Community Assessment

Community Assessment
Project Guidelines
Purpose
The purpose of this assignment is to provide learners the opportunity to: a) analyze the epidemiology of the community, extrapolate healthcare priorities and plan a project to improve healthcare outcomes of the chosen community, b) design a population- focused project to decrease chronic disease and improve population health with measurable outcomes for evaluation purposes, c) develop interventional strategies based on primary, secondary, and tertiary levels of prevention, and e) integrate the project with the national goals and objectives of Healthy People 2020.
Course Outcomes
This assignment enables the student to meet the following course outcomes:

(CO#1) Synthesize knowledge and concepts from advanced practice nursing with supporting disciplines as a foundation for specialty nurse practitioner practice that is culturally competent and population-specific. (PO 7)
(CO#2) Advocate and negotiate for advanced practice policy to meet the healthcare needs of a culturally diverse society in a changing healthcare environment. (PO 10)
(CO#3) Contribute to the body of advanced practice nursing knowledge through participation in systematic inquiry, utilization of evidence-based practice, and dissemination of findings to support high-quality care and healthcare innovation. (PO 9)
(CO#4) Distinguish population-specific skills, understandings, and integrative abilities for genomic and primary healthcare screening of selected aggregate populations. (PO 11)
(CO#5) Analyze community resources related to abnormal screening results in selected aggregate populations. (PO 2)
(CO#6) Assess diverse populations within a community to ascertain health behaviors, interventions, and resources that affect health promotion and maintenance of selected aggregate populations. (PO 1)
(CO#7) Detail graphs and numerical summaries as descriptive statistical aids in determining a course of action relative to selected aggregate populations. (PO 7)
(CO#11) Generate hypotheses, equate appropriate statistical tests, assess the validity of the tests, and use test results to decide on a course of action relative to selected aggregate populations. (PO 7)
DUE DATE
Submit to the Dropbox by Sunday 11:59 p.m. MT at the end of Week 4

Total Points Possible: 350 points

Requirements
Assignment Criteria for the Paper:
1.    Search appropriate literature for “community assessment tools” For example:  Lewenson & Truglio-Londrigan (2010) Public Health Nursing Assessment Tool.
2.    Conduct a systematic community assessment, addressing all components (see table below) with objective, researched data. (This assessment should be conducted on the community in which the student lives (previously used for the Windshield survey).
3.    An introduction to the community (1-2 pages) including demographics, population characteristics, epidemiology surveillance data.
4.    Present analyzed aggregate data (presented in tables, graphs, charts, etc. as appropriate).
5.    Choose one of the top-five health priorities that the assessment has identified and develop a plan for an interventional program/project to improve the health outcomes of the community/population
6.    The program/project should include the priority health care issue selected, a design and Implementation strategy, a proposed timeline, and outcomes method for evaluation purposes.
7.    The interventional program should be evidence-based.
8.    The project should be integrated clearly with Healthy People 2020’s national goals and objectives.
9.    The body of the scholarly paper is to be 10 pages in length, excluding title and reference pages.
10.    Grammar, spelling, punctuation, references, and citations are consistent with formal academic writing and APA format as expressed in the 6th edition
11.    Include a minimum of four scholarly resources published within the past 5 years, not including your textbook.  References may include scholarly websites of organizations or government agencies and must be presented using APA format for electronic media.
Directions and Grading Criteria
Category    Points    %    Description
Introduction    15    1%    History of the community and its people
Physical Considerations    25    10%    Examples: Location, rural, urban, or suburban, size, density, topographical features, climate, type and adequacy of housing, water supply, waste disposal, nuisance factors, pollution and/or and potential for manmade or natural disaster. (These are examples and not all inclusive)

