Scholarly P
Community Assessment Windshield Survey
The community window assignment has two parts: Part A and Part B. Make sure you complete both sections.
Part A:
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Community Name What is the name of your community? Why did you select the above community? |
My community is Plainfield, Illinois. I selected Plainfield because I plan to work as a nurse practitioner there, and my clinical practicum for this semester is located there.
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Boundaries Are the boundaries geographical, political, or economic? Do neighborhoods have names? Are there sub-communities? How are these identified? |
The boundaries of Plainfield are primarily geographical, marked by natural features and town borders. Political boundaries include the incorporation lines of the Village of Plainfield, while economic boundaries are less defined but influenced by housing and commercial development variations. Plainfield contains neighborhoods with names, such as Downtown Plainfield and the Lakewood Falls area, and sub-communities identified by distinct zoning and housing patterns. |
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Housing and Zoning What is the age of the buildings? Are the residences single-family or multifamily dwellings?
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The buildings in Plainfield range in age, with a mix of historic structures from the late 19th century and newer residential developments. The housing includes single-family homes, multi-family dwellings, suburban-style neighborhoods, and apartment complexes around commercial hubs.
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Signs of Decay Is the area well-maintained or in disrepair? Is there garbage strewn? Are there trashed/abandoned cars, places for rodents or other wildlife to hide, and vacant lots?
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Plainfield is well-maintained, with minimal signs of decay. Most areas are clean and orderly, with little visible garbage. No notable abandoned cars or vacant lots suggest good upkeep, though some older structures show minor wear and tear. |
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Parks and Recreational Areas Are there play areas for children and adults? Are they safe and maintained? Is there a Community Center? Who uses them?
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Numerous parks, playgrounds, and sports fields are available for community use. These areas, such as Settlers' Park, are well-maintained and offer safe spaces for children and adults alike. A Community Center provides services and recreational opportunities for all residents, fostering a sense of community. |
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Common Areas Where do people gather for social gatherings? Where do they “hang out”? Are they for particular groups, or are they open to all? Are there signs posted? |
People gather in common areas like Settlers’ Park, Downtown Plainfield, and various cafes. These areas are open to everyone and often have signs for events, especially around community festivals and markets, creating an inclusive space for social interaction. |
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Stores What stores (grocery, retail, drug, dry cleaning, etc.) are in the area? How do residents travel to them?
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Plainfield has a variety of stores, including grocery stores, retail outlets, and pharmacies. Residents typically drive to these stores, though some are accessible by biking or walking. Key shopping areas include Downtown Plainfield and Route 59. |
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Transportation How do most people get around the area? Is there public transportation? If so, what kind, and does it appear to be used? Who uses it? What is the condition of the streets, roads, and highways?
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Most people travel by car, though some public bus transportation is available. Roads and highways, including Route 59 and I-55, are in good condition and heavily used, especially by commuting residents. |
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Communication Is there evidence of local and national newspapers reaching out to other media? Are there informational posters on streets, buses, billboards, etc.?
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Local and national newspapers, as well as community billboards, are available, providing residents with updates. Community bulletin boards and social media are commonly used to share local information. |
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Service Centers What services are available in the community – health care, social services, schools, employment offices, etc.?
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Healthcare, educational, and social services are accessible, with several clinics, schools, and social service offices in the area to meet residents' diverse needs. |
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People in the Community Who is in the area during the day? What evidence is there a particular “classes” of people – upper, middle, working, lower?
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Plainfield has a mix of middle- and upper-middle-class residents. During the day, one can observe various people, including working professionals, students, and families. |
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Industries What are the major industries located in the area? What types of occupations are evident?
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Significant industries include retail, education, and healthcare, with many residents commuting to nearby cities for work in these sectors. |
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Protective Services Where are fire and police stations located? Is there evidence of police and fire protection in the area? |
Plainfield has well-distributed fire and police stations, with visible evidence of active patrols, indicating protective solid services. |
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Religion What churches and church-run schools are in the area (denomination)? How many are there in each denomination? |
Various churches represent Christian denominations, including Catholic, Lutheran, and Baptist congregations, each with a dedicated space for worship and community events.
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Health and Morbidity Is there evidence of any health problems such as drug/alcohol abuse, communicable or chronic diseases, mental illness (etc.)?
