Table of Contents
Community Assessment, Analysis, and Nursing Intervention
Modules 1-3 (Weeks 1 – 3) Assignment Template PLEASE NOTE: Submission of any assignment from any prior session of N-4465 without prior permission from course faculty, will receive a zero for the assignment or a 10 point grade penalty if a new assignment is resubmitted within 48 hours of notification by academic coach or faculty. After 48 hours the assignment will receive a zero. Use of the Three-Part Course Template- The use of the three-part template to submit weekly Major Course Assignments goes as follows
- Week 1: Clinical Experience: 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
- 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
- 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 these course policy guidelines, please consult with your

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.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? Population and Community Nursing |
● 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? Population and Community Nursing |
● 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? Population and Community Nursing 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? Population and Community Nursing |
● 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? Get COM-362-O500 Topic 4 Reading Exercise Help Now!! |
●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 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? Describe gender, age, and race/ethnicity of persons observed. |
● Poverty Indications | Do you see any signs of homelessness? People living without adequate shelter or in temporary shelter? Describe gender, age, and race/ethnicity of persons observed. |
Services in the Community | 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? Population and Community Nursing |
● Religions | What signs of religion do you see? Discuss the types of churches, mosques, temples. What services are offered by these places of worship? e.g., Day Care, Mother’s Day Out, Summer Camps, Languages Classes, Citizenship Classes, Food Banks, Clothing, other. |
Business & Industry | Describe 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. |
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, schoolteacher, school nurse or administrator. Population and Community Nursing 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 2. Interview with librarian, schoolteacher, 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. Population and Community Nursing |
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: |

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. 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. Population and Community Nursing
- 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.
- Demographics: Total population; age distribution; gender distribution; family characteristics (single parent, multi-family, etc.). Population and Community Nursing Remember compare objective 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. Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.
- 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.
- 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; Population and Community Nursing 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.
- 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.
- 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?
- Problem Analysis for Community/Zip Code:
- ____________________________________________
- ____________________________________________
Problem Correlates* | Relationship of Correlate to Problem | Data Supportive of Relationship + |
Ex. Inadequate diet | Ex. Diets lacking in required nutrients contribute to malnutrition Population and Community Nursing | Ex. 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). |
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3. |
- Community Health Nursing Diagnoses:
- Your CHN Diagnoses MUST be something that a community/public health nurse can do something about. See example below. Population and Community Nursing
- Note: Poverty is NOT a CHN diagnosis.
- Remember do NOT use NANDA Nursing Diagnoses.
Module 3 (Week 3) Part Three: Community Health Nursing Intervention
Directions: Please complete each section below, providing the requested 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. Population and Community Nursing 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. Population and Community Nursing- CHN Diagnosis/Problem you selected:
- 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.
- Identify two (2) Goals. For example, goals indicate where you want to go.
Goal 1: 1. Objective: 2. Objective: 3. Objective: Population and Community Nursing Goal 2: 1. Objective: 2. Objective: 3. Objective: |
- Intervention Objectives Timeline
Present Date | Objective( Number and Statement) | Anticipated 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 |
Population and Community Nursing | ||
- Plan of Intervention and Evaluation
Date | Intervention Activities | Responsible Agency/Person | Evaluation Measures | Target Date of Completion |
Enter start date. | Ex. Community Health Nurse identifies and trains lay advisors in community as case finders | Ex. Community Health Nurse (CHN) | 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 | Ex. Lay advisor training completed by enter date of estimated completion. |
Population and Community Nursing | Population and Community Nursing | |||
Population and Community Nursing |
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