NR443 FULL COURSE [ ALL DISCUSSIONS AND ALL Caring for
Populations: Milestone)
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WEEK 1
Healthy People 2020 (graded)
The federal government developed Healthy People as a set of national health
objectives that are periodically evaluated to measure progress in the nation’s
health goals and healthcare services. HP 2020 has a renewed focus on
identifying, measuring, tracking, and reducing health disparities through a
determinants-of-health approach.
This week, please briefly discuss a Healthy People 2020 objective
under the topic area of your choice. Go to www.healthypeople.gov and select any
one of the objectives under the topic area of your interest. Using the local,
national, or international news, describe actions you, as a community health
nurse, could take in formulating policy changes to help promote the objective
you have selected. Cite references to support your views.
Please note:
There is a helpful “Introduction to Healthy People 2020 website”
document in Doc Sharing to aid you in navigating the HP 2020 website.
Our textbook,Community/Public health nursing: Promoting the health
of populations (5th ed.) was published prior to the final version of Healthy
People 2020, resulting in some of the book content differing from the Healthy
People 2020 website.
Determinants of Health (graded)
Healthy People 2020 identified four Foundation Health Measures (FHM) that
reflect the major health concerns in the United States. The third FHM
isDeterminants of Health. The description of Determinants of Health is:
“A range of personal, social, economic, and environmental factors
that influence health status are known as determinants of health. Determinants
of health include such things as biology, genetics, individual behavior, access
to health services, and the environment in which people are born, live, learn,
play, work, and age” (U.S. Department of Health and Human Services, n.d., About
Determinants of Health section, para. 1).
Go to the “Learn More About Determinants of Health”
(http://www.healthypeople.gov/2020/about/DOHAbout.aspx ) and choose one of the
five Determinants of Health that you feel is most important for community
health. In your posting, share the determinant of health and the rationale for
your choice. Remember to cite any references used for developing your
rationale.
Please note:
There is a helpful “Orientation to Healthy People 2020” document in Doc
Sharing.
Our textbook, Community/Public health nursing: Promoting the
health of populations (5th ed.) was published prior to the final version of Healthy
People 2020 resulting in some of the book content differing from the Healthy
People 2020 website.
WEEK 2
Census Data and Epidemiological Data (graded)
Go online to the U.S. Census Bureau atwww.census.gov. Obtain information about
the demographic characteristics of the population for your county of residence.
Once you are on the website, choose the link to “QuickFacts”, and from there
you can choose state, county, and city data. You may have to look at county
data if your city is not listed. There is also a tab where you can see U.S.
comparable data, too.
Include information about age, income, housing, and education.
Post a brief summary of the key demographic characteristics of the population
in your county (do not copy and paste directly from the website) and apply
these data to your community by answering the following questions:
• How do the data from your county compare to the sets of data from the other
counties posted by other students in your discussion group?
• Based on the demographic data, what health needs might you anticipate for the
population in your county?
Please note:
There is a helpful tip sheet located in Doc Sharing that will
assist you in using this website. Remember that this data will help you get
started on your assignment, Caring for Populations: Assessment and Diagnosis.
Communicable Diseases (graded)
Review the levels of prevention of communicable diseases discussed in Chapter
25 (Nies & McEwen, 2011). Choose a communicable disease objective listed
within theHealthy People 2020 topic area (p. 492). Discuss a role (function)
that you, as a CHN, could play in implementing the objective. What community
health nursing intervention would you implement? Describe at least two levels
of prevention you could address and how you can address them.
WEEK 3
Collaborating With the Community (graded)
Identify a community or aggregate you are currently involved with at home
(personal life) or at work. Cite some major value, major strengths, and health
needs of your community or aggregate. How could a nurse work collaboratively
with a community to build on these strengths and facilitate community
empowerment? Keep in mind the different methods of community outreach the nurse
could utilize.
Please note: According to Nies and McEwan (2011), the definition
of an aggregate is a “community composed of people who share common
characteristics” (p.92). Remember, aggregates do not necessarily know or
interact with one another, but share a common bond such as religious belief,
age, life experience, illness, etc.
