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Clinical
Community Assessment
NURS 4250 ~ Community Health Nursing
Webster University
Summer 2000


CLINICAL:

This course requires 32 hours of clinical experience which is divided between health education/ advocacy for clients of a community agency and completing a community assessment. The written requirements for each clinical option are included here and will be discussed in the first class meeting.

COMMUNITY ASSESSMENT (16 hours)

Community Assessment Project

Following the guidelines below and as discussed in class, conduct a community assessment. Multiple data collection sources and methods, including windshield survey 
and interviews, must be used and documented.  Based on your assessment, identify a community diagnosis, goal(s) and interventions. Evaluate by relating this information to 
an objective identified in "Healthy People 2010".

This information is to be collected, organized and compiled in a notebook with divisions for each segment of assessment:

  • a title page, with identification of subsystems assessed by each group member
  • the community core
  • the eight subsystems
    • (a section for each subsystem)
  • the diagnosis and goal(s)
  • interventions
  • evaluation
  • references/resources.
The community assessment notebooks will be retained by the instructor, so make copies before submission if you so desire.

COMMUNITY ASSESSMENT PROJECT GUIDELINES
The Community as Client Model

The focus of this assessment is the community. Everyone is part of at least one community. Every community is affected by eight subsystems: recreation; physical environment; education; safety and transportation; politics and government; health and social services; communication; and economics. In addition to the "people" (the core) of the community, these eight subsystems come together to form the assessment data for your community assessment project.

Specific information and detailed descriptions can be found in Anderson, E. T., & McFarlane, J. M. (1988) Community as client: Application of the nursing process. Philadelphia: Lippincott. (Pertinent chapters are on reserve and the library has copies of the book) or in newer edition: Anderson, E. T., & McFarlane, J. M. (1996). Community as partner: Theory and practice in nursing. Philadelphia: Lippincott.

You are to apply the nursing process in this project and include the elements described below:

ASSESSMENT
The assessment data is to include the “community core”* and the “eight subsystems” listed above and described in Anderson & McFarlane (1988, 1996). Multiple data collection sources and methods, including interviews** and windshield survey, should be used and documented using APA format.

  • *Community core demographics and data are to be compared with comparable data from a larger entity, such as county or state. 
  • **Each student is to talk to at least three key people in the community when gathering data. Examples of key people to interview for the project include, but are not limited to: the mayor; alder persons, health care providers, a service provider such as mail carrier or shop owner; and long term residents of the community. 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. Make sure you coordinate with the others in your group to interview different people from the community. 
NURSING DIAGNOSIS AND GOAL
Once the assessment data have been collected and analyzed, a community diagnosis and goal(s) are to be identified. These must be based on your data and may be developed with input from the community. The format for this diagnostic statement can be found in your textbook (Swanson & Nies, 1997, p. 112).

INTERVENTIONS
Interventions are to be planned which could strengthen the lines of resistance through one of the prevention modes as defined by Anderson & McFarlane (1988, 1996). You must include at least two interventions for each prevention mode:

EVALUATION
Select and identify an objective/s from the "Healthy People 2010" document and discuss how your community assessment, diagnosis and goal(s), and interventions relate to the selected objective.

REFERENCE/RESOURCE LIST
To include all sources of information, including personal interviews. Use APA format and modifications distributed by instructor.


Grading distribution for Community Assessment

Assessment*

  • Description of community core                                      8 points 
    • Comparison with larger entity 
  • Eight subsystems                                                      64 points 
    • Evidence of interviews with key people 
    • Evidence of windshield survey data 
*includes correct (APA) citation of sources

Community Diagnosis and Goal(s)                                     6 points

Interventions (at least two of each)

  • Primary Interventions                                                  4 points 
  • Secondary Interventions                                             4 points 
  • Tertiary Interventions                                                 4 points 
Evaluation
        Discussion of relationship of assessment,
        diagnosis, goal(s), and interventions                              4 points
        to "Healthy People 2010" objective.

Reference/resource list                                                    6 points
                                                                                   =========
                                                                     Total       100 points***

***These points will be converted to the appropriate percentage of the points (35) allotted for the group grade. An additional 5 points are possible from self and peer evaluations.


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