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There is some evidence of mental health depression and anxiety, among residents, with healthcare services focusing on prevention and management programs. |
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Ethnicity What is the predominant ethnic group? Are there residents from various ethnic backgrounds, or is the community mostly one group? Which one? Are there stores, restaurants, churches, schools, or languages that indicate a particular ethnic group(s)?
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Plainfield has a predominantly White population, but there is growing diversity, with residents from Latino, Asian, and African American backgrounds, reflected in some bilingual signage and ethnic restaurants. |
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Politics Is there evidence of political activity? Are there any signs that indicate a predominant political party (parties)or concern(s)? |
The community shows moderate political activity, with some signs and campaign materials during election periods, reflecting a mix of political leanings without a strong predominance of any single party.
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1. Identified Community Needs
1a. Social Need: Transportation
Another social concern identified in Plainfield is the lack of transport. Although most of the community's inhabitants rely on private cars, the absence of an efficient and integrated public transport system creates hurdles, especially for those with no access to personal automobiles. Lack of access to public transportation hinders the capacity of the residents to get essential services, employment, and health facilities (Wolfe, McDonald & Holmes, 2020). The increase in transport access would benefit the community members who use the public systems as it offers them equal opportunities to access social services.
1b. Economic Need: Employment and Job Opportunities
Plainfield is generally characterized by stable and middle-level income; however, some residents need help finding employment. Thus, such sectors as retail, healthcare, and education generate employment, but there is little local demand for high-skill occupations, causing many workers to travel to other cities for work. Enhancing investment in various economic sectors in Plainfield can help with this need, decreasing reliance on lengthy travel time and promoting the economic growth of Plainfield.
1c. Health Need: Mental Health Depression and Anxiety Management
Some of the common health concerns associated with this establishment include mental health depression and anxiety, which are common among Plainfield residents as they are all over the country. Few individuals in the region interact with mental health specialists when these conditions worsen, which adds to the difficulties experienced in managing them effectively (Damarell, Morgan & Tieman, 2020). Expanding access to mental health services within communities could improve early diagnosis and effective management of these conditions, thereby reducing the severity of complications among affected individuals.
2. Health People 2030 Objectives Related to Chronic Disease Management
In Mental Health, two of the health objectives of Healthy People 2030 are MHMD-02, which seeks to increase the proportion of people with depression who receive treatment, and MHMD-04, which aims to reduce the proportion of adults who report symptoms of anxiety that occur often. These objectives are relevant to the existing need to attend to Plainfield's mental health needs and offer a solid groundwork for any FNP capstone project. Adopting such interventions could help enhance the positive goals of the community’s mental health and its overall well-being in the future.
3. Social Determinants of Health Impacting Identified Needs
Certain factors known as social determinants of health (SDOH) significantly influence the identified community needs in Plainfield. As for transport, the “neighborhood and built environment” determinant influences the ability to travel to receive healthcare, work, or access other services (Pratt et al., 2022). The lack of a publicly funded transport system means that people who cannot afford a car cannot get a job or access health care. The determinant known as ‘economic stability’ affects employment, as few local jobs put financial pressure on commuters, affecting health (Thorpe et al., 2022). Lastly, the determinant ‘health and healthcare’ for mental health management is a makeup of ‘access to effective health care’ ensuring that residents experiencing depression and anxiety receive timely and appropriate treatment, thus influencing the long-term health of residents, promoting better management of these conditions, and reducing the risk of complications or chronic mental health issues.
4. APRN Roles to Address Community Needs
To improve clinical practice and address the identified community needs, the APRN can adopt the following roles:
Provider
By providing health care services, the APRN would directly impact mental health conditions by providing preventive and curative services. It was determined that highly effective practices for these conditions, including early diagnosis and evidence-based treatments, can make a significant difference for vulnerable communities. The APRN can offer screenings, educate patients about lifestyle changes, and implement care plans. By proactively intervening to assess and manage any mental health conditions before they advance to the extent that the individual cannot manage them, the APRN can gradually decrease the prevalence of unmanaged depression and anxiety among residents in Plainfield, fostering overall community well-being.
Educator
Through community health promotion and education, the APRN, as an educator, can convey important information critical information about mental health conditions such as depression and anxiety. Workshops could be organized to provide residents with knowledge about recognizing symptoms, managing stress, and understanding the role of lifestyle factors such as diet, exercise, and medication adherence in maintaining mental wellness (Ambelu & Teferi, 2023). Education initiatives could also encompass areas such as available transport and local employment opportunities and, in the process, influence residents’ health by eliminating anxiety and establishing financial security. In this way, the APRN can facilitate people’s improved health literacy and, thus, promote health-creating lifestyles and preventive measures.
