community health nursing

 

Assignment:

Your submission should be a minimum of 2000 words (maximum 2500 words) in length and should completely answer the proposed questions/items as listed under “Overview”. You should have a minimum of three (3) references. APA formatting is required and all responses should be combined into a single document for submission

Overview

In this module, you will complete a full assessment of your own community. 

Defining the Community

Your community can be any geographically defined county, city, or town. Clearly delineate the following dimensions before starting the process of community assessment:

  • Describe the population that is being assessed?
  • What is/are the race(s) of this population within the community?
  • Are there boundaries of this group? If so, what are they?
  • Does this community exist within a certain city or county?
  • Are there general characteristics that separate this group from others?
  • Education levels, birth/death rates, age of deaths, insured/uninsured?
  • Where is this group located geographically…? Urban/rural?
  • Why is a community assessment being performed? What purpose will it serve?
  • How will information for the community assessment be collected?

Assessment

After the community has been defined, the next phase is assessment. The following items describe several resources and methods that can be used to gather and generate data. These items serve as a starting point for data collection. This is not an all-inclusive list of resources and methods that may be used when a community assessment is conducted.

The time frame for completion of the assessment may influence which methods are used. Nonetheless, these items should be reviewed to determine what information will be useful to collect about the community that is being assessed. It is not necessary to use all of these resources and methods; however, use of a variety of methods is helpful when one is exploring the needs of a community.

Data Gathering (collecting information that already exists)

Demographics of the Community

  • When demographic data are collected, it is useful to collect data from a variety of levels so comparisons can be made.
  • If the population that is being assessed is located within a specific setting, it may be best to contact that agency to retrieve specific information about that population.
  • The following resources provide a broad overview of the demographics of a city, county, or state:
  • State and County Quick Facts—Easy access to facts about people, business, and geography, based on U.S. Census data: https://www.census.gov/quickfacts/fact/table/US/PST045219
  • Obtain information about a specific city or county on these useful websites: www.epodunk.com and www.city-data.com

Information from Government Agencies

  • Healthy People 2020—this resource is published by the U.S. Department of Health and Human Services. It identifies health improvement goals and objectives for the country to be reached by the year 2020: http://www.healthypeople.gov/
  • National Center for Health Statistics—this agency is part of the Centers for Disease Control and Prevention; this website provides statistical information about the health of Americans: https://www.cdc.gov/nchs/index.htm
  • National Vital Statistics System: http://www.cdc.gov/nchs/nvss.htm
  • Centers for Disease Control and Prevention (CDC)—The CDC website contains a large amount of information related to the health of the American population. The search engine within this website can be used to find relevant information: http://www.cdc.gov
  • Federal agencies with statistical programs: http://www.fedstats.gov/agencies
  • Every state in the United States has its own specific health improvement plan and goals that are based on the Healthy People 2020 document. This information may be available on the state health department website.
  • State and local health departments provide information related to vital statistics for the community.

Other Data Sources

  • America’s Health Rankings—this website provides information about various health indicators for each state: https://www.americashealthrankings.org/
  • Other relevant data sources may be found by conducting an Internet search related to the topic that is being examined through the community assessment.

After data are collected from various sources, it is important to review the information and to identify assets and areas for improvement in the community by comparing local data (if available) versus state and national data. This will facilitate organization of the information that has already been obtained and will provide direction for the next step of the process.

Data Generation (data are developed that do not already exist):

Windshield Surveys

With the use of public transportation or by driving a vehicle around the community, one can observe common characteristics of the community.

Examples of key observations to make when one is assessing the community through a windshield survey include the following:

  • Age of the homes in the community
  • Location of parks and other recreational areas
  • Amount of space between homes and businesses
  • Neighborhood hangouts
  • Transportation in the community
  • Quality and safety of streets and sidewalks
  • Stores and other businesses
  • People out in the community
  • Cleanliness of the community
  • Billboards or other media displays
  • Places of worship
  • Healthcare facilities

Participant Observation

Spend time observing the population that is being assessed. Through observation of interactions among group members, much can be learned about the community, including the following:

  • Developmental level of the population
  • Effectiveness of peer-to-peer interactions
  • Respect for peers and others
  • Safety in the environment
  • Economic status

Informant Interviews

Informants could be people who are familiar with and interact with the population on a regular basis.

Examples of questions that may be asked of key informants include the following:

  • Strengths/assets of the community
  • Areas of improvement for the community
  • Concerns of community members
  • Access to health care
  • Emergency plans for natural or man-made disasters

Focus Groups

Focus groups (usually small groups of 6-12 people) can be helpful when one is gathering information about specific areas of concern within the population. Use of a focus group involves open dialogue about the population, whereas an interview or survey yields only individual responses.