Reference:
Nies, M. A., & McEwen, M. (2011).Community/Public health
nursing: Promoting the health of populations (5th ed.). St. Louis, MO:
Saunders/Elsevier.
Resources (graded)
Assurance is one of the three core functions of public health. Knowing what
resources are available is part of this function. Find a resource in your
community that could be used as a referral source and share information about
the services provided. Who is eligible for the services? What could be done in
order to improve the accessibility, acceptability, affordability, or
availability of this resource in your community? Make sure to address all four
of the A’s in your posting.
WEEK 4
Concerns for the School Nurse (graded)
As the school nurse role continues to evolve, there are increasingly more
health concerns for the school nurse. Does the locale make a difference in the
problems, or are health problems in children and adolescents universal? In some
inner-city areas, poor nutrition is a prevalent issue. What do you think are
the biggest problems in your areas?
Nurse’s Role in Community Health Settings (graded)
When caring for populations in community settings, the nurse has many different
roles, such as advocate, case manager, educator, researcher, administrator, and
so on. Choose one of the community healthcare settings from your textbook or
lessons and discuss how one of these roles might be carried out by the
community health nurse in the setting you chose.
WEEK 5
Vulnerable Populations (graded)
As nurses, we all know what we should do to maintain a healthy lifestyle, but
often knowledge does not translate into actual behavior. Vulnerable populations
may face additional individual and/or societal barriers to being healthy. What
are those barriers? What can nurses do to overcome some of the barriers that
you identified?
Priority Setting When Working With Vulnerable Populations (graded)
This week, we have discussed many different vulnerable populations. Choose a
vulnerable population and discuss what you think the top three priorities are
for a CHN working with them. Cite at least one scholarly reference that
supports your decision.
WEEK 6
Environmental Pollutants (graded)
Visit the U.S. Environmental Protection Agency’s Envirofacts website
athttp://www.epa.gov/enviro/ . Enter your city, zip code, or location. Explore
the site to learn more about your environment and things that might be
impacting the health of its citizens. Identify something new you learned about
your environment and how it could be affecting health by completing this
statement, “I didn’t know ____.” How could you, in the role of a community
health nurse, address these concerns?
Please note: Look in Doc Sharing under Threaded Discussion Information
for the Envirofacts Guide to learn how to navigate this website.
Disaster Preparedness (graded)
Visit the websitehttp://www.ready.gov . Review the steps for being prepared for
a disaster. As a community health nurse, what elements do you think are important
to stress to the community? How is your community preparing for a potential
disaster, or how has it prepared?
WEEK 7
How Do You Define Health? (graded)
Think about how you define health. Do you think your definition is universal,
or is it specific to your culture and/or beliefs? How might another culture’s
definition differ?
Affordable Healthcare (graded)
Please explore the website www.healthcare.gov. Choose the “Get Answers” tab
towards the top of the page. Please review several of the topics under this tab
and share something that you learned about how the Marketplace works and how
this would apply to those in your community.
The Affordable Care Act is a controversial topic and I’m sure there are many
different viewpoints represented in our class. For this discussion, let’s focus
on understanding the basics of the Marketplace so that we can provide accurate
information for our patients and communities.
Caring for Populations: Milestone1: Community Windshield Survey
Form
Directions: Please refer to the Milestone 1: Community Windshield Survey
Guidelines and grading rubric found in Doc Sharing for specific instructions in
order to complete the information below. This assignment is worth 150 points.
Type your name above and your answers below directly on this form. Click Save
as and save the file with the assignment name and your last name (e.g., “NR443
Windshield Survey Form_Smith”). When you are finished, submit the form to the
Week 2 Caring for Populations: Windshield Survey Dropbox by the deadline indicated
in your guidelines.
Your Name: Date:
Your Instructor’s Name:
Criteria
1. Community introduction:
Identify the community you will be using for this assignment. It should be the
area where you live or the area surrounding your work setting.
2. Windshield survey
a. vitality
b. Indicators of social and economic conditions
c. Health resources
d. Environmental conditions related to health
e. Social functioning
f. Attitude toward healthcare
3. Conclusion:
Provide a summary of your findings and your conclusion. What problems did you
identify?
