Demographic Assessment Project

Demographic Assessment Project

NURS 4404: Community Health Nursing

Course Objectives

1. Design the nursing process to promote health with community partners across the life span in community settings with both predictable and unpredictable circumstances.

2. Create partnerships with communities in the customized therapeutic care process to protect, promote, and restore optimal community health.

3. Analyze practice decisions within the community utilizing critical thinking.

4. Evaluate strategies to improve community health through scholarship.

5. 8. Develop and exhibit self-directed behaviors in the community health setting.

6. 9. Demonstrate behaviors that are professional in nature in accordance with the American Nurses Association and the Texas Board of Nursing (Essential VIII) 

Experiential Learning Practice Objectives:

1. Demonstrate cultural sensitivity when formulating customized therapeutic nursing care with the community.

5. Demonstrate leadership, initiative and professionalism in the community health setting and demonstrate accountability for behavior.

6. Seek appropriate assistance and utilize guidance to facilitate own learning.

7. Demonstrate behaviors that are professional in nature in accordance with the American Nurses Association and the Texas Board of Nursing (Essential VIII)

Assignment Goal:

The students will be able to analyze critical data to identify health threats and risks in their assigned community.

Assignment Objectives:

1. The student will locate demographic data and vital statistics that relate to the assigned community.

2. The student will summarize the collected data

3. The student will identify 2 strengths and weaknesses of the community based on the summary

4. The students will formulate a nursing diagnosis based upon the analysis of the data.

Demographic Assessment Project Overview

This assignment utilizes data mining, a tool of nursing informatics, to locate critical information about your community. The US Census, performed by law stated in The US Constitution, is collected every ten years. The results of the census are found here. The information gleaned here is immensely valuable in assessing and planning interventions for a community. This is a routine practice for public health nurses and community nurses.

It is important to understand that the date from the US Census is self- reported. It may or may not be accurate. You may notice that the percentages do not always add up to 100 percent (or they add up to more than 100 percent). Sometimes people fill the census forms out a little differently than instructed, which gives interesting results! Report the numbers as they are stated in the Census documents and relax.

The assignment is another piece of an actual community assessment. The assignment will teach you how to discover facts about the population you serve whatever practice specialty you choose. When the public health nurse completes the community assessment, the nurse engages with many partners at the national, state, and local level. Now that much of the vital statistics and demographic information is online, that engagement can seem invisible. You also engage with community leaders and members of the population in a variety of roles and professions.

Zip code 77082

County: Harris

State: Houston TX

Overview Instructions

1. Complete all of the tables below using the zip code information (enter that into the zip code column). Then, go back to the above link and enter your county. Complete all of the tables using the county information. Next, go back to the above link and enter your state. Complete all of the tables using the state information. Please note that on some tables, the only information available is the actual count (rate) or percent. Please fill in what is available and do not panic. You will not be marked off for not filling in what is not available. Put NA in the blank.

2. Write a short summary sentence for each table.

3. Write a summary statement (as many sentences as you need) to explain the conclusions you have drawn about the community. For example: The population of zip code 78230 averages 1 to 2 members in each household. There is a high rate of teenage pregnancy. Diabetes is the leading cause of death.

4. Locate the information requested on this form. Submit your results, your hours and your daily log.

How To Get Started:

1. Log onto the Internet. Go to American Factfinder. In the Community Fact box, enter your zip code.

2. Select the Age Tab on the left. Click on Age and Sex. Then complete the table below.

Population by Age (combine the smaller groups of ages in the interest of time)

Age	Zip Code	Percent	County	Percent	State of Texas	Percent
Under 5
5-19
20-39
40-64
65-84
84 and older
Total Population		100		100		100

3. Write an Age Summary Statement:

4. Next:

· Select the Race and Hispanic Origin tab on the left:

· Select Race and Hispanic Origin

5. Complete the table below

Population by Race (the names of each race are set by the US Government)

6. Write a Race Summary Statement:

Race	Zip Code	Percent	County	Percent	State of Texas	Percent
White
Black or African-American
American Indian or Alaska Native
Asian
Native Hawaiian and other Pacific Islander
Some other race
Two or more races
Hispanic or Latino
Race and Hispanic or Latino

Occupancy

7. Select Housing, then Occupancy Characteristics

Occupancy Characteristics	Zip Code	Percent	County	Percent	State of Texas	Percent
1 Person Household
2 Person Household
3 Person Household
4 Person Household
Married-couple Family
Other family
Male householder only
Female householder only
Non-family
With Children under 18
With Children under 6

8. Write Occupancy Characteristics Summary Statement:

Income

9. Select Income from the tab on the left

10. Select “ Selected Economic Characteristics” (Employment, Commute, Occupation, Income…). You will use this for the next several tables

11. Complete the tables below

Income For Households	Zip Code	Percent	County	Percent	State of Texas	Percent
Less than $10,000
$10,000 to $14,999
$15,000 to $24,999
$25,000 to $34,999
$35,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $149,999
$150,000 to $199,999
$200,000 or more
Median Household Income
Median Earnings Males
Median Earnings Females
With Supplemental Social Security
With Public Assistance
With Food Stamps

