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 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
ElementsDescriptorsPhysical EnvironmentMake 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?
PeopleMake 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?
LifestyleHealthy 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 CommunityMake 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 ServicesDo 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 ServicesDo you see evidence of health (Hospitals Drs Offices Clinics) andmental 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 Mothers Day Out Summer Camps Languages Classes Citizenship Classes Food Banks Clothing other.
Business & IndustryDescribe 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.
PoliticsWhat 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.
MediaDo 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 InformantsInterview 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
Communitys Health issues
Communitys Safety issues
Strengths of the Community
2. Interview with librarian school teacher school nurse or administrator
Communitys Health issues
Communitys Safety issues
Strengths of the Community
Enter the information about your interviews with Key Informants in this space in your template. You will not receive credit if the Key Informant interviews are inserted elsewhere on this template.
Analysis of Windshield SurveyAnalyze 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 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
Name of Community or Zip Code:
Instructions: Enter your response in each category marked below. Provideobjective 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 compareobjective data for your community with local (city) state and national data. Remember to cite sources as appropriate.
Racial/Ethnic Characteristics: Remember compare objective data for your community with local (city) state and national data. Remember to cite sources as appropriate.
Economy: poverty rate unemployment rates median income. Remembercompare 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 compareobjective 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 (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 these problems and complete the Problem Analysis chart
Problem Correlates*Relationship of Correlate to ProblemData Supportive of Relationship +Ex. Inadequate dietEx. Diets lacking in required nutrients contribute to malnutritionEx. 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).
*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 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
Reference
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