Community Nursing assignment

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NUR_335_SP18_WindshieldSurveyWorksheet3.docx

Windshield Survey Worksheet

· Complete the basic demographic information & epidemiology and community core sections.

· Complete the disaster preparedness plan.

· You must complete two subsystems, Education and Health & Social Services, as part of your community assessment. Then you are free to select two of the remaining six subsystems of the Community Assessment Wheel in the Community-as-Partner model.

· Use this worksheet to develop your community assessment data relating to the subsystems.

Basic Demographic Information & Epidemiology

Demographic

Community Level

State Level

National Level

Race/Ethnicity

73.8% white non-H

ispanic

15.9% black

7.9% Hispanic or Latino 6.5% Asian

96.5% white N.H.

68.4% black

9.0% Hispanic or Latino 6.2% Asian

76.6% white N.H.

18.1% Hispanic or Latino

13.4% Black, A.A

5.8% Asian

1.3% American Indian

Age

15.3% 65 and old

Median age 38, 14.2% are 65 and over

6.1% under age 5

22.6% under age 18

15.6% over age 64

508% female

87.3% high school graduate or higher (under age 25)

30.9 bachelors degree or higher

Sex

53.4% female

50.8 female

50.8% female

Education level

94.2% high school graduate or higher, 25 years old and older

88.9% of Virginia adults had completed at least high school in 2015

87.3% high school graduate or higher (under age 25)

30.9% bachelors degree or higher

Religion

79% Christian

48% Evangelical protestant

18% Mainline Protestant

21% Historically Black Protestant

11% Catholic

2% Mormon

7% non-Christian faith

73% Christian

30% Evangelical Protestant

16% Mainline Protestant

12% Historically Black Protestant

12% Catholic

2% Mormon

6% non-Christian faith

Income

Median household income $54,606

Median household income $68,766

Median household income in 2017 was $57,652

Poverty status

21.5% persons in poverty

10.6% persons in poverty

12.3% poverty status

Occupation types/

Unemployment rate

50.3% Civilian labor force age 16 and up

64.4% Civilian labor force age 16 and up

63.0% Civilian labor force age 16 and up

Number of births

86 live births in 2016

101,220 live births in 2016

3,945,875 live births in 2016

Births to unmarried/

women in poverty

38 in 2016

34,794 in 2016

1,569,796 in 2016

Community Core (see page 174 of Anderson & McFarlane)

Boundaries – Identify the boundaries of the community

Homelessness, obesity, disabled, elderly

What are the signs of where this area begins & ends?

I-199 and I 64

Does this area have a name? Is it displayed?

Yes, Williamsburg. Yes, it is displayed

Landmarks

Physical – Highways, railroad tracks, etc. that mark the boundaries

All of the above

Natural – Bodies of water, hills, or mountains

No

Economic - Residential or commercial areas

Residential and Commercial

History

What can you learn about the community by looking around?

Mostly tourist attraction, a lot of new housing developments, shopping malls as well

Is this an established neighborhood, new sub-division, apartment building, etc.?

Established city

Have houses been repurposed as businesses?

yes

Are there any historical markers in the community? What do they say?

Yes Colonial Williamsburg Historic

Are the trees and other plantings mature?

yes

Demographics

What kind of people do you see: the old, homeless, families, loners, etc.?

Most elderly, retirees, families, some homeless as well

Race

What races do you see?

All races are seen primarily white.

Is the population homogeneous or integrated?

homogenous

Ethnicity

Do you see indicators of more than one ethnicity?

yes

Restaurants, churches, private schools, festivals, etc.?

Many restaurants and churches, 3 private schools, monthly festivals

Are there signs in a language other than English?

no

Values & Beliefs

Are there churches, temples, mosques?

yes

What denominations are the churches?

Variety Jewish Temples, Mosque, Kingdom Hall, and Christian based churches

Are the lawns cared for, is there landscaping?

Yes, mostly well-manicured

What are the signs of culture or history seen?

Historic Jamestown Settlement

How do you feel in the community - welcomed? Concerned?

Always welcomed

Disaster Preparedness Plan

Summarize the community’s disaster preparedness plan.

Is it simple? Clear? Realistic? Flexible? Easy to implement regardless of the nature and extent of the disaster or who must implement the plan? Consider all types of community hazards and disaster possibilities for your local community.

