BSN432 Community Health Nursing
Assignment 1
First Steps
Please use the grading rubric to create an outline of your assignment. Each section of the rubric should be a section of your final paper and could become the headings. Your assignment will be graded based on each element of the rubric. Compare each section of your paper with the rubric to ensure all elements are covered. Then, include an introduction and conclusion to tie the paper together. If you have any questions regarding the assignment please contact your instructor using the Course Help forum.
This week you will begin your Sentinel City virtual experience! In order to be successful in this simulation, please review the following:
Review all Sentinel City information available at the top of the course homepage.
View each of the Module Lectures. Once you have reviewed all of these important documents you may begin your virtual experience. You can access the Simulation by clicking on the Enter Sentinel City link located on the course homepage. This is the link you will use to access the simulation when completing each assignment in this course.
About the Virtual Experience
Your virtual experience will take place over the course of this semester and involves taking a bus tour of Sentinel City and completing a Windshield Survey as you observe all that you see. You will earn 20 practice experience for this activity. A Windshield Survey is explained in detail in the Final Project, but to summarize, it is a collection of subjective personal observations. It is your personal observations on what you see and experience. It is important that you are sharing your observations, not only relaying information from sources available in the virtual experience.
In each assignment, you will be required to observe specific community core demographics and subsystems, as identified in the unique assignment rubrics provided. You will tour the city, record your observations, and submit a written response that addresses each demographic and/or subsystem listed in the rubric. It is essential that you review the rubric before beginning each assignment, as the rubric will identify what you should look for while in the simulation.
Assignment 1 Criteria
For Assignment 1, please do the following:
Review all requirements in the Assignment 1 Rubric below.
Click on the Enter Sentinel City link in Module 1 and begin your Virtual Experience by taking a bus tour of Sentinel City. Since this is your first tour, please select the slowest speed and stay on the bus the entire time at least once before getting off the bus.
As you take the tour, write down your observations, specifically, those that align with the demographics and/or subsystems listed in the left-hand column of the Assignment 1 Rubric.
After your tour is complete, compile your observations into a 2-4 page paper, with at least 2 scholarly references, addressing each item listed in the first column of the Assignment 1 Rubric. You are encouraged to add other relevant characteristics you observe that may not be listed in the first column. Note: The demographic information available in the virtual setting is not considered one of your scholarly sources.
Observations
Describe the characteristics of the people you see in Sentinel City: race/ethnicity distribution, age ranges, gender mix.
Signs of poverty/wealth?
Who do you see on the streets-parent with a child, teens, couples, disabled persons?
Anyone in the city you would not expect to see?
Homeless persons, beggars, etc.?
Dogs on or off leash, other animals?
Churches or denominations?
Target Population
Select a target population of interest within Sentinel City.
Discuss relevant demographic data and health status indicators for your chosen population group.
Examines major health concerns for target population.
Create four SMART goals based upon CDC and Healthy People 2020 information in relation to major health concerns for your selected target population.
BSN432 Community Health Nursing
Assignment 2
Please use the grading rubric to create an outline of your assignment. Each section of the rubric should be a section of your final paper and could become the headings. Your assignment will be graded based on each element of the rubric. Compare each section of your paper with the rubric to ensure all elements are covered. Then, include an introduction and conclusion to tie the paper together. If you have any questions regarding the assignment please contact your instructor using the Course Help forum.
For Assignment 2, please do the following:
Review all requirements in the left-hand column of the Rubric below.
Click on the Enter Sentinel City link on the course homepage and continue your Virtual Experience by taking a bus tour of Sentinel City. Since this is your second tour, feel free to choose any bus speed and/or get off the bus at any time to walk around.
After your tour is complete, compile your observations into a 2-4-page paper, with at least 2 scholarly references, addressing each item listed in the first column of the Assignment 2 Rubric. You are encouraged to add other relevant characteristics you observe that may not be listed in the first column.