Biophysical Considerations     25    10%    Examples: Population statistics, birthrates, age, race, gender, culture, ethnic background, morbidity, mortality, cause specific death rates, incidence prevalence rates, genetics, immunization status etc. (These are examples and not all inclusive)
Psychological Considerations    25    10%    Examples: suicide, homicide rates, crime rates, relationship between groups within the community (cohesiveness), formal and informal communication channels (These are examples and not all inclusive)
Sociocultural Considerations    25    10%    Examples: Community government and leadership, language, income, educational levels, employment and occupation, marital status, family composition, religion, transportation, availability of good and services
Law enforcement, parks, playground, athletic fields, educational facilities, places of worship, social services, libraries, fire departments, shopping opportunities, facilities etc. (These are examples and not all inclusive)

Behavioral Considerations    25    5%    Examples: Consumption patterns (nutrition, alcohol and illicit drugs, leisure pursuits and activities, willingness to engage in primary prevention strategies (These are examples and not all inclusive)
Healthcare Considerations    25    5%    Examples: Existing health services (implementing primary, secondary and tertiary strategies), adequacy types of providers, health departments,  availability, accessibility, culturally relevant, utilization, barriers, clinics, level of performance, alternative choices, health insurance, and attitudes (These are examples and not all inclusive)
Identification of high-priority issue based on analysis of data     25    5%    Based on analysis of accrued data, what are the five priorities in the community that impact the health of this population. Choose one of the five priorities areas to use as the basis for an interventional program (the program is planned, but will not be implemented)
Project development    75    25%    Develop an evidence-based, population-focused interventional program/project to address the priority issue. The interventions should use evidence-based research, have an established timeline, and include measurable outcomes that will be utilized for evaluation purposes.
Congruence of program and outcomes with Healthy People 2020    25    5%    How does the priority issue and the goals and outcomes of the proposed project compare with the national goals and objectives of HP 2020?
Identification of community/national legislation that affects the health priority identified.    25    5%    What local, state or national legislation could the APN advocate to improve health outcomes for this identified aggregate?
Clarity of writing    25    5%    Concise synthesis and analysis of information to identify priority health issues as a basis for program development
APA format    10    4%    Formatting according to the APA 6th edition style is required.
Total     350    100
A quality paper will meet or exceed all of the above requirements.

GRADING RUBRIC
Assignment Criteria    A
(100 – 92%)
Outstanding or highest level of performance    B
(91-84%)
Very good or high level of performance    C
(83-76%)
Competent or satisfactory level of performance    F
(75-0%)
Poor or failing or unsatisfactory level of performance
Content
Possible Points =  315

Introduction    15-14 Points    13 Points    12-11 Points    10-0 Points
Comprehensive introduction of the community identifying key concepts of historical importance and their influences on the community today.

Limited introduction of the community and/or limited identification of key concepts of historical importance and their influences on the community today

Little or limited introduction of the community with little or inaccurate identification of key concepts of historical importance and their influences on the community today.

Lacks introduction of the community with no accurate identification
Physical considerations    25-23 Points    22-21 Points    20-19 Points    18-0 Points
Accurate and complete assessment and identification of the components of the physical environment

Partial assessment and/or identification of the components of the physical environment

Little assessment and/or incorrect identification of the physical environment

Lacks assessment of correct identification of the physical environment
Biophysical considerations    25-23 Points    22-21 Points    20-19 Points    18-0 Points
Accurate and complete assessment and identification of the components of the biophysical environment

Partial assessment and/or identification of the components of the biophysical environment

Little assessment and/or incorrect identification of the biophysical environment

Lacks assessment and/or incorrect identification of the biophysical environment
Psychological considerations    25-23 Points    22-21 Points    20-19 Points    18-0 Points
Accurate and complete assessment and identification of the components of the psychological environment

Partial assessment and/or identification of the components of the psychological environment

Little assessment and/or incorrect identification of the psychological environment

Lacks assessment and/or incorrect identification of the psychological environment
Sociocultural considerations    25-23 Points    22-21 Points    20-19 Points    18-0 Points
Accurate and complete assessment and identification of the components of the sociocultural environment

Partial assessment and/or identification of the components of the sociocultural environment

