N4465 Care of Vulnerable Populations
COMMUNITY ASSESSMENT, ANALYSIS, and NURSING INTERVENTION
Modules 1-3 (Weeks 1– 3) Assignment Template
Use of the Three-Part Course Template
● The use of the three-part template to submit weekly Major Course Paper
Assignments goes as follows:
● Week 1: Windshield Survey and Key Informant Interviews. Complete the
First Section of the course template and submit. (Keep this section attached to
Weeks 2 and 3 assignments.)
● Week 2: Statistical Analysis of Community Health Problem. Complete the
Second Section of the course template and submit. (Keep this section attached
to Weeks 1 and 3 assignments.)
● Week 3: Community Health Nursing Intervention. Complete the Third
Section of the course template and submit. By now, you should have Sections
1-3 as one whole document.
● Each section of the course template is submitted on a WEEKLY basis, depending on
which week you are working on. DO NOT wait to submit all three sections at the end of
the third week.
● Please note that students are not to make any changes to the content of the course
template, for example, removal of questions or examples imbedded in the response box
of the template.
● Removal of the questions or examples imbedded in the response box of the
template is considered tampering with the content and will result in a 10-point
grade deduction per assignment.
Should removal of the questions or examples imbedded in the response box of the
template persist by the student, in addition to the 10-point deduction, the student will be
referred to the Office of Student Conduct for final disposition. You are strongly
encouraged to be mindful of this course policy. 1 ● The ONLY change students may make to the template is to enlarge the space to
make their entries in the response boxes.
● Should you encounter any difficulties with any aspect of these assignments, please
consult with your Academic Coach. We are glad to assist you! Windshield Survey and Key Informant Interviews
2 Assignment #1
Student Name: _______________________________Date: _________________
Name of Community or Zip Code: _____________________
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 blocks on the template by continuing to type within each
section. 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 wellkept. Do you see dirt, trash, or graffiti? 3 ●
Employment
Opportunities What places for employment are there is this area? Name the
businesses and industries in this area. How to people get from one place to another? Is public
●Transportation 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? Culturallybased 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 What unhealthy lifestyle behaviors do you observe? Do you see
Behaviors
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. 4 ● Poverty
Indications Services in
the
Community Do you see any signs of homelessness? Street people? Describe
gender, age, and race/ethnicity of persons observed. 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,
for example, Day Care, Mother’s Day Out, Summer Camps,
Languages Classes, Citizenship Classes, Food Banks, Clothing,
other. Business & Describe stores and shops available in the community, e.g.,
5 Industry 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 6 2. Interview with librarian, school teacher, school nurse or administrator
˃ Community’s Health issues
˃ Community’s 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
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: 7 Reference 8 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 blocks on the
template by continuing to type within each section. 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. 9 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. 10 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, other]. 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. 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
11 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
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 12 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.
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.
NOT use NANDA. Use the following format for the community health nursing
diagnoses:
Risk of (State the health problem or risk.)
Among (Identify the population group affected.)
Related to ( State factor(s) contributing to the health problem or associated risk.) ●
●
● Health Risk/problem of (specific injury, illness, or potential of, complication of, etc)
among (specific population) related to (supporting evidence from your assessment
findings). Reference: Shuster, George F., (2014). Community as Client: Assessment and Analysis. In Stanhope,
Marcia and Lancaster, Jeanette, Public Health Nursing (8th ed., pg. 413). Saint Louis,
MO: Elsevier. .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 financial resources to purchase
medications.)
13 Community Health Nursing Diagnosis #1 Community Health Nursing Diagnosis #2 14 Reference 15 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 10- point grade penalty per assignment, and
you will be required to resubmit within 48 hrs. You may increase the size of the
blocks on the template by continuing to type within each section. Use as much space
as necessary to provide your answers.
Introduction: Purpose of the paper, synopsis of community, two CHN diagnoses
with supporting evidence, for example, observations, reports from Key
Informants and Statistical data. Remember to cite sources as appropriate. 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: 16 2. Why did you select this problem? Provide your rational for selecting this
problem in 1-2 comprehensive paragraphs (Consider the problem priority
criterion on page 417 Box 18-5). Provide supporting community and
scientific/authoritative evidence, for example, Healthy People 2020, CDC,
AHA, other. Remember to cite sources as appropriate. 3. 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: 4. Intervention Objectives Timeline
Present Date Objective( Number and Statement) Anticipated
17 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 5. Plan of Intervention and Evaluation
Date
Enter
start
date. Intervention
Activities Responsible
Agency/Person Ex. Community Ex. Community
Health Nurse
(CHN) Health Nurse identifies
and trains lay advisors
in community as case
finders Evaluation
Measures
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 Target Date of
Completion
Ex. Lay advisor
training completed
by
enter date of
estimated
completion. 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.
18 19 References 20

Attachments:

• 1505225009-N4465 Assignment Weeks 1 - 3 template 1 1.doc