4. References:
OPTIONAL: List any references that you cited.
NR443 Guidelines for Caring for Populations
Milestone 2: Assessment and Diagnosis
Purpose
The purpose of this paper is to provide an opportunity to utilize community
assessment strategies, uncover a community health problem, and identify the
components of the problem related to the community dynamics.
Course Outcomes
This assignment enables the student to meet the following Course Outcomes.
CO 1. Evaluate the planning of delivery of care to individuals, families,
aggregates, and communities in a variety of healthcare settings based on
theories and principles of nursing and related disciplines. (PO 1)
CO2. Integrate clinical judgment in professional decision-making and
implementation of the nursing process through analysis of community health
nursing practice. (PO 4)
CO7. Accept accountability for personal and professional development as part of
the life-long learning process. (PO 5)
Due Date
Submit to the appropriate basket in the Dropboxby 11:59 p.m. MT Sunday of Week
4.
Points
225 points
Directions
This paper is expected to be no more than four pages in length (not including
the title page and reference list). Typical papers are usually three pages.
Below are the requirements for successful completion of this paper.
• Introduction: This should catch the reader’s attention with interesting facts
and supporting sources and include the purpose statement of the paper. This
should be no more than one or two paragraphs.
• Community: Identify the community by name that you will be using for this
paper and provide a brief, general description of the community. Your community
should be the area where you live or work. This should be one or two
paragraphs.
• Demographic and epidemiological data: Compile a range of demographic
(population description) and epidemiological (causes of health problems and
death) data for your community by examining census reports, vital statistic
reports, city records, morbidity and mortality reports, and other agency
sources. Using these data, describe the community and the problem. Compare your
community data to state or national data. This comparison will help to identify
a community health problem specific to your community. A summary of these data
should beno more than one page.
• Windshield survey: Provide a brief summary of the findings from your first
assignment. Make sure to discuss elements that link your observations to your
identified problem. This should be no more than one or two paragraphs.
• Problem: Using the assessment data, identify the problem that you consider to
be a priority concern. Provide a rationale for your choice and relate your
choice to one of the Healthy People 2020 specific numbered objectives. Healthy
People objectives are located within a topic area under the Objectives page.
Your rationale should also include why this is specifically a problem in your
community. This should be no more than three paragraphs. Include support of
your rationale with at least two scholarly sources such as professional journal
articles related to your problem.
• Summary: The summary paragraph of your paper should include a statement about
the problem, the population at risk for this problem, and the major direct or
indirect factors that contribute to this problem. This information should be no
more than one or two paragraphs.
• Reference page: All references cited within the paper should be included on a
separate References page.
Guidelines
• Application: Use Microsoft Word 2010™ to create this assignment.
• Use the categories above as APA headings for the sections of your paper.
• Length: This paper is expected to be no more than four pages in length (not
including the title page and reference list). Typical papers are three pages.
• Submission: Submit your file via the basket in the Dropbox: Caring for
Populations: Assessment and Diagnosis by 11:59 p.m. MT Sunday of Week 4.
• Technical writing: APA format is required. Review APA tutorials in Doc
Sharing and use the resources of Smarthinking for writing tutors.
• Do not use first person (I, me, my, our) in this paper. Make the community
the subject even in your windshield survey summary.
• Save your paper with your last name in the document title (e.g., “Smith
Assessment and Diagnosis”).
• Late submission: See the course policy on late submissions.
Best Practices in Preparing the Paper
The following are best practices in preparing this project.
• Complete the demographic, epidemiologic, and windshield survey prior to
choosing a problem to focus on.
• Choose a nursing problem specific to your community.
• Make sure all elements of the paper are addressed and headings for each
category are included.
• Review directions thoroughly.
• Cite all sources within the paper as well as on the References page.
• Proofread prior to final submission.
• Check for spelling and grammar errors prior to final submission.
• Use the A column of the rubric below to ensure that you have included all the
needed elements.
• Abide by the CCN academic integrity policy.
