What evidence of community cohesiveness can you observe? Are there any group efforts in the neighborhood to improve the living conditions or the neighborhood? Is there a neighborhood watch?

This paper is expected to be no more than four pages in length (not including the title page and reference list). Below are the requirements for successful completion of this paper. Please use the following categories as the first level headings on your paper. See the documents in the APA category in Course Resources for assistance with APA formatting.

  • [Introduction:] This beginning of your paper should catch the reader’s attention with interesting facts about your community and should include the purpose statement of the paper. This should be one paragraph. APA states that you should not title this as introduction; however, you are still expected to write a separate introduction. The title of the paper should be repeated at the top of page two and centered.
  • Community Overview: Identify the community that you are assessing by name and state and provide a general description of the community. What is the general character of the community? Statistics should not be included here. Your community should be the area you live or work in and should include a residential area. It should be a large enough area to answer the questions in the text. This should be one paragraph.
  • Demographic Data: Compile a range of demographic (population description) data for your community by examining U.S. Census Bureau reports. Using this data, describe your community. Compare your community data to state or national data. A summary of this data should be no more than two paragraphs.
  • Epidemiological Data: Compile and summarize a range of epidemiological (illness, morbidity, and mortality) data for your community by examining data from sources such as city or county health department reports, County Health Rankings (countyhealthrankings.org), or the Centers for Disease Control to describe priority health problems in your area. See the Webliography for applicable sites to search. Compare your community to state or national data. This comparison will help to identify a priority community health problem specific to your community. A summary of this data should be no more than two paragraphs.
  • Windshield Survey: Provide a summary of your observations from your first milestone. Make sure to discuss observations related to your identified problem. This should be one to two paragraphs.
  • Problem Diagnosis:
    • Using the assessment data, identify one community health nursing problem that you consider to be a priority concern.
    • Relate your choice to one of the Healthy People 2020 specific numbered objectives (not just a goal). Healthy People objectives are located within a topic area under the Objectives tab.
    • Your rationale should also include why this is a problem in your community and factors that contribute to the problem. Avoid discussion of interventions in this milestone.
    • Include a discussion of your problem with information from at least two scholarly sources (such as professional journal articles).(Review the documents in the APA category in Doc Sharing for help in determining sources that are considered scholarly—hint, .com websites are not considered scholarly sources). This should beno more than three paragraphs.
  • Summary: Summarize your community assessment and diagnosis findings and include a brief statement about the problem and the major factors that contribute to this problem. This information should be no more than two paragraphs.
  • Reference Page: All references should be cited within the paper and should be included on the reference page.

    Caring for Populations: Milestone1: Community Windshield Survey Form

    Directions: Please refer to the Milestone 1: Community Windshield Survey Guidelines and grading rubric for specific instructions in order to complete the information below. This assignment is worth 150 points.

    Type your name, date, and observations directly on this form. Click Save as and save the file with the assignment name and your last name; for example, NR443 Windshield Survey Form_Smith. When you are finished, submit the form to the Week 2 Caring for Populations: Windshield Survey Dropbox by the deadline indicated in your guidelines.

    Your Name:                                                               Date:

    Criteria Your response
    1. Introduction of Community (20 points)

    Identify the city and state of your community and briefly describe the community you will be using for this assignment. It should be the area where you live or the area surrounding your work setting but must include a residential area. Demographic data are not needed.

     
    2. Windshield Survey (100 points)

    a. Vitality: Use a majority of the questions from Box 6-2 in your text to describe your observations about the community vitality.

     
    b. Indicators of social and economic conditions: Use a majority of the questions from Box 6-2 in your text to describe your observations about the social and economic conditions.  
    c. Health Resources: Use a majority of the questions from Box 6-2 in your text to describe your observations about the health resources.  
    d. Environmental conditions related to health: Use a majority of the questions from Box 6-2 in your text to describe your observations about the environmental conditions.  
    e. Social functioning: Use a majority of the questions from Box 6-2 in your text to describe your observations about the social functioning.  
    f. Attitude toward healthcare: Use a majority of the questions from Box 6-2 in your text to describe your observations about the attitudes toward healthcare.  
    3. Conclusion: (20 pts)

    Provide a summary of your findings and your conclusion. What problems did you identify?

     
    4. References:

    optional: List in APA format any references that you used. If you include any references here, you must also include an in-text citation (author, year).