In my opinion, for the most part if evacuation is needed, evacuate. This is assistance for evacuations available if needed.

When was the community’s disaster plan last updated? If there is no evidence that it has been updated recently (or at all), note this fact.

2017

Is there evidence that the community has tested the disaster plan (disaster drills, equipment checks, etc.)? If there is no evidence that it has been updated recently (or at all), note this fact.

There is a nuclear power plant in Surry Co. There are frequent drills that can be heard in Williamsburg. A loud alarm is sounded in the event of an emergency. The notice will also come across our local radio station.

Is the community’s disaster plan easily accessed via website or community communication channels (community television station, community newsletter, etc.)? Discuss the ease or difficulty you had in locating your community’s disaster preparedness plan.

Yes, the website’s link is down at the present moment.

Are all 4 stages of the community’s disaster response found in the disaster preparedness plan? Discuss each stage if found; if each stage is not found, note this fact.

· Preparedness

Yes it is found as there are safety and emergency services.

· Response

Yes there are responsive teams working in the area.

· Recovery

No there are not recovery teams.

· Mitigation

No there are no mitigating teams.

Interrelated Subsystems (see applicable chapter in Anderson & McFarlane)

Education (MUST SELECT)

Day Care and/or Pre-school

Are there any day care and/or pre-school agencies in your community? If so, how many? How much do they charge for a month of care and/or school? At what age can children begin attending day care and/or pre-school?

Yes there are day care and pre-school agencies in my community. They are two in number and they charge around 400 to 600 dollars a month.

The age at which children can begin attending them is as early as one year old.

Does the day care/pre-school offer transportation to/from primary school?

No they do not offer transportation to or from the primary school.

Are there recreational facilities at the day care/pre-school?

Yes there are recreational facilities at the day care and preschools.

Primary Schools

Are there schools in the area?

Yes, there are schools in the area.

How do the schools look?

The schools look quite nice as they are properly made and have a purpose built campus.

Are the schools in one building or are portable classrooms (trailers) seen?

The schools are in one building and there are not portable classrooms or trailers around.

What are the nearest elementary/middle/high schools?

Meadowview Magnet Middle and Mountain Park Elementary are the nearest schools.

Are there children of school-age visible in the neighborhood during the day?

No there are no children of school age visible in the neighborhood during the day.

Do the schools have a website that is available to parents?

Yes most of the schools do have a website which is available to the parents.

If the school has a website, does it display school policies, such as absenteeism, bullying, tardiness, illness, etc.?

Yes, the schools which do have a website they display the school policies which include absenteeism, bullying, tardiness, illness, etc.

Higher Education

Are community colleges or universities in the community?

Yes, there are universities and community colleges in the community.

Are there students walking around on campus?

Yes, there are students walking around on the campus.

Are the community colleges or universities well laid out and their borders specifically defined?

Yes, the community colleges and the universities have their boarders specifically defined.

Adult Education

Does the community offer any adult education courses? If so, how do adults learn about these courses? Are they offered online, on campus, or both?

The community is okay with the idea of adult educational courses. The adults learning is done by the adults visiting the institutes or by opting for online or distant learning from the comfort of their homes. Therefore, yes they are offered online and on campus both.

Are there advertisements for adult courses posted anywhere? (Grocery stores, library, community newsletter, churches, etc.)

The advertisements are posted online and physically in the library and in the community newsletter.

If courses are offered, what are some of the topics? Are they educational (e.g., history, English, English as a Second Language, foreign language, computer skills), hobby (e.g., photography, art, knitting, etc.), or life skills (e.g., budgeting, finances, computer, cooking, etc.).

The topics of some of the courses being offered are: English as a second language, computer skills and foreign languages. While the hobbies such as art are also being taught along with the life skills which include computer and cooing are also offered.

Libraries

Are there public libraries in the community?

Yes there are public libraries in the community.

Are the public library parking lots empty or full?

The public library parking lots are mostly half full or empty.

Does the public library provide free computer access for patrons? If there are computers available to patrons, are there restrictions on usage, such as time limitations?

The public library does provide free computer access for the patrons and there are computers available. However, there are restrictions and limitations of the usage.