As you take the tour, write down your observations, specifically focused on the following subsystems: physical environment, health and social services, and safety and transportation. For more information, please review the required demographics and subsystems listed in the left-hand column of the Assignment 2 Rubric. Meet with Mayor Hill to discuss the subsystems: Physical environment, health and social services, and safety and transportation.
If you have any additional questions about this, or any of the other assignments, please post a message to your Instructor in the Course Help forum at the top of the course in the Course Communications section.
Subsystem 1: Physical Environment
Observations
Are there clear boundaries- natural (river, terrain change, etc.) or do you see economic differences (conditions of the homes or yards)?
Trees, flowers, cement?
Bike/walking paths?
Are there sidewalks/condition of sidewalks?
Where do residents shop? Are there any common areas- group hangouts?
What types of group “hang-outs”?
Is there a sense of territoriality or openness to strangers?
Graffiti or Billboards
Gang signs-tagging
Subsystem 2: Health and Social Services
Observations
Social service agencies, clinics, dentists, doctors, urgent care, pharmacy? How far is the nearest hospital?
Is there access to healthy food choices-grocery store(s), restaurant(s), and number of fast food restaurants?
Facilities for seniors? Long term care facilities?
Subsystem 3: Safety and Transportation
Observations
Police presence?
What are the chances of becoming a crime victim in this city?
How do people get around the city? Is public transportation available and how frequent? Is there a highway nearby?
Condition of streets/roads. Handicap accessibility?
Fire station/hydrants?
Discuss 3 characteristics of the physical environment that can impact health.
Discusses 3 characteristics of the physical environment that can impact health.
Identifies 3 characteristics of the physical environment that can impact health.
Lists 3 characteristics of the physical environment that can impact health.
Does not address this section
Discuss a rationale from the literature that supports one of the characteristics that impact health as it relates to the physical environment
Discusses a rationale from the literature that supports one of the characteristics that impact health as it relates to the physical environment
Identifies a rationale from the literature that supports one of the characteristics that impact health as it relates to the physical environment
States a rationale from the literature that supports one of the characteristics that impact health as it relates to the physical environment
Does not address this section
BSN432 Community Health Nursing
Assignment 3
Please use the grading rubric to create an outline of your assignment. Each section of the rubric should be a section of your final paper and could become the headings. Your assignment will be graded based on each element of the rubric. Compare each section of your paper with the rubric to ensure all elements are covered. Then, include an introduction and conclusion to tie the paper together. If you have any questions regarding the assignment please contact your instructor using the Course Help forum.
For Assignment 3, please do the following:
Review all requirements in the left-hand column of the rubric below.
Click on the Enter Sentinel City link on the course homepage and continue your Virtual Experience by taking a bus tour of Sentinel City. Since this is your third tour, feel free to choose any bus speed and/or get off the bus at any time to walk around.
After your tour is complete, compile your observations into a 2-4-page paper, with at least 2 scholarly references, addressing each item listed in the first column of the Assignment 3 Rubric. You are encouraged to add other relevant characteristics you observe that may not be listed in the first column.
As you take the tour, write down your observations, specifically focused on the following subsystems: education, recreation, and politics and government. For more information, please review the required demographics and subsystems listed in the left-hand column of the Assignment 3 Rubric. Meet with Mayor Hill to discuss the subsystems: Education, recreation, and politics and government.
If you have any additional questions about this, or any of the other assignments, please post a message to your Instructor in the Course Help forum at the top of the course in the Course Communications section.
Subsystem 4: Education
Observations
Number of public or private school. Do children walk or bus to school?
Do parents transport their children to school?
Public and/or private daycare centers or preschools.
K-12 and higher education options
Observations
Parks, playgrounds, basketball courts, bike/walking paths.
Public or private recreation or youth centers.
Discuss 3 examples of how recreation can support communities
Observations
What signs of political activity do you see (e.g. posters, meetings)?
What building(s) give you an indication of active government? Why?
Name the form of government in your community
Discuss 3 politically active organizations within your community.