     

    BOX 6-2 QUESTIONS TO GUIDE COMMUNITY OBSERVATIONS DURING A WINDSHIELD SURVEY

    • 1. Community vitality:
      • Are people visible in the community? What are they doing?
      • Who are the people living in the neighborhood? What is their age range? What is the predominant age (e.g., elderly, preschoolers, young mothers, or school-aged children)?
      • What ethnicity or race is most common?
      • What is the general appearance of those you observed? Do they appear healthy? Do you notice any people with obvious disabilities, such as those using walkers or wheelchairs, or those with mental or emotional disabilities? Where do they live?
      • Do you notice residents who are well nourished or malnourished, thin or obese, vigorous or frail, unkempt or scantily dressed, or well dressed and clean?
      • Do you notice tourists or visitors to the community?
      • Do you observe any people who appear to be under the influence of drugs or alcohol?
      • Do you see any pregnant women? Do you see women with strollers and young children?
    • 2. Indicators of social and economic conditions:
      • What is the general condition of the homes you observe? Are these single-family homes or multifamily structures? Is there any evidence of dilapidated housing or of areas undergoing urban renewal? Is there public housing? What is its condition?
      • What forms of transportation do people seem to be using? Is there public transit? Are there adequate bus stops with benches and shade? Is transportation to health care resources available?
      • Are there any indicators of the kinds of work available to residents? Are there job opportunities nearby, such as factories, small businesses, or military installations? Are there unemployed people visible, such as homeless people?
      • Do you see men congregating in groups on the street? What do they look like, and what are they doing?
      • Is this a rural area? Are there farms or agricultural businesses?
      • Do you note any seasonal workers, such as migrant or day laborers?
      • Do you see any women hanging out along the streets? What are they doing?
      • Do you observe any children or adolescents out of school during the daytime?
      • Do you observe any interest in political campaigns or issues, such as campaign signs?
      • Do you see any evidence of health education on billboards, advertisements, signs, radio stations, or television stations? Do these methods seem appropriate for the people you observed?
      • What kinds of schools and day care centers are available?
    • 3. Health resources:
      • Do you notice any hospitals? What kind are they? Where are they located?
      • Are there any clinics? Whom do they serve? Are there any family planning services?
      • Are there doctors’ and dentists’ offices? Are they specialists or generalists?
      • Do you notice any nursing homes, rehabilitation centers, mental health clinics, alcohol or drug treatment centers, homeless or abused shelters, wellness clinics, health department facilities, urgent care centers, mobile health vehicles, blood donation centers, or pharmacies?
      • Are these resources appropriate and sufficient to aIDress the kinds of problems that exist in this community?
    • 4. Environmental conditions related to health:
      • Do you see evidence of anything that might make you suspicious of ground, water, or air pollutants?
      • What is the sanitary condition of the housing? Is housing overcrowded, dirty, or in need of repair? Are windows screened?
      • What is the condition of the roads? Are potholes present? Are drainage systems in place? Are there low water crossings, and do they have warning signals? Are there adequate traffic lights, signs, sidewalks, and curbs? Are railroad crossings fitted with warnings and barriers? Are streets and parking lots well lit? Is this a heavily trafficked area, or are roads rural? Are there curves or features that make the roads hazardous?
      • Is there handicapped access to buildings, sidewalks, and streets?
      • Do you observe recreational facilities and playgrounds? Are they being used? Is there a YMCA/YWCA or community center? Are there any day care facilities or preschools?
      • Are children playing in the streets, alleys, yards, or parks?
      • Do you see any restaurants?
      • Is food sold on the streets? Are people eating in public areas? Are there trash receptacles and places for people to sit? Are public restrooms available?
      • What evidence of any nuisances such as ants, flies, mosquitoes, or rodents do you observe? Are there stray animals wandering in the neighborhood?
    • 5. Social functioning:
      • Do you observe any families in the neighborhoods? Can you observe their structure or functioning? Who is caring for the children? What kind of supervision do they have? Is more than one generation present?
      • Are there any identifiable subgroups related to one another either socially or geographically?
      • What evidence of a sense of neighborliness can you observe?
      • What evidence of community cohesiveness can you observe? Are there any group efforts in the neighborhood to improve the living conditions or the neighborhood? Is there a neighborhood watch? Do community groups post signs for neighborhood meetings?
      • How many and what type of churches, synagogues, and other places of worship are there?
      • Can you observe anything that would make you suspicious of social problems, such as gang activity, juvenile delinquency, drug or alcohol abuse, and adolescent pregnancy?
    • 6. Attitude toward health and health care:
      • Do you observe any evidence of folk medicine practice, such as a botanical or herbal medicine shop? Are there any alternative medicine practitioners?
      • Do you observe that health resources are well utilized or underutilized?
      • Is there evidence of preventive or wellness care?
      • Do you observe any efforts to improve the neighborhood’s health? Planned health fairs? Do you see advertisements for health-related events, clinics, or lectures?

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