Little assessment and/or incorrect identification of the sociocultural environment

Lacks assessment and/or incorrect identification of the sociocultural environment
Behavioral considerations    25-23 Points    22-21 Points    20-19 Points    18-0 Points
Accurate and complete assessment and identification of the components of the behavioral environment

Partial assessment and/or identification of the components of the behavioral environment

Little assessment and/or incorrect identification of the behavioral environment

Lacks assessment and/or incorrect identification of the behavioral environment

Healthcare considerations     25-23 Points    22-21 Points    20-19 Points    18-0 Points
Accurate and complete assessment and identification of the components of the healthcare environment

Partial assessment and/or identification of the components of the healthcare environment

Little assessment and/or incorrect identification of the healthcare environment

Lacks assessment and/or incorrect identification of the healthcare environment

Identification of high-priority issue based on analysis of data

25-23 Points    22-21 Points    20-19 Points    18-0 Points
Accurate and complete analysis of  data to formulate health priorities for the population    Partial and/or incomplete analysis of data to formulate health priorities for the population    Little and/or incorrect analysis of  data to formulate health priorities for the population    Lacks analysis of  data to formulate health priorities for the population
Project development    75-69 Points    68-63 Points    62-57 Points    56-0 Points
Complete, accurate and demonstrable use of appropriate epidemiologic principles to develop a population-focused interventional project. The project contains all of the components integrated in a logical, accurate, and reflective manner according to guidelines    Partial and/or incomplete use of appropriate epidemiologic principles to develop a population-focused interventional project. The project contains many of the components or components are only partially integrated in a logical, accurate, and reflective manner according to guidelines
Incomplete and/or inaccurate
use of appropriate epidemiologic principles to develop a population- focused interventional project. The project contains few of the components or components are  incompletely or inaccurately integrated according to guidelines    Lacks appropriate epidemiologic principles to develop a population- focused interventional project. The project contains few of the components or components are  incompletely or inaccurately integrated according to guidelines
Congruence of program and outcomes with Healthy People 2020    25-23 Points    22-21 Points    20-19 Points    18-0 Points
Accurate identification and integration of the project’s proposed interventions with the goals and objectives of HP 2020    Partial identification and/or integration of the project’s proposed interventions with the goals and objective of HP 2020    Little and/or incorrect identification and integration of the project’s proposed interventions with the goals and objectives of HP 2020    Lacks identification and integration of the project’s proposed interventions with the goals and objectives of HP 2020
Identification of community/national legislation that affects the health priority identified.    25-23 Points    22-21 Points    20-19 Points    18-0 Points
Appropriate and accurate identification of legislation with present or potential impact on identified health priority    Limited identification of legislation with present or potential impact on identified health priority    Inappropriate and/or inaccurate identification of legislation with present or potential impact on identified health priority    Lacks identification of legislation with present or potential impact on identified health priority
Content Subtotal        _____of  315 points
Format
Possible Points =  35 Points
Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work.    25-23 Points    22-21 Points    20-19 Points    18-0 Points
0-3 errors in grammar, spelling, word usage, punctuation and other elements of writing
AND
Paper meets length requirements  (3 pages)    4-6 errors in grammar, spelling, word usage, punctuation and other elements of writing
AND
Paper meets length requirements    7 – 9 errors in grammar, spelling, word usage, punctuation and other elements of writing
AND
Paper meets length requirements    10 or more errors in grammar, spelling, word usage, punctuation and other elements of writing
OR
Paper fails to meet length requirements
Text, title page, and reference page(s) are completely consistent with APA format 6th edition.    10-9 Points    8 Points    7 Points    6-0 Points
0-2 errors of APA format in text, title page, and reference page(s)    3-5 APA format errors in text, title page, and reference page(s)    6-8 APA format errors in text, title page, or reference page(s)    9 or more APA format errors in text, title page, or reference pages(s)
Format Subtotal  ____of 35 points
Total Points        _____of 350 points
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