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Assignment Questions

Analysis of a Geographical Community

Purpose: The purpose of this assignment is to give you the opportunity to synthesize and apply knowledge you have gained from all your courses, toward the completion of a comprehensive community project. In addition, this project will serve as a measure of your ability to think critically, communicate effectively, and plan therapeutic nursing interventions. You will select a community to study and in which you will complete your assessment. This will serve as the Practice Learning Environment. The Windshield Survey portion of your assessment should be completed by driving around the community. The Windshield Survey is comprised of general qualitative observations that give you a snapshot of the community. Follow the guide in the Stanhope text (7th edition pg 355) to briefly address the major elements of the survey. You are to use the same community you will be using to complete the Cultural Assessment and the Health Education Plan. You can then utilize the data for all three assignments. The demographic data can be obtained online, through the public library, county or township administration buildings. All information needed for this project is in the public domain and easily accessible. This paper should not exceed twenty pages of text. Appendices, tables and references are not included in those twenty pages. This paper will be completed in sections on specified dates and submitted in the end in its entirety. Please access Student Resources button for more information.

SECTION I: Definition of Community (5 points)
Identification and history: Give a brief description of the area to be assessed in terms of geographic location and population size. Describe how the community developed. Describe significant trends and events related to current function and characteristics. (example ?” was this a manufacturing community that has suffered plant closings and job loss? Describe the impact.) (5 points)

SECTION II: Assessment (25 points)
Description and characteristics of community) Windshield Survey See Table 15-5 on page 355 in Stanhope textbook (10 points)

Community resources for helping families in the community achieve optimal level of wellness. Many of the resources can be listed as an appendix. Use your narrative to summarize and analyze the special strengths and deficits of the listed areas. Include citizen knowledge about resources and utilization or access problems. (8 points)

Health Resources
Type of services available: health department, private MD, dentist, hospital clinic, pharmacy, health promotion, mental health
School and occupational health services
Official and voluntary services
Self help and support groups
Service organizations, faith-based programs
Citizen safety and protective services
Police and fire
Shelters for victims of abuse
Others: neighborhood watch etc.

Services of senior citizens senior centers, meals on wheels, transportation, day care, long term care.

Community welfare services beyond city/state aid as provisions for emergency food, shelter and clothing.

Recreation

Biostatistics (7 points)
Present the following data in table form. This section of your text should consist of a summary and analysis of the significant findings of your tabled data. Since statistical data is meaningful only when related to trends or as compared to state and national norms, all data should be represented in your tables in this manner with illustration of comparison.
Demographic data: dependency ratio <18 and >65 years, ethnic characteristics, median educational level, unemployment rate, per capita income and percent of families living under the poverty level.
Vital statistics birth and death rates, mortality for leading causes of death, infant mortality
Health statistics morbidity of major communicable diseases (AIDS, STDs, TB) incidence of child abuse and neglect, teenage pregnancy, other disease identified by community as significant, incidence of crime.

SECTION III: Analysis and Diagnosis of Problems and Assets: (25 points)

Community Identified Health Needs and Assets : (10 points)

Students should interview a number of community residents, leaders and health care professionals regarding their perceptions of prevailing health needs, concerns, issues and assets of their community.)This section should include at least three interviews. Interview data can be summarized by individual response and placed in an appendix. The text of your paper will summarize and analyze the interviews addressing areas such as concerns expressed most frequently or noted by particular segments of the community (i.e. youth, elderly physicians, young families).

The following list suggests persons you should include in your interview process: Health care providers including school or occupational health nurses, home health and hospital nurses, mental health workers; clergy, police and fire personnel; city officials, educators, youth, elderly; business and professional people; people of the street, shoppers; informal leaders.

Problem or Asset Identification/ Community Diagnosis (15 points)

This is your opportunity to analyze and synthesize the data in order to develop a prioritized community problem list. Be able to support your conclusions with assessment data found in the body of your paper. Diagnoses of the community should not be limited to needs or problems. Positive statements about coalitions, groups, etc. could be made in which case the nursing role would be to maintain and enhance the situation.

In this section you must analyze all the data you have presented in the above sections, and establish a prioritized community problem /diagnosis list of at least five problems. Identify rationale and criteria you used in prioritizing the list. Use chapter 15 in Stanhope as a key reference for your criteria (See pages 361 & 367 Table 15-7). Provide support for each diagnosis Indicate any community action currently directed on behalf of each problem area. Most of this section should have been covered in your community resource section.

Select one identified Health Promotion problem you have identified in this section to use in your Health Education Plan assignment (See guidelines and rubric for Health Education Plan in Assignments).

SECTION IV: Planning, Implementation, and Evaluation: (25 points)

This is a key section of this paper. In this section you are to make recommendations for feasible community nursing interventions for each of the problems you identified. You are to develop a desired goal and outcome objective for each diagnosis and a feasible plan of action. Include in this section what community organizations you would involve in these interventions.

Also address at least two health policy implications derived from your analysis.  For example ?” if you find that increased lead levels are a problem in this community, what implications would this have for health policy makers in the community? Could it be that more dollars for lead screening should be required? or expanding medical assistance coverage for better follow up? What about expanding Head Start dollars to include lead prevention?

Crucial to the plan is the evaluation of its effectiveness. Develop a strategy for evaluating the effectiveness of your recommended goals and outcomes. What outcome measures would you use?

Pages 366 ?” 370 in Stanhope present excellent examples in table form to use guides.

There are faxes for this order.

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