Community Health Assessment Tool

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FSW State College Department of Nursing RN to BSN Program – NUR 4636C Practice Experience Log

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STUDENT: __Ingrid Rizo_________________________ TERM: SPRING 2021 Complete each column with required information The Practice log must be complete during the designated weeks and meet the criteria for the log entries which include: Use the form provided in the CANVAS course.

 Record date and number of hours completed during that log period.  Complete the reflection column. Your reflection should address what you learned new or was

reinforced and you can or plan to apply in your practice related to a professional nurse in community setting. Provide concrete examples that support your learning and application of learning.

Save the document and submit in the appropriate week during designated weeks in Canvas and at end of course. The cumulative document is submitted in week 11. Points for Logs are awarded at that point. The Final Log submission is completed and course points are awarded in week 11 of the course. Must be submitted to receive a grade in the course. Signatures must be written, not typed electronically.

STUDENT : Term/ Year: Date/ Week

Dates/ Number Hours Completed

Practice Hours Activities: Narrative of your activities for completion of practice hours. The focus is on the collection of data for your community/ county, development of the data assessment document and development of final community paper. Develop 2-3 objectives that you want to achieve during the log time frames.

REFLECTION A narrative that addresses what you learned new or was reinforced. Reflect on how you met your objectives for your designated hours and are planning on new objectives for the next log period.

1/18/21- 1/19/21 5hrs

 Data collection for the community assessment process

Population in poverty in Lee County: 16.1% Unemployment rate: 4.3% No Highschool diploma: 13.1% Fair or poor physical health: 13.5%

1/21/21- 1/23/21 5hrs

 Windshield Survey of your community

Fort Myers population: 81,483 Cape Coral population: 198,641

Child Total Overweight Prevalence Lee County: 19.1% US: 24.2%

Population with Low Food Access Lee County: 38.2% FL: 25.7%

US: 22.4%

LOG #1

1/24/21- 1/25/21 5hrs

 Development of Community Assessment data

Urban and Rural Population Lee County: Urban – 94.2% Rural – 5.8% FL: Urban – 91.2% Rural – 8.8% U.S. Urban – 80.9% Rural – 19.1%

 Synthesis of community data from first paper

LOG #2 LO

 Planning your initiative – researching supportive data

LOG #3  Planning your initiative – researching supportive data

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FSW State College Department of Nursing RN to BSN Program – NUR 4636C Practice Experience Log

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 Completing paper – including timeline, measurable goal, evaluation methods.

FINAL LOG

 Overall reflection – summarize the 3 most important things you learned new or can apply in your professional practice. What surprised you most in completing your community assessment and the initiative?

TOTAL HOURS

I, verify that I have completed the required hours (total minimum 45 practice hours) as part of the NUR 4636C Community Health Nursing Practice course.

Student Signature: Date:

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FSW State College Department of Nursing RN to BSN Program – NUR 4636C Practice Experience Log

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Reference:

Needs Assessment. www.leegov.com/dhs/Documents/Grant%20Programs/2019-Needs-Assessment- CSBG.pdf.

2017 Community Health Needs Assessment Report. lee.floridahealth.gov/programs-and- services/community-health-planning-and-statistics/chip-cha/_documents/2017cha.pdf.