Milestone 3: Intervention and Evaluation
Purpose
The purpose of this PowerPoint presentation is to provide an opportunity to
develop a community health nursing intervention and evaluation tool for your
identified community health problem (described in Milestone 2: Assessment and
Diagnosis) and identify the components of the nursing process as it applies to
a community or population.
Course Outcomes
Scenario
You are a Community/Public Health Nurse (C/PHN) working in your setting of
choice. You have identified a community health problem and have analyzed the
data collected from your windshield survey and assessment & diagnosis
assignments (the first two milestones). You have decided on one nursing
intervention and need your organization’s approval for funding of this
intervention. Your leadership team has agreed to listen to your proposal.
Directions
• Choose a community health nurse setting. Some examples of settings are school
nurse, parish nurse, home health nurse, nurse working in the health department
(be specific to what area in the health department, e.g., WIC, STD clinic,
health promotion, maternal-child health, etc.)
• Introduction: Introduce the identified problem, the purpose of the
presentation, and reiterate at least one or two important findings that
demonstrate this problem in your community (average of 1–2 slides)
• Proposed Intervention: Propose one community health nursingintervention that
would address one or more of the major direct or indirect factors that
contribute to the problem. Keep in mind the Public Health Intervention Wheel
(Nies & McEwen, p. 14, figure 1-3) as your framework (average of 3-4
slides). Your intervention needs to be specific:
o Who is your target population?
o Where is this intervention taking place?
o Will it take place one time or multiple times?
o How will you reach out to your target population?
§ How will you get your target population involved?
o What is the CH Nurses role in this intervention?
o Will you collaborate with anyone (e.g., physician’s office, church, local
resources, etc.?)
o Is anyone else involved besides yourself (C/PHN)?
§ If yes, are they paid or volunteers?
o What level(s) of prevention is your intervention addressing (primary,
secondary and/or tertiary prevention)?
• Intervention Justification: Justify why the problem and your nursing
interventions should be a priority.
o Based on what you have found in the literature, discuss why these
interventions are expected to be effective. Include summarized information from
at least two professional scholarly sources related to your interventions
(average of 2-3 slides).
• Proposed Evaluation: Your presentation must include at least one proposed
quantitative or qualitative evaluation method that you would use to determine
whether your intervention is effective. It should include the method you would
use along with desired outcomes. Outcome measurement is a crucial piece when
implementing interventions. There is a helpful tool in Doc Sharing to assist
you with understanding qualitative and quantitative methods of evaluation.
(average of 2-3 slides)
o Include discussion about the long-term and short-term impact on your
community if the intervention is successful. Keep in mind your desired outcomes
when analyzing the evaluation.
• Summary: The summary should reiterate the main points of the presentation and
conclude with what you are asking to be accomplished, e.g., “Based on ABC, it
is imperative our community has XYZ. Thank you for your consideration.”
• In addition to the slides described above, your presentation should include a
title slide, and reference slide. Remember, you are presenting to your
leadership team, so the slides should include the most important elements for
them to know in short bullet pointed phrases. You may add additional comments
in the notes section to clarify information for your instructor.
Guidelines
• Application: Use Microsoft PowerPoint 2010.
• Length: The PowerPoint slide show is expected to be no more than 20 slides in
length (not including the title slide and reference list slide).
• Submission: Submit your files via the basket in the Dropbox: “Caring for
Populations: Intervention and Evaluation” by 11:59 p.m. Sunday of Week 6.
• Save the assignment with your last name in the file title. Example: “Smith
Intervention and Evaluation”
• Late Submission: See the course policy on late submissions.
• Tutorial: If needed, Microsoft Office has many templates and tutorials to
help you get started.
Best Practices in Preparing PowerPoint
The following are best practices in preparing this project:
• Be creative, but realistic with your intervention and evaluation tool.
• Incorporate graphics, clip art or photographs to increase interest.
• Slides should be easy to read with short bullet points and large font.
• Review directions thoroughly.
• Cite all sources within the slide show as well as on the reference page.
• Proofread prior to final submission.
• Spell check for spelling and grammar errors prior to final submission.
• Abide by the CCN academic integrity policy.
