Category: Nursing

For this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices from the literature. Food insecurity was the topic

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In this module, you will begin an assessment of your own community and complete 15 practice hours. You will build this assessment in the next weeks and submit the complete, written community assessment in Module 8 of this course. Based upon this complete community assessment, during N493 – Community Health II, you will plan, implement, and evaluate a project within your community MY COMMUNITY IS MANSFIELD TEXAS, designed to address the primary prevention of an identified health concern. 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, the 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 FactsEasy access to facts about population, housing, economics, geographic data, and business, based on U.S. Census data 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 2030This 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 2030. National Center for Health Statisticsthis agency is part of the Centers for Disease Control and Prevention; this website provides statistical information about the health of Americans National Vital Statistics System 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 Federal agencies with statistical programs Every state in the United States has its own specific health improvement plan and goals that are based on the Healthy People 2030 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 Americas Health Rankingsthis 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 the 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 healthcare 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. The 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 the community Safety in the 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

You will select one research report with a qualitative design and one with quantitative design and answer the following questions regarding the following categories:

1. Discuss what is meant by the term Qualitative Research

• Briefly, describe the characteristics of qualitative research and identify nursing issues/phenomena that lend themselves to a qualitative research approach.
• Compare and contrast three different qualitative research methodologies.
• Briefly, discuss the strengths and weaknesses of qualitative research evidence for informing nursing practice.
• Communicate how this research design used in research.

1. The study, sampling, data collection, analysis, rigor, findings and limitations

• Identify the purpose of the study.
• Briefly, describe the design of the study and explain why you think it is either appropriate or inappropriate to meet the purpose.
• Identify ethical issues related to the study and how they were/were not addressed.
• Identify the sampling method and recruitment strategy that was used.
• Discuss whether sampling and recruitment were appropriate to the aims of the research.
• Identify the data collection method(s) and discuss whether the method(s) is/are appropriate to the aims of the study.
• Identify how the data was analyzed and discuss whether the method(s) of analysis is/are appropriate to the aims of the study.
• Identify four (4) criteria by which the rigor of a qualitative project can be judged.
• Discuss the rigor of this study using the four criteria.
• Briefly, describe the findings of the study and identify any limitations.
• Use the information that you have gained from your critique of the study to discuss the trustworthiness and applicability of the study. Include in your discussion any implications for the discipline of nursing.

1. Discuss what you understand by the term Quantitative Research – Use the following dot points to guide your discussion (give reasons for your argument and support with references):

• Describe the characteristics of quantitative research.
• Identify nursing issues/phenomena that lend themselves to a quantitative research approach
• Differentiate between observational and interventional research designs and also between experimental and quasi-experimental designs.
• Briefly, outline the difference between inferential and descriptive statistics and their relationship to levels of measurement.
• Communicate how this research design used in research.

1. Critique the Quantitative Research Report – Use the following headings to guide your critique (in all discussions and explanations give reasons for your argument and support with references):

• The study
• Identify the purpose and design of the study.
• Explain what is meant by blinding and randomization and discuss how these were addressed in the design of the study.
• Identify ethical issues related to the study and how they were/were not addressed.
• Sampling
• Explain the sampling method and recruitment strategy that was used.
• Discuss how the sample size was determined include in your discussion an explanation of terms used.
• Data collection
• Briefly, outline how the data was collected and identify any data collection instrument(s).
• Define the terms validity and reliability and discuss how the validity & reliability of the instruments were/were not addressed in this study and why this is important.
• Data analysis
• Outline how the data were analyzed.
• Identify the statistics used and the level of measurement of the data described by each statistical test include in your discussion an explanation of terms used.
• Findings and limitations
• Briefly, outline the findings and identify any limitations of the study
• Use the information that you have gained from your critique of the study to briefly discuss the trustworthiness and applicability of the study. Include in your discussion an explanation of the term statistical significance and name the tests of statistical significance used in this study.

Community Assessment Windshield/Walking Survey and Needs Assessment Instructions:

1. This clinical assignment gives you the opportunity to perform a community assessment, evaluating available resources. You may choose the community where you live, or a nearby community that you would like to assess. You should have learned about the process of a windshield survey and needs assessment from completing the test on the content. You simulated the process in Shadow Health. Now, you will demonstrate understanding by implementing the process in real life.

2. Correct grammar, punctuation and spelling are expected.

*NOTE: Online resources may be necessary with some statistical data, but should NOT be used to complete the photos within the community. Students should not try to take advantage of the assignment by choosing a small community that doesn’t have a lot of resources. If your community does not have something, where do they go to find it? How far away is it? If your community is lacking significant resources, then choose a different community.

please, could you proofread, check it is written academically with arguments and plagiarism and ai thing.

Read Chapter 13 in the Patton, Zalon and Ludwick (2023) text.

There are several countries in which citizens are provided National Health Insurance. Choose a country that provides National Health Insurance. Discuss the advantages and disadvantages of National Health Insurance.

Reference

Patton, R. M., Zalon, M.L., & Ludwick, R. (2023). Nurses making policy: From bedside to boardroom. (3rd ed.). Springer Publishing Company. Chapter 13.

Reflection Paper Questions:

1. What does an effective leader look like to you?

2. Which key elements are important for leaders who get

results?

3. What can you do to improve your EI?

Please follow the directions on the attached pdf.