November 1, 2022

Describe the role of the Community Health Nurse as it relates to the Public Health Essentials, QSEN, and IOM Reports.

Describe the role of the Community Health Nurse as it relates to the Public Health Essentials, QSEN, and IOM Reports. Compare your role in your current practice to the roles of the community health nurse. Include a minimum of 2 scholarly references to support your answer.

BSN432 Community Health Nursing

Module 2 Discussion

DQ1 Compare and contrast geographic communities, communities of interest, and communities of solution. Provide a specific example of how a geographic community can move from a community of interest to a community of solution. Provide rationale and include at least 2 scholarly references.

DQ2 Using demographic information from the 2013 Sentinel City demographic database, as an example, briefly describe the target population that is served by your practice learning site. Discuss at least 2 health status indicators applicable to your target population. Next describe the community assessment model (framework) appropriate for your target population. Include a rationale for selecting this model. What types of information on the CLAS website pertain to the population served by your practice learning site? Include at least 2 scholarly references – 1 reference should be from a peer-reviewed professional journal published within the past 7 years.

BSN432 Community Health Nursing

Module 3 Discussion

Discuss two ‘determinants of health’ that impact your target population. Address how these determinants of health contribute to the global burden of disease and how they contribute to health disparities pertaining to your target population. What is the health ranking for the county where your practice learning site is located? Identify a health concern that impacts your target population for which you will develop an intervention and your rationale for selecting this problem. Include a community health nursing diagnosis that meets one of the Healthy People 2020 objectives. Discuss which level of prevention you would use to address this health concern and include your rationale for the level of prevention you selected. Include at least 2 scholarly references – 1 reference should be from a peer-reviewed professional journal published within the past 7 years.

BSN432 Community Health Nursing

Module 4 Discussion

DQ1 Conduct an online visit of your state health department and review your local newspaper or online TV news station (most have an archive) to find an epidemiological event that occurred within the past year in your home county, city, state, or country. Examples might include food borne outbreaks, water contamination, or a disease outbreak. [Ok to use an event that occurred in a neighboring state/country if nothing had been reported in your location within the past year]. Include a description of the event, including the specific location and time period. Include specific information about the host; agent and environmental factors-Does the CDC require mandatory reporting for this event? Include at least 2 relevant and scholarly references.

DQ2 Based on your initial bus ride through Sentinel City, identify one epidemiological event/issue that could potentially occur in this city. Provide a rationale for why you selected this event/issue and using the epidemiologic process described in Chapter 6, address the following questions: From whom and where in the city would you gather information? What types of data would you obtain to document the problem? What steps would you take to control or prevent this event/issue from impacting the entire city? Include at least 2 relevant and scholarly references.

BSN432 Community Health Nursing

Module 5 Discussion

Use the first letter of your first or last name to select an infectious disease from the CDC National Notifiable Infectious Conditions list.

Clearly describe the disease, explain the chain of transmission and discuss strategies the nurse would use to decrease the spread of this disease. Include the CDC mandatory reporting requirements for the disease and address how this disease could become a global health issue. In other words, what might cause this disease to spread from the U.S. to other countries?

BSN432 Community Health Nursing

Module 6 Discussion

Discuss the similarities and differences between vulnerable and underserved populations. Identify one vulnerable or one underserved population and address at least two health problems specific to these groups. Describe two factors that contribute to the vulnerability of these population groups. Identify three (3) key informants in Sentinel City. Examples of key informants include, but are not limited to: political leaders, health care providers, service providers such as mail carrier or shop owners; and long term residents of the community, members of fire or police department. People who live or work in the community are a rich source of information regarding the community and can often provide data not found in printed form.

Your practice learning site mentor will serve as your fourth key informant. Provide a rationale for why you selected these people as key informants and include 2-3 questions you would ask all of your key informants. Include your mentors’ response to your questions. To protect your mentors’ privacy, use only their initials or professional title (i.e. school nurse).