BSN432 Community Health Nursing
Assignment 4
Please use the grading rubric to create an outline of your assignment. Each section of the rubric should be a section of your final paper and could become the headings. Your assignment will be graded based on each element of the rubric. Compare each section of your paper with the rubric to ensure all elements are covered. Then, include an introduction and conclusion to tie the paper together. If you have any questions regarding the assignment please contact your instructor using the Course Help forum.
For Assignment 4, please do the following:
Review all requirements in the left-hand column of the rubric below.
Click on the Enter Sentinel City link on the course homepage and continue your Virtual Experience by taking a bus tour of Sentinel City. Since this is your fourth tour, feel free to choose any bus speed and/or get off the bus at any time to walk around.
After your tour is complete, compile your observations into a 2-4-page paper, with at least 2 scholarly references, addressing each item listed in the first column of the Assignment 4 Rubric. You are encouraged to add other relevant characteristics you observe that may not be listed in the first column.
As you take the tour, write down your observations, specifically focused on the following subsystems: communication and economics. For more information, please review the required demographics and subsystems listed in the left-hand column of the Assignment 4 Rubric. Meet with Mayor Hill to discuss the subsystems: Communication and economics.
If you have any additional questions about this, or any of the other assignments, please post a message to your Instructor in the Course Help forum at the top of the course in the Course Communications section.
Observations
Billboards-Advertisements
City and/or neighborhood newspapers, community bulletin boards.
Is there evidence of a predominant party affiliation?
Forms of formal and/or informal communication.
Displays or posters that tell about life in the community.
TV/Radio Stations/or other sources of mass communication?
Competency
Choose and analyze a form of mass communication that would be most effective for educating the public about the causes, symptoms, and prevention of E. coli in the city.
Observations
Occupational groups: retail, industrial, farming, service, government, or tourism
Signs of high or low unemployment
Do people work in the community or travel to outside communities?
Examine how economics can influence health. Provide examples.
Examines how economics can influence health. Provides examples.
Discusses how economics can influence health. Provides examples.
States how economics can influence health and/or Examples not provided.
Does not address this section
Choose one example from above.
Examines how a community health nurse would address or apply it to the primary, secondary, and tertiary levels of prevention
Chooses one example from above.
Examines how a community health nurse would address or apply it to the primary, secondary, and tertiary levels of prevention
Chooses one issue from above.
Describes how a community health nurse would address or apply it to the primary, secondary, and tertiary levels of prevention
Choose one issue from above.
Lists how a community health nurse would address or apply it to the primary, secondary, and tertiary levels of prevention
Does not address this section
Organization
Organization excellent, ideas clear and arranged logically, transitions smooth, no flaws in logic. Introduction and Conclusion present
Grammar, punctuation, mechanics, and usage good mostly consistent with Standard American English; errors do not interfere with meaning or understanding. Either Introduction or Conclusion missing
Organization minimally effective; problems in approach, sequence, support and transitions
Organization does not meet requirements. No Introduction or Conclusion present
BSN432 Community Health Nursing
Final Project
The final project for this course will require you to apply what you have learned through your Windshield Survey of Sentinel City to a target population of your choosing. You will complete your project by comparing data from Sentinel City with similar data from the city where your target population lives. Many of the discussions and assignments throughout this course will build towards the completion of the final project. Your final project will be a 14-20 slide PowerPoint presentation submitted during Week 8. You must view the Final Project Rubric below in order to accurately complete this assignment. It is suggested that you do this during the first week of class.
Your final presentation will include 10 parts, which are described in detail below.
I. Introduction
Provide a brief introduction that includes the mission statement, vision, and/or the goals of your practice learning site.
II. Description of Your Target Population
Compose a detailed description of your chosen target population, which is a specific group served by your practice learning site. In this section you will describe the demographic characteristics of your chosen target population, including the population’s socioeconomic status, vital statistics, education level, religion, and occupations. Include a table, graph, and/or figure display that includes relevant demographic data for your target population.
III. Comparison of Sentinel City Demographic Data
Compare the demographic data of Sentinel City with the demographic data from the city where your practice learning site is located. You should present this information in a clear to understand table. You can use the Data Comparison Table provided in Module 2.
