dirt, trash, or graffiti?

● Employment Opportunities What places for employment are there is this area? Name the businesses and industries in this area.

● Transportation How to people get from one place to another? Is public transportation available? How timely is it? Personal autos? Bikes? Walking?

People Make sure you address fully what you observed and NOTE if something was not found within your community area.
● Race and Ethnicity What is the majority racial group represented? What is the majority ethnic group represented? Describe the distribution of gender, approximate ages, single families, multiple families, generational families?

● Cultural Characteristics What cultural similarities or differences do you observe? Languages spoken? Clothing? Ethnic eating places? Culturally-based celebrations? Signs in languages other than English?

● Lifestyle Healthy Behaviors What healthy lifestyle behaviors do you observe? Do you see people exercising, wearing helmets when biking, seat belt usage, using trash cans for garbage disposal, healthy eating practices?

● Lifestyle Risk Behaviors 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, and bars on doors and/or windows? Do you see overweight/underweight persons? Do you see children unattended playing out in the streets? Do you see any signs of homelessness? Street people? Describe gender, age, and race/ethnicity of persons observed.

● Poverty Indications Do you see any signs of homelessness? Street people? Describe gender, age, and race/ethnicity of persons observed.

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 recreation centers, parks, and social services? For services that are not available, how far must persons travel to access these services? Describe each.

● Health Services Do you see evidence of health (Hospitals, Dr’s Offices, Clinics) and mental health services? Describe each. Are there any signs of alternative services in the area, such as healers (curanderos), herbalists, herbal stores, palm readers, acupunctures, chiropractors. For services that are not available, how far must persons travel to access these services?

● Fire and Police Services Do you see any fire and police services/equipment/officers? Where are the closest fire and/or police stations?

● Educational Resources Where is the nearest public library? Discuss the Schools and Universities/Community colleges?

● Religions What signs of religion do you see? Discuss the types of churches, mosques, temples? What services are offered by these churches, e.g., Day Care, Mother’s Day Out, Summer Camps, Languages Classes, Citizenship Classes, Food Banks, Clothing, other.

Business & Industry Describe stores and shops available in the community, e.g., grocery stores, gas stations, department stores. What type of business climate exists? Manufactures? Light or heavy industry? Large employers? Small business owners? Retail? Hospitality industry? Do people have to seek employment elsewhere? Is this considered a “bedroom community”- where people work outside this community but live here? Make sure you address fully what you observed and NOTE if something was not found within your community area.

Politics What indicators do you see about politics? Posters? Headquarters? Make sure you address fully what you observed and NOTE if something was not found within your community area.

Media Do you see indicators of what people read? Listen to the radio? Watch TV? Are there any signs of media language other than English? Make sure you address fully what you observed and NOTE if something was not found within your community area.

Key Informants Interview a fireman or police office.
Also interview a librarian, school teacher, school nurse or administrator.
Ask each person interviewed to share their perceptions of
the following and cite personal communication as appropriate:
1. Interview with fireman or police officer
˃ Community’s Health issues
˃ Community’s Safety issues
˃ Strengths of the Community

2. Interview with librarian, school teacher, school nurse or administrator
˃ Community’s Health issues
˃ Community’s Safety issues
˃ Strengths of the Community

Analysis of Windshield Survey Analyze and summarize your observations and the input from key informants. Write a 3 paragraph summary of community health (2) and safety (1) issues for this community and strengthens of the community. Remember to cite personal communication as appropriate:

Reference
Module 2 (Week 2) Part Two: Statistical Analysis of Community Health Problem
Please complete the following information on this template. If you do not use this template there will be a 30 pts penalty. You may increase the size of the block by continuing to type. Use as much space as necessary to provide your answers
Name of Community or Zip Code:
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.
● All statistical data must be reported in NARRATIVE form only. Tables and graphs will not be accepted.
● 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
General Objective Data Criteria for the Community-at-Large
1. Demographics: Total population; age distribution; gender distribution; family characteristics (single parent, multi-family, etc.). Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

2. Racial/Ethnic Characteristics: Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

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.

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.
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 life-threatening health issues? Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

6. Other data as needed (air, water quality, crimes rates). Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

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 problems within your community (i.e. Infant Malnutrition, CVD, Lung Cancer, Obesity, Alcoholism, Violence) NOTE: These problems need to be something the Community Health Nurse can impact (i.e. 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 these problems and complete the Problem Analysis chart
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, May 15, 2014). Of infants measured, 60% were in the lower percent for their weight/height (X report, 2014).

*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.
Refer to text (pg. 420-423) for additional examples.
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 as outlined in your text page 413 (do NOT use NANDA):
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 Dx MUST be something that a community/public health nurse can do something about. See example below.
 Note: Poverty is NOT a CHN dx!
 Remember do NOT use NANDA Nursing Dx
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 Diagnoses #1

Community Health Nursing Diagnoses #2

Reference

Module 3 (Week 3) Part Three: Community Health Nursing Intervention

Directions: Please complete the following information on this template. If you do not use this template there will be a 30 pts penalty. You may increase the size of the block by continuing to type. Use as much space as necessary to provide your answers
Introduction: Purpose of the paper, synopsis of community, two CHN dx with supporting evidence (i.e. Observations, reports from Key Informants and Statistical data). Remember to cite sources as appropriate.
Based on the 2 CHN Dx you developed in Assignment 2 or modified, select ONE problem and develop a CH Nursing intervention. Remember to cite sources as appropriate.
1. CHN Dx/Problem you selected:

2. Why did you select this problem? Provide your rational for selecting this problems in 1-2 comprehensive paragraphs (Consider the problem priority criterion on page 415 Box 18-7). Provide supporting community and scientific/authority evidence (i.e. Healthy People 2020, CFC, AHA, etc.) for this Dx. Remember to cite sources as appropriate.
3. Two Goals (i.e. goals are where you want to go) and two to three Objectives (i.e. how you will get there) per goal of Community Health Nursing Intervention
Goal 1:

1. Objective:

2. Objective:

3. Objective:

Goal 2:

1. Objective:

2. Objective:

3. Objective:

4. Intervention Objectives Timeline
Present Date Objective( Number and Statement) Anticipated Completion Date
Ex. August 2014 Ex. Eighty-percent (80%) of infants seen by health department, neighborhood health center, and private physicians will have developmental levels assessed. Ex. August 2015

Refer to text (pg. 420-423) for additional examples.

5. Plan of Intervention and Evaluation
Date Intervention Activities Responsible Agency/Person Evaluation Measures Target Date of Completion
Ex. 8/11/14 Ex. Community Health Nurse identifies and trains lay advisors in community as case finders Ex. Community Health Nurse
(CHN) Ex. • Lay advisors will be able to verbally describe case-finding methods to 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 Ex. Lay advisor training completed by
10/17/2014

Refer to text (pg. 420-423) for additional examples.

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.


 

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