Go to the Urban and Rural Up-and-Coming Ranking websites and get pollution information for your practice site by entering the zip code or county where your practice learning site is located. Based on this information, include your recommendations to the city council regarding environment health concerns and recommended resources that should be made available to address the needs of the vulnerable and underserved populations in Sentinel City. Discuss other ways the nurse can advocate for vulnerable and underserved populations.

BSN432 Community Health Nursing

Module 7 Discussion

You oversee Disaster Management for Sentinel City. The healthcare team has just been notified that there was a tornado that ripped through Casper Park and Acer Tech Center in Sentinel City. You visit these areas of the city and observe services, routes, and populations that are impacted due to the tornado.

Describe the potential public health effects, infrastructure damage and environmental hazards related to the tornado.

Describe the members and roles of the emergency management team and organizations (public and private) that would be activated in Sentinel City.

Considering each phase of emergency management: Preparedness: What steps should you as the community/public health nurse take to prepare the citizens of Sentinel City for this type of disaster? Response: You are the only nurse at the scene. What actions would you take? Recovery: How would you handle recovery efforts for the city? What specific things should be addressed?

You must use at least 2 scholarly references besides your textbook to support your answer.

BSN432 Community Health Nursing

Module 8 Discussion

Reflect on the learning that occurred during this course. Identify 2-3 areas of learning that enhance your current practice. Share with your classmates any additional thoughts you have after completing this course.

You must use at least 2 scholarly references besides your textbook to support your answer.

BSN432 Community Health Nursing

Assignment 1

First Steps

Please use the grading rubric to create an outline of your assignment. Each section of the rubric should be a section of your final paper and could become the headings. Your assignment will be graded based on each element of the rubric. Compare each section of your paper with the rubric to ensure all elements are covered. Then, include an introduction and conclusion to tie the paper together. If you have any questions regarding the assignment please contact your instructor using the Course Help forum.

This week you will begin your Sentinel City virtual experience! In order to be successful in this simulation, please review the following:

Review all Sentinel City information available at the top of the course homepage.

View each of the Module Lectures. Once you have reviewed all of these important documents you may begin your virtual experience. You can access the Simulation by clicking on the Enter Sentinel City link located on the course homepage. This is the link you will use to access the simulation when completing each assignment in this course.

About the Virtual Experience

Your virtual experience will take place over the course of this semester and involves taking a bus tour of Sentinel City and completing a Windshield Survey as you observe all that you see. You will earn 20 practice experience for this activity. A Windshield Survey is explained in detail in the Final Project, but to summarize, it is a collection of subjective personal observations. It is your personal observations on what you see and experience. It is important that you are sharing your observations, not only relaying information from sources available in the virtual experience.

In each assignment, you will be required to observe specific community core demographics and subsystems, as identified in the unique assignment rubrics provided. You will tour the city, record your observations, and submit a written response that addresses each demographic and/or subsystem listed in the rubric. It is essential that you review the rubric before beginning each assignment, as the rubric will identify what you should look for while in the simulation.

Assignment 1 Criteria

For Assignment 1, please do the following:

Review all requirements in the Assignment 1 Rubric below.

Click on the Enter Sentinel City link in Module 1 and begin your Virtual Experience by taking a bus tour of Sentinel City. Since this is your first tour, please select the slowest speed and stay on the bus the entire time at least once before getting off the bus.

As you take the tour, write down your observations, specifically, those that align with the demographics and/or subsystems listed in the left-hand column of the Assignment 1 Rubric.

After your tour is complete, compile your observations into a 2-4 page paper, with at least 2 scholarly references, addressing each item listed in the first column of the Assignment 1 Rubric. You are encouraged to add other relevant characteristics you observe that may not be listed in the first column. Note: The demographic information available in the virtual setting is not considered one of your scholarly sources.

Observations

Describe the characteristics of the people you see in Sentinel City: race/ethnicity distribution, age ranges, gender mix.

Signs of poverty/wealth?

Who do you see on the streets-parent with a child, teens, couples, disabled persons?

Anyone in the city you would not expect to see?

Homeless persons, beggars, etc.?

Dogs on or off leash, other animals?

Churches or denominations?

Target Population

Select a target population of interest within Sentinel City.