Health & Social Services (MUST SELECT)

General

Is there evidence of acute or chronic health conditions such as drug addiction, alcoholism, mental illness, accidents?

Yes there is evidence of chronic health condition such as drug addiction, alcoholism, mental illness, accidents in the community.

Are there homeless or abuse shelters?

Yes there are shelters to which take in the homeless or the abuse of the community.

How close are houses or housing complexes to major roadways?

The houses and the housing complexes are close to the major roadways.

Health Care

What types of clinics, hospitals, doctor offices, etc. are there?

There are good clinics and hospitals in the area which have qualified doctors and staff.

How far is it to the nearest hospital or urgent care clinic?

The nearest hospital is only 3 km away and the clinic is around 1.5 km away.

What types of emergency care are available in the community? (Free-standing emergency departments, urgent/immediate care facilities, EMS/Fire/Rescue departments, etc.)

24 hours emergency care are available in the community. There is also urgent/immediate care facilities available along with the rescues and fire departments.

Are there any specialty clinics in the community?

There are specialty clinics in the community.

Is the public health department located in the community? If yes, what hours are they open? If not, how far is it to the nearest health department?

Yes there are public health departments locale dint eh community. They open up at 8:30am and close at 4:30 pm.

No matter where the public health department is located, what services does this agency provide to the community?

It provides urgent health care to the people of the community.

How many pediatrician offices do you see?

I see around 2 pediatricians.

How many extended- and continuing-care facilities do you see? (Long-term care facilities, adult assisted living facilities, adult day care facilities, etc.)

I see two long term care facilities and three adult assisted living facilities.

Identify whether health services are extracommunity or intracommunity resources.

The health services are intracommunity resources.

Social Services

What types of social service facilities are available in the community? (Public assistance office, counseling & support, clothing, food, shelter, etc.). If there are none, how far to the nearest social services office?

Social services such as counseling & support, clothing, food, shelter are available.

How many private counseling services do you see?

I see 5 private counseling services.

Are there any clothing donation bins located in the community? If so, which agency benefits from the collection of clothing?

Yes there are clothing donation bins located in the community. The adult health care agencies benefit from it.

Are there any “stores” that accept donations of items (clothing, housewares, furniture, etc.) in the community? If there are, who benefits from the sale of these items?

There are no stores which accept donations of items in the community.

Are there any alcohol or drug abuse services offered in the community? If not, where are the nearest services located?

Yes there are alcohol or drug abuse services offered in the community.

Who can community residents call in case of a mental health crisis? Is there a crisis hot line service available? How is it advertised to the community? If not, how are mental health emergencies handled in your community?

The community residents call their public health workers and the social health workers in times of crisis. There is no hot line available. The people contact the police and rescue services as well in case of emergency mental health issues.

Healthy Habits

Where can community members buy fresh produce or healthy food?

The community can buy the fresh and healthy food from the grocery stores and from the farms nearby.

Are there sidewalks along major roadways in the community? Are there crosswalks in asy pedestrian areas?

No there are no sidewalks along major roadways in the community.

Are there areas for exercising (bike trails, hiking trails, outdoor exercise equipment, etc.)?

There are areas for exercising.

Communication/Media (Elective Subsystem)

General

Are there common areas where people gather?

The community all is a place where all the people gather there.

Neighborhood hangouts, school yards, stores, parks, etc.?

Yes.

Are there places to pick up local community newsletters or circulars? Are they free to the public?

The city hall is the place from where the newsletters or circulars can be picked up from. They are free for the public.

Are there places to buy local and national newspapers?

Yes there are places to by local national newspapers such as some of the grocery and book stores.

What media outlets are available to the area?

All the local and national media outlets are available in the area.

Economy (Elective Subsystem)

General

Is it a thriving community or a struggling community? What evidence supports this observation?

It is a thriving community as it has almost all the things required to be one. It has decent health facilities and educational ones as well.

Do you see trash or abandoned cars and houses?

Yes there are some abandoned cars and houses around along with some trash in some areas of the community.

Available resources and industries

Are there shopping centers or neighborhood stores?

Yes there are shopping centers along and neighborhood stores as well.

Are there grocery stores within walking distance? If not, how far away?

Yes there are a few grocery stores within the walking distance.

Are there a lot of real estate signs?

There are not many real estate signs.

Are there industries and places for employment?