IV. Key Informants
Identify 3 key informants in the city where your practice learning site is located and 2-3 questions you would ask them. Examples of key informants include, but are not limited to: political leaders, health care providers, service providers such as mail carriers or shop owners, members of the fire or police departments and long term residents of the community. People who live and work in the community are a rich source of information and can often provide data not found in printed form. Your mentor from your Practice Experience will serve as the 4th key informant. Include specific quotes in response to the questions you asked your mentor that support and/or contradict information cited in the literature.
V. Key Health Concerns or Issues
Present a list of the top 3 health concerns for your target population. Provide a brief description of these concerns and include data from you target population city that supports the rationale for selecting these health concerns. Select one of the three health concerns you identified and state why you decided to develop an intervention that addresses this particular health concern/issue. Include the Healthy People 2020 objective that relates to your identified health concerns.
VI. Community Health Nursing Diagnosis
Develop a community health nursing diagnosis based on your analysis of the demographic and health status data that you gathered, as well as your conversations with the key informants. You may consult with your practice learning site mentor to help you develop this diagnosis.
Your community health nursing diagnosis should be written using the following format:
Increased risk of (disability, disease, etc.) among (community or population) related to (disability, disease, etc.) as demonstrated in or by (health status indicator, or etiological/causal statement).
Examples:
Increased risk of obesity among school age children related to lack of safe outdoor play areas for children as demonstrated by above average BMI rates.
Increased risk of depression among persons with a physical disability related to the lack of handicap accessible facilities and social isolation as demonstrated by high suicide rate
VII A & B. Intervention to Address the Diagnosis
Describe your proposed intervention that will address the community health nursing diagnosis for your target population. You may choose to develop your own intervention, or modify one that was recommended by the Task Force on Community Preventive Services (TFCPS).
To view recommended interventions, visit the TFCPS website and select the topic you plan on addressing for your intervention. (Note: at the bottom of most topic pages on the TFCPS website there is a sample on how to cite the webpage. After reviewing the topics, click the “Resources” tab then click “Fact Sheets”. Here you may find fact sheets to share with your mentor at your practice learning site.)
Whether you modify an existing intervention or develop one of your own, you must discuss why this intervention will or why you needed to modify it because it would not work for your target population. Include advantages, population fit, and barriers in use of the intervention. You should include the long-term goals, two measurable objectives, and the required resources such as: time, equipment, finances, etc. [Note: you are not required to carry out your intervention but may present it to your practicum site mentor]
VIII. Evaluation Plan
Describe your method for evaluating the objectives of your intervention (for example, pre/post-test, survey, questionnaire, phone interview). Include one long term goal and two short-term measurable objectives.
Example of goals and measurable objectives:
Goal - To increase my potential for promotion at my place of employment
Objective - Complete all undergraduate nursing courses with a B+ or higher
Objective - Complete the American Sentinel University BSN program before 2020
Goal - To learn about public health nursing
Objective - Describe community health levels of prevention
Objective - List the 8 subsystems of a community
IX. Summary of Sentinel City
Summarize the assets (strengths) in Sentinel City pertaining to the 8 community subsystems. In addition to the "people" (the core) of the community, there are eight subsystems that come together to form the assessment data for your windshield survey, which will contribute to your overall community assessment of Sentinel City. The eight subsystems within every community include: 1) physical environment, 2) safety and transportation, 3) health and social services, 4) education, 5) recreation, 6) politics and government, 7) communication, and 8) economics.
Include your recommendations for improving/strengthening specific subsystems in Sentinel City. Discuss other recommended changes or additions needed to improve the health of the population living in Sentinel City.
X. Reference List
Include a minimum of 6 references in APA format. The reference list should include relevant websites from state or federal sources and from peer reviewed professional journals. Journal articles do not have to be limited to nursing journals. No more than 50% of references should be from websites.
For the purpose of this assignment cite the Sentinel City demographic data as follows:
U. S. Census Bureau. (2010). American FactFinder fact sheet: Sentinel City, USA Retrieved January 31, 2014, from https://factfinder.census.gov/servlet/