12. Write Income Summary Statement:

Occupation (In same section of the website)

Occupation	Zip Code	Percent	County	Percent	State of Texas	Percent
Management, business, science, and arts occupations
Service occupations
Sales and office occupations
Natural resources, construction, and maintenance occupations
Production, transportation, and material moving occupations
Agriculture, forestry, fishing and hunting, and mining
Construction
Manufacturing
Wholesale trade
Retail trade
Transportation and warehousing, and utilities
Information
Finance and insurance, and real estate and rental and leasing
Professional, scientific, and management, and administrative and waste management services
Educational services, and health care and social assistance
Arts, entertainment, and recreation, and accommodation and food services
Other services, except public administration
Public administration

13. Write Occupation Summary Statement

Poverty (In same section of the website)

People Living Below The Poverty Level

Type of Person or Family	Zip Code Only percent	Percent	County Only percent	Percent	State of Texas Only percent	Percent
Female head of household no husband present
Under 18
Under 5
18-64
65 and older

14. Write Poverty Summary Statement

Health Insurance (In same section of the website)

	Zip Code Only percent	Percent	County Only percent	Percent	State of Texas Only percent	Percent
All persons
Civilian noninstitutionalized population
With Health Insurance
Without Health Insurance

15. Write Health Insurance Summary Statement

16. Return to link and select Education on the left tab

Educational Attainment

17. Add all age groups together

Some high school	Zip Code	Percent Only count	County	Percent Only count	State of Texas	Percent Only count
High School Graduate or Equivalency
Some college or associate degree
Bachelor Degree
Graduate or Professional Degree
Poverty Rate for less than high school
Poverty Rate for high school graduate
Poverty Rate for some college or associate degree
Poverty Rate for Bachelor degree or higher

18. Write Educational Attainment Summary Statement

19. Now we will look at a few vital statistics from the Texas Health Data Site.

20. At the bottom of the page there are 2 columns of links. You will select birth and then death data.

(If you live in a state other than Texas, see if you can find it on your state’s health department site. If you can’t, email me and I will help you find it!)

21. Select Birth Data

22. Select the 2005-2012 data

23. Select 2012 and find your county on the drop down menu

24. Select Submit query at the bottom of the page. Your birth rate will appear.

25. Repeat the process for each of the Rates below

Birth Rate
Death Rate (All causes)

To search for death by these causes, hold the control key down and click on each of these causes. Select the most recent year and then select submit query. Leave all other settings at the default (the ones already set)

Death by Causes	County
Diabetes
Diseases of the Heart
Cardiovascular Disease
Influenza and Pneumonia
Accidents
Suicide
Homicide

26. Go to http://healthdata.dshs.texas.gov/HealthFactsProfiles

27. Locate the infant mortality rate

Infant Mortality Rate	Texas	Percent	County	Percent

· For the county: Go to the top right of the page and click on the “By County” tab, and select your county from the dropdown list on the right side of the page.

· For the State information: Go to the top right of the page and click on “By State.”

Infant mortality rates are the single most important determining factor of the health of a population.

28. At the center of the page, toward the bottom, there is a box that lists the most prevalent communicable diseases. State the one with the highest rate here:

Communicable disease with most cases	State	County

29. Write Vital Statistics Summary Statement

30. After completing all of the above tables, indicate at least 2 weaknesses and 2 strengths of your community:

Weaknesses

Strengths

31. Write Summary Statement

Community Nursing Diagnosis

Based on the data you collected from your windshield survey and demographic assessments, you are now ready to formulate a community nursing diagnosis. Please see your text, page 49 for more information.

The format for the diagnosis is the following:

1. State the problem or risk

2. State the population affected

3. State the causative or related factor

An example is:

Risk of learning disabilities among children living in Flint, Michigan, due to severely elevated lead levels in the water supply

Please do not hesitate to ask for assistance in formulating the diagnosis. This is the analyses and synthesis of the entire assessment process you have completed.

There is a great wealth of vital statistic information available which will be helpful to your practice. You were instructed to look at this very small slice in order to make you aware of the resource and to see the impact of specific diseases and condition on the lifespan of your population. You can find more information at the DSHS Health Statistics site.

Select Health Status Of Texas, Health Status Supplement, and Texas Health Indicators.

Demographic Assessment Grading Guide

Category	Potential points	Points earned	Comments
Each table is complete, or as complete as possible (some information is not available at all levels)
Population by Age	5
Population by Race	5
Occupancy Characteristics	5
Occupancy	5
Income	5
Occupation	5
Poverty	5
Health Insurance	5
Education Attainment	5
Vital Statistics	5
Summary Statement after each table	20 (2 points per table)
Identified 2 strengths and 2 weaknesses of the community	10
Community Nursing Diagnosis formulated	20
Total	100

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