There are places for employment but not many. There are a few industries in the area as well.

Physical Environment (Elective Subsystem)

General

How does the community look?

It is a mixture of different age groups, however, the majority of the population is old aged.

Is it a newer community or an older established community?

It is an older established community.

Are there sidewalks connecting commercial areas to residential areas?

Yes there are sidewalks connecting commercial areas to residential areas.

Housing & Zoning

What is the estimated age and architecture of the houses and buildings?

The estimated age of the houses is around 20 to 40 years.

The architecture of the houses and buildings is more British styled.

What types of construction materials are used in the buildings? Condition of houses? Detached or attached garages?

The construction materials used in the buildings are mostly wood and bricks. The conditions of the houses is good and most of them have attached garages.

Open Space

Is there space around the houses?

There is space around the houses.

How is it used?

It is used by planting bushes and trees and for creating parks.

Is the area residential or commercial? Public or private?

The area is residential and public.

Are there empty lots or lawns? Are the empty lots overgrown or well maintained?

There are small lawsn which are well maintained.

People

Who do the see outside within the community? Children, housewives, mothers with their babies?

I see housewives and mothers with their babies outside.

Do see people that you wouldn't expect, such as teenagers or school-aged children during the day?

No I don’t see people that you wouldn't expect, such as teenagers or school-aged children during the day.

Are there salesmen or other professionals walking or driving in the community?

No, there are no salesmen or other professionals walking or driving in the community.

What types of animals are seen?

Domestic animals are seen.

Politics & Government (Elective Subsystem)

General

Are there signs of political activity, such as election signs or billboards?

There are a few political signs and billboards seen around.

Any posters relating to civic meetings, town or city hall meetings?

There are no posters related to civic meetings, town or city hall meetings.

Any zoning notices?

There are parking and school zones notices and signs.

Is City Hall or the governmental center readily accessible?

Yes, the city hall and the governmental centers are readily accessible.

Recreation (Elective Subsystem)

General

Where do children play?

The children play in the parks located around.

Where do adults play?

The adults also go to the park to play.

What facilities for recreation do the see? Ball fields, parks, pools?

There are parks, indoor pools and ball fields.

Are outdoor facilities, such as ball fields, parks, pools, in good condition?

Yes they all are in c good condition.

Who is using the facilities?

Safety (Elective Subsystem)

General

Are there sidewalks & bike trails for people to travel safely?

Yes there are sidewalks & bike trails for people to travel safely.

Are road signs visible?

Yes the road signs are visible.

Are streetlights on at night over highly travelled roads or sidewalks?

Yes, the streetlights are on at night over highly travelled roads or sidewalks.

What types of protective services are available; fire, police, ambulance?

There are all kinds of protective services available which include fire, police, and ambulance.

Are protective services visible in the community?

Yes, the protective services are visible in the community.

Do you feel safe in the community?

Yes.

Transportation (Elective Subsystem)

General

How do people get around?

People you their own cars to get around.

What type of private & public transportation is available?

Bus services and cab services are available.

Do you see people walking or riding bikes?

I see people walking.

Are there buses? Is public transportation accessible and how frequently is it available?

Yes there are buses and cab services which people use at times.

Do buses have the ability to carry bicycles?

No.

Is there a major highway nearby?

Yes there is a major highway nearby.

Can people with disabilities get around easily?

Yes people with disabilities can get around easily.

The following questions are posted here to help you as you begin to assemble your Community Assessment PowerPoint.

You do not need to answer these questions as part of your Windshield Survey.

Based on the Windshield Survey you completed, begin thinking about:

· What are two community diagnoses for the community? Prioritize with rationale.

· What are the two expected outcomes for the two community diagnoses? Provide rationale as to why you selected these. Remember to base your rankings on the Ethical Principles of Health Care, found on p. 77.

· What interventions are appropriate for the community diagnoses? Provide rationale and evidence that supports these interventions as realistic and achievable.

· What resources are needed to accomplish the interventions? Remember a community health nurse doesn’t have unlimited resources! The resources should be readily accessible and realistic.

· What resources are currently available? Are current available resources being used? If not, why do you think they are not being used? What resources would need to be developed? Remember to make them realistic.

· What evaluation strategies could be used to determine if the expected outcomes were met? Be sure to make them measureable and realistic.