Community Windshield

COMMUNITY WINDSHIELD SURVEY ASSESSMENT SUMMARY INSTRUCTIONS AND EXAMPLE

Your maximum 3 page summary , not including your reference page, must include all of the following:

1. a minimum of 3 community needs based on your windshield survey :

1a: a social need (political, racial, housing transportation) need

1b. an economic need (environmental/food/jobs)

1c. a health/disease related need.

2. Identify 2 Health Peoples 2030 objectives (one should be mental health-depression/anxiety) which relates to the health/disease related need you

identified in Question # 1c. that you would like to serve as the basis for your FNP capstone project

and continue to develop in each of the remaining clinical practicum.

3. State the social determinants of health which impact the 3 needs you identified in Question #1.

4. Discuss a minimum of 3 roles of the following roles that you could utilize to improve clinical practice

based on the results of your windshield survey: Provider, Educator, Mentor, Advocate,

Interdisciplinary Consultant, Researcher, Administrator

References: Minimum of six evidenced based peer- reviewed scholarly references- four which must be peer-reviewed journal articles. Wikipedia IS NOT AN APPROPRIATE SOURCE!!!

The following pages are a sample of how your maximum 3 page ( NOT INCLUDING YOUR REFERENCE PAGE) Community Windshield Survey Assessment Summary should be organized.

DISCLAIMER: Lead poisoning is just used as an illustration as it is still a problem in many communities. Make sure that you use a real health/disease related need that you identified in Question 1c that affect your chosen community.

Community Windshield Survey Assessment Summary EXAMPLE

The community windshield survey I performed in North Lawndale is a needs assessment that identifies conditions or issues within the North Lawndale community. It was done to obtain basic knowledge about the community of North Lawndale and assess its current status related to its health, social, political, and economic well-being. The findings of this survey will be used to develop strategies to address the health, social and economic priorities that were identified by this survey.

The completed windshield survey and review of the city of Chicago’s neighborhood statistics, (Rush University Medical Center {RUMC}, 2021) identified the following needs in the North Lawndale community: Social: high crime rate high rates of juveniles being arrested; crowded housing; Economic: high unemployment rate; 43.1 percent of households live below the poverty line; Health: High rates of infant mortality; only 20% of its residents have health insurance and excessive blood lead level (BLL)) rates in the community’s children. I selected high blood lead levels as the community issue I would give my attention to.

Childhood lead poisoning is an important, preventable environmental disease affecting millions of children around the world. Mayans (2019) articulates risk factors for lead poisoning that include age younger than five years, low socioeconomic status, living in housing built before 1978, and use of imported food, medicines, and pottery.

Markowitz (2021) states there are no safe BLLs for children as permanent and neurologic damage and behavioral disorders are associated with lead levels at or below 5 ug’dl. The effects of lead are well known and range from delayed and adversely affected neurodevelopment to severe health outcomes including seizures, coma, and death. High lead levels relate to Healthy People 2030 Objective, EH-04 to “Reduce blood lead levels in children aged 1-5” to levels below 1.18 (Healthy People 2030, 2021).

Social determinates of health (SDOH) are conditions that affect a wide range of health, functioning and quality of life outcomes and risks. About 1 in 10 people in the United States don’t have health insurance (Berchick, et.al, 2018). People without insurance are less likely to have a primary care provider, and they may not be able to afford the health care services and medications they need. 

Racial/ethnic minorities and people with low incomes (which describes the majority of residents in North Lawndale) contend with high rates of violence, unsafe air or water, and other health and safety risks. People with steady employment are less likely to live in poverty and more likely to be healthy, but many people have trouble finding and keeping a job. In addition, many people with steady work still don’t earn enough to afford the things they need to stay healthy.

SDOH contribute to healthcare disparities and inequities. People who do not have adequate resources live in older homes which may contain lead pipes and paint which contains lead. Lack of grocery stores contribute to poor nutrition which impacts life expectancies. According to Kennedy, Lordo, and Sucosky (2014) hungry children may eat paint chips which contain lead. According to RUMC (2021) “Structural, financial and personal barriers hinder residents from accessing health services in the area” (p 23).

The American Academy of Nurse Practitioners (2019) state in their Standards of Practice for Nurse Practitioners that APRNs  treat and diagnose illnesses, advise the public on health issues, manage chronic disease, and engage in continuous education to remain ahead of any technological, methodological, or other developments in the field. To do so they employ many, if not all of the integral roles of the nurse practitioner: Provider, Educator, Mentor, Advocate, Interdisciplinary Consultant, Researcher, Administrator (AANP, 2019.)

In conclusion, in an effort to improve the health of North Lawndale, I would act as an interdisciplinary consultant to ensure that social and government agencies work together so impacted residents have access to treatment regardless of insurance status or economic level. I would also be an advocate and advocate for the replacement of lead lined water pipes or elimination of using lead-based paints. Finally, I would work as a mentor to community residents to assist them in developing the skills they need to empower their own community, and as an educator and teach parents and community members regarding the harmful effects of lead poisoning.

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References

AANP. (2019). Standards of Practice for Nurse Practitioners. Retrieved from https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-nurse-practitioners

Berchick, E.R., Hood, E., & Barnett, J.C. (2018). Health Insurance Coverage in the United States: 2017. Retrieved from  https://www.census.gov/content/dam/Census/library/publications/2018/demo/p60-264.pdf [PDF - 1.4 MB]

Healthy People 2030. U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. Retrieved (October 18, 2021) Available from: https://health.gov/healthypeople/objectives-and-data/social-determinants-health

Kennedy, C., Lordo, R., Sucosky, M.S.  et al. Primary prevention of lead poisoning in children: a cross-sectional study to evaluate state specific lead-based paint risk reduction laws in preventing lead poisoning in children.  Environ Health  13, 93 (2014). https://doi.org/10.1186/1476-069X-13-93

Mayans L. (2019). Lead Poisoning in Children.  American family physician,  100(1), 24–30.

Markowitz M. Lead Poisoning: An Update. Pediatrics in Review. 2021 Jun;42(6):302-315. DOI: 10.1542/pir.2020-0026. PMID: 34074717.

North Lawndale Community Assessment

https://www.google.com/search?q=north+lawndale+boundary+map&rlz=1C1CHBF_enUS794US794&oq=north+lawndale+map&aqs=chrome.3.69i57j0i22i30l3j0i22i30i457j0i22i30j69i60.8768j0j7&sourceid=chrome&ie=UTF-8

Raymond, J., Brown, M.J. (2017). Childhood Blood Lead Levels in Children Aged <5 Years — United States, 2009–2014. Retrieved from  https://www.cdc.gov/mmwr/volumes/66/ss/ss6603a1.htm

Rush University Medical Center (2021) retrieved from https://www.rush.edu/sites/default/files/2020-10/chna-north-lawndale.pdf October 19, 2021.

U.S. Department of Health and Human Services, Office of Surgeon General. (2009). The Surgeon General's Call to Action to Promote Healthy Homes. Retrieved from  https://www.hhs.gov/surgeongeneral/reports-and-publications/healthy-homes/index.html