Discuss relevant demographic data and health status indicators for your chosen population group.

Examines major health concerns for target population.

Create four SMART goals based upon CDC and Healthy People 2020 information in relation to major health concerns for your selected target population.

BSN432 Community Health Nursing

Assignment 2

For Assignment 2, please do the following:

Review all requirements in the left-hand column of the Rubric below.

Click on the Enter Sentinel City link on the course homepage and continue your Virtual Experience by taking a bus tour of Sentinel City. Since this is your second tour, feel free to choose any bus speed and/or get off the bus at any time to walk around.

After your tour is complete, compile your observations into a 2-4-page paper, with at least 2 scholarly references, addressing each item listed in the first column of the Assignment 2 Rubric. You are encouraged to add other relevant characteristics you observe that may not be listed in the first column.

As you take the tour, write down your observations, specifically focused on the following subsystems: physical environment, health and social services, and safety and transportation. For more information, please review the required demographics and subsystems listed in the left-hand column of the Assignment 2 Rubric. Meet with Mayor Hill to discuss the subsystems: Physical environment, health and social services, and safety and transportation.

If you have any additional questions about this, or any of the other assignments, please post a message to your Instructor in the Course Help forum at the top of the course in the Course Communications section.

Subsystem 1: Physical Environment

Observations

Are there clear boundaries- natural (river, terrain change, etc.) or do you see economic differences (conditions of the homes or yards)?

Trees, flowers, cement?

Bike/walking paths?

Are there sidewalks/condition of sidewalks?

Where do residents shop? Are there any common areas- group hangouts?

What types of group “hang-outs”?

Is there a sense of territoriality or openness to strangers?

Graffiti or Billboards

Gang signs-tagging

Subsystem 2: Health and Social Services

Observations

Social service agencies, clinics, dentists, doctors, urgent care, pharmacy? How far is the nearest hospital?

Is there access to healthy food choices-grocery store(s), restaurant(s), and number of fast food restaurants?

Facilities for seniors? Long term care facilities?

Subsystem 3: Safety and Transportation

Observations

Police presence?

What are the chances of becoming a crime victim in this city?

How do people get around the city? Is public transportation available and how frequent? Is there a highway nearby?

Condition of streets/roads. Handicap accessibility?

Fire station/hydrants?

Discuss 3 characteristics of the physical environment that can impact health.

Discusses 3 characteristics of the physical environment that can impact health.

Identifies 3 characteristics of the physical environment that can impact health.

Lists 3 characteristics of the physical environment that can impact health.

Does not address this section

Discuss a rationale from the literature that supports one of the characteristics that impact health as it relates to the physical environment

Discusses a rationale from the literature that supports one of the characteristics that impact health as it relates to the physical environment

Identifies a rationale from the literature that supports one of the characteristics that impact health as it relates to the physical environment

States a rationale from the literature that supports one of the characteristics that impact health as it relates to the physical environment

Does not address this section

BSN432 Community Health Nursing

Assignment 3

For Assignment 3, please do the following:

Review all requirements in the left-hand column of the rubric below.

Click on the Enter Sentinel City link on the course homepage and continue your Virtual Experience by taking a bus tour of Sentinel City. Since this is your third tour, feel free to choose any bus speed and/or get off the bus at any time to walk around.

After your tour is complete, compile your observations into a 2-4-page paper, with at least 2 scholarly references, addressing each item listed in the first column of the Assignment 3 Rubric. You are encouraged to add other relevant characteristics you observe that may not be listed in the first column.

As you take the tour, write down your observations, specifically focused on the following subsystems: education, recreation, and politics and government. For more information, please review the required demographics and subsystems listed in the left-hand column of the Assignment 3 Rubric. Meet with Mayor Hill to discuss the subsystems: Education, recreation, and politics and government.

Subsystem 4: Education

Observations

Number of public or private school. Do children walk or bus to school?

Do parents transport their children to school?

Public and/or private daycare centers or preschools.

K-12 and higher education options

Observations

Parks, playgrounds, basketball courts, bike/walking paths.

Public or private recreation or youth centers.