Advocate
An advocate is needed to coordinate policy and funding for transportation and employment. The APRN can work with local government, community leaders, and other stakeholders to advocate for an enhanced public transport system. This is an effective means of advocating for improved availability of healthcare facilities and the community's job market. Advocacy could also refer to establishing incentives for creating Plainfield-based business establishments, thus creating local employment. Therefore, APRNs can provide input to policymakers to advance changes that would enhance the social and economic context influencing health.
Interdisciplinary Consultant
As an interdisciplinary specialist, the APRN can cooperate with other healthcare workers, social services, and community-based organizations to devise a comprehensive care plan for the population’s health (Fedel & Pennington, 2021). For instance, partnering with counseling centers, fitness programs, and nutrition experts while providing the public with accessible resources for managing depression and anxiety can significantly enhance the community’s mental health and overall well-being. By collaborating with specialists and community stakeholders, the APRN will involve specialists to develop inclusive, integrated care strategies that promote mental health resilience and improve the quality of life for residents.
Researcher
The researcher's role allows the APRN to participate in advancing research and knowledge-based practices regarding prevalent mental health issues, such as depression and anxiety, and identifying disparities in Plainfield's service delivery. For example, assessing the effectiveness of current mental health programs can reveal gaps in early diagnosis, treatment accessibility, and support services. Findings can help craft respective interventions that the APRN can submit to stakeholders and appropriately address mental health needs particular to the community.
Administrator
In an administrative capacity, the APRN can coordinate health care or community-based health programs that touch on mental health conditions and transport and economic support programs. For example, the APRN could collaborate with the local health departments at non-profit organizations to conduct and develop programs based on community requirements. Several administrative positions also enable the APRN to assign resources, organize services, and evaluate the results of the implemented plan to reflect the community needs of the interventions.
Conclusion
Plainfield's abovementioned community needs incorporate general health and socioeconomic concerns such as transportation, employment, and managing mental health conditions. In the context of Healthy People 2030 objectives, utilizing the APRN roles of provider, educator, and advocate can bring about positive change. These needs must, therefore, be met through assertive care, counseling, legal reform support, and cooperation from other providers, all critical elements of health promotion activities in any community of Plainfield. Therefore, the APRN has an opportunity to foster a healthy society whose members are strong enough to withstand adverse incidents.
References
Ambelu, T., & Teferi, G. (2023). The impact of exercise modalities on blood glucose, blood pressure and body composition in patients with type 2 diabetes mellitus. BMC Sports Science, Medicine and Rehabilitation, 15(1), 153. https://link.springer.com/article/10.1186/s13102-023-00762-9
Damarell, R. A., Morgan, D. D., & Tieman, J. J. (2020). General practitioner strategies for managing patients with multimorbidity: a systematic review and thematic synthesis of qualitative research. BMC Family Practice, 21, 1-23. https://link.springer.com/article/10.1186/s12875-020-01197-8
Fedel, P. R., & Pennington, G. (2021). Clinical nurse specialist collaboration with a community-based palliative care program: an evidence-based practice project. Clinical Nurse Specialist, 35(2), 88-95. https://journals.lww.com/cns-journal/abstract/2021/03000/clinical_nurse_specialist_collaboration_with_a.9.aspx
Pratt, K. J., Blalock, J., Breslin, L., Kiser, H., Hanks, A., Focht, B. C., ... & Needleman, B. (2022). Patient access, utilization, and perceptions of neighborhood and built environment resources. Obesity Surgery, 1-12. https://link.springer.com/article/10.1007/s11695-021-05788-x
Thorpe, L. E., Chunara, R., Roberts, T., Pantaleo, N., Irvine, C., Conderino, S., ... & Spoer, B. (2022). Building public health surveillance 3.0: emerging timely measures of physical, economic, and social environmental conditions affecting health. American journal of public health, 112(10), 1436-1445. https://ajph.aphapublications.org/doi/full/10.2105/AJPH.2022.306917
Wolfe, M. K., McDonald, N. C., & Holmes, G. M. (2020). Transportation barriers to health care in the United States: findings from the national health interview survey, 1997–2017. American journal of public health, 110(6), 815-822. https://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2020.305579
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