  • Focus groups may be effective for assessing the following:
  • Satisfaction with services provided
  • Community resources used
  • Transportation issues within the community
  • Safety within the community
  • General concerns of members of the population

Surveys

Surveys may be used to collect data from the community. Selecting a sample of the target population may prove helpful in the collection of data that are easier to analyze. It is important to ensure that the sample is representative of the target population.

A survey should be developed that takes into consideration the developmental level of the group that is being assessed. Questions should be written at the appropriate developmental level, so they are answered in a way that makes the data useful. Surveys might include closed-ended (yes/no), multiple choice (several responses to choose from), Likert scale (Strongly Agree/Agree/Neutral/Disagree/Strongly Disagree), or open-ended (“why”/“how”) questions.

Topics that may be addressed in a survey include the following:

  • Demographic information
  • Status of employment  
  • Safety within community
  • Safety in environment
  • Personal safety (seatbelts, helmets, etc.)
  • Stressors/stress management patterns
  • Risky behaviors
  • Support systems
  • Volunteer/community activities
  • Rest patterns
  • Nutrition     
  • Dental hygiene
  • Health promotion activities

Week 5 discussion

Please see attached document with specific instructions and grading rubric. Must follow directions carefully and only use sources listed in the instructions specifically.

I need this assignment by tomorrow October 2, 2020 at 5:00 pm EST

week 5 project nursing care plan part 1

Developing a Care Plan

There are two parts to the comprehensive nursing care plan assignment. In Week 5 you are required to submit a draft of your care plan. In Week 6 you will submit your final nursing care plan based on feedback from your instructor and your continued work.

In a Microsoft Word document of 4-5 pages formatted in APA style, begin to develop a comprehensive care plan for the aggregate based on the health risks faced by the aggregate that you identified in the risk assessment. 

In your paper, address the following:

  • Propose two (2) priority-nursing diagnoses based on the major health risks identified during the risk assessment for the aggregate
    • Include strategies to address the nursing diagnoses and identified risks of aggregate.
    • Support your strategies with at least two journal articles.
  • Develop a disaster management plan with the following components:
    • List of disasters that might affect your aggregate (take into consideration the geographical location of the aggregate, past history, etc.).
    • Strategies for handling at least two disasters from the list.
    • Recommendations for a disaster supplies kit.

On a separate references page, cite all sources using APA format. Please note that the title and reference pages should not be included in the total page count of your paper.

Discussion: Special Topics in Child and Adolescent Psychiatry (WEEK 11)

To Prepare for the Discussion:

  • Review the Learning Resources.
  • Select one of the following topics for the Discussion:
    • Adoption
    • Foster care
    • Gender dysphoria
    • Forensic issues
    • Impact of terrorism on children

 

Post:

  • Write your selected disorder in the subject line of your Discussion post.

  • Explain the psychological issues that may result from your topic.

  • Describe the most effective assessment measure that could be used, and explain why you selected this.

  • Explain the treatment options available for children and adolescents involved with your selected disorder.

  • Explain how culture may influence treatment.

 Provide a minimum of three academic references. Including Introduction and Conclusion  

Discussion Chapter 14

MUST BE IN APA FORMAT

PLEASE ANSWER EACH QUESTION WITH AT LEAST 2-3 SENTENCES

INCLUDE 2 CITATIONS & 2 REFERENCES

THANK YOU

 

 1-Do you think it is important for nurses to be involved in their professional organizations? Why or why not?

2. The Affordable Care Act (“ObamaCare”) has been both praised and vilified. Debate the pros and cons of this legislation and of health-care reform in general. 

3. What is your vision of nursing’s future? How will you contribute to shaping it? 

4. Interview a nurse educated in a diploma program at least 20 years ago.

a-How did that nurse’s education differ from your education today? 

5. Locate the website of a professional organization related to nursing. Bring a copy of the organization’s mission, membership criteria, and standards of practice. 

6. Ask five people of different ages and gender who do not work in the health-care field what they think most nurses do. Compile their answers with the answers your classmates collected and summarize them. Compare the summary to what you know nurses actually do.

a-Were the answers realistic? 

b-Did they over- or underestimate the responsibilities most nurses have?

c-Did they recognize the wide variety of things nurses do?

d-Was there a difference by age or gender of the person answering the question?

e-What do the results tell you about the public’s image of nursing? 

f-What do you think influences their image the most? Explain your answer.

7. Describe the nurse of the future.

a-What does he or she do?

b-Do you think nursing will become a more powerful force in health care?

c-Why or why not? 

Common barriers to evidence translation in addressing practice problems. Evidence Translation and Change

 

Week 7: Evidence Translation and Change

  Define evidenced informed practice. How can this be applied to your project proposal? Explain why evidenced informed practice is integral in effecting change.   

  • What are the common barriers to evidence translation in addressing practice problems?
  •  How you involve your team and yourself in changes?
  • What strategies might you adopt to be aware of new evidence?  

Instructions:

Use an APA style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website,s or blogs should not be used.