Discuss 3 examples of how recreation can support communities

Observations

What signs of political activity do you see (e.g. posters, meetings)?

What building(s) give you an indication of active government? Why?

Name the form of government in your community

Discuss 3 politically active organizations within your community.

BSN432 Community Health Nursing

Assignment 4

For Assignment 4, please do the following:

Review all requirements in the left-hand column of the rubric below.

Click on the Enter Sentinel City link on the course homepage and continue your Virtual Experience by taking a bus tour of Sentinel City. Since this is your fourth tour, feel free to choose any bus speed and/or get off the bus at any time to walk around.

After your tour is complete, compile your observations into a 2-4-page paper, with at least 2 scholarly references, addressing each item listed in the first column of the Assignment 4 Rubric. You are encouraged to add other relevant characteristics you observe that may not be listed in the first column.

As you take the tour, write down your observations, specifically focused on the following subsystems: communication and economics. For more information, please review the required demographics and subsystems listed in the left-hand column of the Assignment 4 Rubric. Meet with Mayor Hill to discuss the subsystems: Communication and economics.

Observations

Billboards-Advertisements

City and/or neighborhood newspapers, community bulletin boards.

Is there evidence of a predominant party affiliation?

Forms of formal and/or informal communication.

Displays or posters that tell about life in the community.

TV/Radio Stations/or other sources of mass communication?

Competency

Choose and analyze a form of mass communication that would be most effective for educating the public about the causes, symptoms, and prevention of E. coli in the city.

Observations

Occupational groups: retail, industrial, farming, service, government, or tourism

Signs of high or low unemployment

Do people work in the community or travel to outside communities?

Examine how economics can influence health. Provide examples.

Examines how economics can influence health. Provides examples.

Discusses how economics can influence health. Provides examples.

States how economics can influence health and/or Examples not provided.

Does not address this section

Choose one example from above.

Examines how a community health nurse would address or apply it to the primary, secondary, and tertiary levels of prevention

Chooses one example from above.

Examines how a community health nurse would address or apply it to the primary, secondary, and tertiary levels of prevention

Chooses one issue from above.

Describes how a community health nurse would address or apply it to the primary, secondary, and tertiary levels of prevention

Choose one issue from above.

Lists how a community health nurse would address or apply it to the primary, secondary, and tertiary levels of prevention

Does not address this section

Organization

Organization excellent, ideas clear and arranged logically, transitions smooth, no flaws in logic. Introduction and Conclusion present

Grammar, punctuation, mechanics, and usage good mostly consistent with Standard American English; errors do not interfere with meaning or understanding. Either Introduction or Conclusion missing

Organization minimally effective; problems in approach, sequence, support and transitions

Organization does not meet requirements. No Introduction or Conclusion present

BSN432 Community Health Nursing

Final Project

The final project for this course will require you to apply what you have learned through your Windshield Survey of Sentinel City to a target population of your choosing. You will complete your project by comparing data from Sentinel City with similar data from the city where your target population lives. Many of the discussions and assignments throughout this course will build towards the completion of the final project. Your final project will be a 14-20 slide PowerPoint presentation submitted during Week 8. You must view the Final Project Rubric below in order to accurately complete this assignment. It is suggested that you do this during the first week of class.

Your final presentation will include 10 parts, which are described in detail below.

I. Introduction

Provide a brief introduction that includes the mission statement, vision, and/or the goals of your practice learning site.

II. Description of Your Target Population

Compose a detailed description of your chosen target population, which is a specific group served by your practice learning site. In this section you will describe the demographic characteristics of your chosen target population, including the population’s socioeconomic status, vital statistics, education level, religion, and occupations. Include a table, graph, and/or figure display that includes relevant demographic data for your target population.

III. Comparison of Sentinel City Demographic Data

Compare the demographic data of Sentinel City with the demographic data from the city where your practice learning site is located. You should present this information in a clear to understand table. You can use the Data Comparison Table provided in Module 2.

IV. Key Informants

Identify 3 key informants in the city where your practice learning site is located and 2-3 questions you would ask them. Examples of key informants include, but are not limited to: political leaders, health care providers, service providers such as mail carriers or shop owners, members of the fire or police departments and long term residents of the community. People who live and work in the community are a rich source of information and can often provide data not found in printed form. Your mentor from your Practice Experience will serve as the 4th key informant. Include specific quotes in response to the questions you asked your mentor that support and/or contradict information cited in the literature.

V. Key Health Concerns or Issues

Present a list of the top 3 health concerns for your target population. Provide a brief description of these concerns and include data from you target population city that supports the rationale for selecting these health concerns. Select one of the three health concerns you identified and state why you decided to develop an intervention that addresses this particular health concern/issue. Include the Healthy People 2020 objective that relates to your identified health concerns.

VI. Community Health Nursing Diagnosis

Develop a community health nursing diagnosis based on your analysis of the demographic and health status data that you gathered, as well as your conversations with the key informants. You may consult with your practice learning site mentor to help you develop this diagnosis.

Your community health nursing diagnosis should be written using the following format:

Increased risk of (disability, disease, etc.) among (community or population) related to (disability, disease, etc.) as demonstrated in or by (health status indicator, or etiological/causal statement).

Examples:

Increased risk of obesity among school age children related to lack of safe outdoor play areas for children as demonstrated by above average BMI rates.

Increased risk of depression among persons with a physical disability related to the lack of handicap accessible facilities and social isolation as demonstrated by high suicide rate

VII A & B. Intervention to Address the Diagnosis

Describe your proposed intervention that will address the community health nursing diagnosis for your target population. You may choose to develop your own intervention, or modify one that was recommended by the Task Force on Community Preventive Services (TFCPS).

To view recommended interventions, visit the TFCPS website and select the topic you plan on addressing for your intervention. (Note: at the bottom of most topic pages on the TFCPS website there is a sample on how to cite the webpage. After reviewing the topics, click the “Resources” tab then click “Fact Sheets”. Here you may find fact sheets to share with your mentor at your practice learning site.)

Whether you modify an existing intervention or develop one of your own, you must discuss why this intervention will or why you needed to modify it because it would not work for your target population. Include advantages, population fit, and barriers in use of the intervention. You should include the long-term goals, two measurable objectives, and the required resources such as: time, equipment, finances, etc. [Note: you are not required to carry out your intervention but may present it to your practicum site mentor]

VIII. Evaluation Plan

Describe your method for evaluating the objectives of your intervention (for example, pre/post-test, survey, questionnaire, phone interview). Include one long term goal and two short-term measurable objectives.

Example of goals and measurable objectives:

Goal – To increase my potential for promotion at my place of employment

Objective – Complete all undergraduate nursing courses with a B+ or higher

Objective – Complete the American Sentinel University BSN program before 2020

Goal – To learn about public health nursing

Objective – Describe community health levels of prevention

Objective – List the 8 subsystems of a community

IX. Summary of Sentinel City

Summarize the assets (strengths) in Sentinel City pertaining to the 8 community subsystems. In addition to the “people” (the core) of the community, there are eight subsystems that come together to form the assessment data for your windshield survey, which will contribute to your overall community assessment of Sentinel City. The eight subsystems within every community include: 1) physical environment, 2) safety and transportation, 3) health and social services, 4) education, 5) recreation, 6) politics and government, 7) communication, and 8) economics.

Include your recommendations for improving/strengthening specific subsystems in Sentinel City. Discuss other recommended changes or additions needed to improve the health of the population living in Sentinel City.

X. Reference List

Include a minimum of 6 references in APA format. The reference list should include relevant websites from state or federal sources and from peer reviewed professional journals. Journal articles do not have to be limited to nursing journals. No more than 50% of references should be from websites.

For the purpose of this assignment cite the Sentinel City demographic data as follows:

U. S. Census Bureau. (2010). American FactFinder fact sheet: Sentinel City, USA Retrieved January 31, 2014, from https://factfinder.census.gov/servlet/

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Describe the role of the Community Health Nurse as it relates to the Public Health Essentials, QSEN, and IOM Reports.

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