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Download NURS 444 Comm Health Nursing Shadow Health Community Assessment Roberta Brooks 2025 Indian and more Exams Nursing in PDF only on Docsity!
Hi, I'm Roberta Brooks, the mayor of Shadowville. I'm excited to start our collaborative effort to learn more about this community's health needs. Exam Action Introduce yourself to Mayor Brooks. 02/04/25 2:09 PM EST Question ¥ ; . 02/04/25 Hi Ms. Brooks, my name is Juli 2:09 PM EST . . : 7 Exam Now that you have introduced yourself, review the information on action Shadowville available in your Community Health Toolkit. Note that the 0 : aa mene 02/04/25 Shadowville Demographics" section includes some data on key health 2:09 PM concerns in Shadowville. EST sad . ' r Exam What additional information would you like to collect from Mayor Brooks . A : aed . Action to help you with your community health assessment? Keeping in mind ' F / 02/04/25 Mayor Brooks's role as a community health stakeholder and a leader in 2:16 PM local government, select the most appropriate, high-priority option. EST Question - a . 02/04/25 local policies related to smoking in Shadowville 2:17 PM EST Exam Well done! As a government official, Mayor Brooks may have insight Action 5 tad ash 02/04/25 into local initiatives to reduce the spread of secondhand smoke. 2:17 PM EST Exam You will now ask Mayor Brooks about local policies and restrictions Action related to smoking in Shadowville. Choose the most appropriate way to 02/04/25 ask. 2:17 PM EST Question Do you have any local policies to reduce or limit smoking in public 02/04/25 spaces? 2:17 PM EST federal guidelines that restrict smoking, we also have local ordinances that prevent smoking in all workplaces and public and community spaces, like the park grounds and Shady Lake. 8: am so glad you asked. In Shadowville, in addition to following all the Exam Well done! This response uses clear and direct language to ask Mayor Action Brooks an appropriate question about community health policies in 02/04/25 Shadowville. 2:17 PM EST rate of hypertension in adults in Shadowville is slightly higher than it is at the national level in the United States. Our local policies on smoking are, in part, an attempt to address this health concern since we know there is a connection between smoking and high blood pressure. 8: want to make sure that we're doing everything we can to offer health ie you have probably noted in your Shadowville Information packet, the promotion and prevention to Shadowville's adult population and its child population as well. What suggestions do you have for starting healthy habits in Shadowville's youth and helping to prevent high blood pressure in the next generation? Ensuring access to nutritious dietary options for children at all income aaa levels and providing safe, accessible green spaces where children can 2-18 PM lay. ‘ Play. EST All right, that makes sense to me. | look forward to your thoughts on food availability and recreation areas in our community. Exam . P . : Action Well done! These are primary hypertension prevention strategies that 02/04/25 can be implemented locally. 2:19 PM EST make sure Shadowville is as inclusive as possible. What kinds of things should we consider while trying to make Shadowville's public spaces more accessible? 8. appreciate you bringing up the topic of access. It's essential to me to It's important to address different kinds of access to community spaces Question and resources. This means considering linguistic and economic access 02/04/25 for people from various backgrounds, as well as physical access for 2:19 PM people with functional disabilities like sensory and motor impairment. EST 2:22 PM EST Question What are Shadowville's primary health concerns or challenges? oo PM EST Thanks so much for asking. We've already discussed hypertension and smoking in Shadowville—those are two of our more significant issues. The incidence of diabetes in our town is also a concern, so | think ensuring everyone can get enough nutritious food is always a priority. As Mayor, | also feel it's my responsibility to ensure that everyone has access to the resources that they need, more generally: food, school, and medical care. Sometimes, that means making things more affordable; sometimes, it means making it easier for people to get wherever they need to go via public transportation. Exam Well done! You have used clear, professional communication to ask Action Mayor Brooks about her key concerns about Shadowville's community 02/04/25 health. 2:23 PM EST Exam End your conversation with Mayor Brooks by saying goodbye and Action offering any closing comments you want to add before you begin your 02/04/25 windshield survey. 2:23 PM EST Question Thank you for your time today. | look forward to working with you. ea EST Thank you so much for meeting with me today. | look forward to hearing the results of your survey. Windshield surveys are informal community reviews conducted by healthcare professionals to get a feel for designated areas. These surveys rely on systematic observations made either on foot, or from a moving vehicle; in this instance, you will be navigating Shadowville by car, using a presupplied map to explore the city and make your observations. When navigating the various areas of Shadowville, pay close attention to the summaries provided for you as well as your own personal observations of the area. Document your findings, and any other notes you may have, in the designated Windshield Survey Notes tab. Here are some things to consider when exploring the North Downtown, South Downtown, and Shady Lake areas of Shadowville: + Housing (What differences do you observe + Public spaces and land use (Are space and land being used in ways that benefit residents?) + Industry and infrastructure (How is economic growth being limited or enhanced?) Here are some tips for conducting a successful, unobtrusive windshield survey: + Pay attention to your surroundings, and be mindful of your personal safety + Keep appropriate identification on your person at all times + Use a map to direct your exploration of the community + If you plan to interview residents during your survey, get well acquainted with your questions and the kind of answers vou're seekina beforehand + If you plan to interview residents during your survey, get well acquainted with your questions and the kind of answers you're seeking beforehand + Create and use a checklist to ensure that you address all of your questions, and visit all of the intended areas «If you are conducting a windshield survey on a team, assign roles beforehand « If you want to experience the community, venture inside public buildings and cultural institutions + Housing (What differences do you observe between neighborhoods?) + Health services (What is the access to hospitals, clinics, and community health centers like?) + Public schools and higher education (What are the educational opportunities like?) + Public transportation and traffic (How efficiently can people get to and from different places?) + Streetscape and street use (Are the roads and sidewalks navigable?) + Commercial activity and entertainment (Are there adequate places to shop and do business?) + Culture and faith communities (How is diversity reflected?) + Public spaces and land use (Are space and land + If you plan to interview residents during your survey, get well acquainted with your questions and the kind of answers you're seeking beforehand * Create and use a checklist to ensure that you address all of your questions, and visit all of the intended areas * If you are conducting a windshield survey on a team, assign roles beforehand « If you want to experience the community, venture inside public buildings and cultural institutions Is the availability of safe, clean, and comfortable public transport in Shadowville's municipal area a health concern? You answered: No Your image rationale: Your rationale: North Downtown Bus Stop Looks liek they have a very nice transit Yo lage ect Image center with covered/heated bus stops, nice greenspace with benches, no litter - Feedback: pane = Based an the image of the North Downtown hae (municipal area) bus stop, travelers in this area enjoy safe, clean, and comfortable public transport amenities. While unsafe, we unclean, and/or uncomfortable public transport amenities are a community health concern because they can negatively impact a community's mobility, this does not appear to be a health concern in Shadowville's. municipal area. North Downtown Bus Stop Is sanitation and food safety a health concern in Shadowville’s low-income area? You answered: Yes ~ Your rationale: their only access to food is a fast food resturant with garbage piled by the dumpsters Feedback: Based on the image of Shady Burger, sanitation and food safety is an issue in South Downtown (low-income area). There 's visible waste overflow just behind the establishment, situated quite close to the Scoot ae bene int sanitation and food safety habits can negatively impact community health and diet, this is a health concern that needs to be addressed in this area. Your image rational Fast Food Restaurant Is the availability of safe, clean, and comfortable public transport in Shadowville's low-income area a health concern? You answered: Yes ~ Your!iniage tationale: ‘South Downtown Bus Stop Your rationale: . the bus stop has no lighting, no caver, the Your irr sidewalk is cracked and there is garbage and grafitti Feedback: Based on the image of the South Downtown (low-income area) bus stop. travelers in this area of town lack safe, clean, and ; = comfortable transport. Compromised public 4 Creag transport can inhibit a community's ability to do things like travel to the grocery store, refill prescriptions, and attend medical appointments, Because unsafe. unclean, or uncomfortable public transport amenities can negatively impact a community's mobility, this is a health concern that needs to be addressed in this area. Is ready access to fresh foods a health concern in Shadowville’s low-income areas? You answered: Yes v Your image rationale: South Downtown Grocery Store Your rationale: c af i the only store appears abandond and has a store closing sign with a new sign saying that a dollor store is coming soon which don’t usually have fresh praduce in them Feedback: Based on the image of the closed down ‘Shadow Savers grocery store, Shadowville’s low-income area no longer has ready access to fresh, nutritional foods and produce. Because a lack of access to fresh foods and ingredients can negatively impact a community's diet, this is a health concern that needs to be addressed in this area Your image ect Image Is access to a sufficient healthcare facility in Shadowville’s municipal area a health concern? You answered: No Your image rationale: Community Health Center Your rationale: unity Health Center the community health center is a clean accessible building with goos parking and lighting Feedback: Based on the image of the Shadawville Community Clinic, the healthcare facility is structurally sound enough to accomodate the Shadowville community. While poorly built or situated healthcare facilities can negatively impact a community's desire to Community Health Center use or trust their healthcare system, this does not appear to be a health concern in Shadowville’s municipal area. Assignment Reflection How can nurses collaborate with local stakeholders to prevent disease and promote health equity? Student Response: Nurses can collaborate with local stakeholders to prevent disease and promote health equity by actively engaging with community members, partnering with regional health organizations, advocating for policy changes, providing targeted education and training, conducting community-based research, and ensuring culturally sensitive approaches to address specific community needs. Key strategies include community engagement and needs assessment, such as conducting surveys, focus groups, and community meetings to identify health concerns and priorities within the community. Community outreach: Utilize local leaders and organizations to reach diverse populations and build trust. Health education workshops: Provide tailored health information and disease prevention strategies relevant to the community. Collaboration with local health organizations: Partnerships with hospitals, clinics, and public health departments: Share resources, coordinate services, and implement joint health promotion programs. Community health workers (CHWs): Leverage CHWs to bridge gaps in access to healthcare and provide culturally appropriate outreach. Advocacy and policy change: Policy analysis: Identify policies that contribute to health disparities and advocate for changes to promote health equity. Legislative engagement: Lobby policymakers and participate in public forums to support health-promoting legislation. Education and training: Health literacy programs: Provide accessible health information to empower individuals to make informed health choices. Cultural competency training: Student Response: A windshield survey helps nurses identify healthcare needs by providing direct visual observation of a community, allowing them to see firsthand the environmental factors and potential health concerns that may exist, thus combating bias by gathering information based on real-world observations rather than relying on stereotypes or assumptions about a community. Keyways a windshield survey combats bias and identifies healthcare needs: Direct Observation: By driving through a community and observing factors like housing quality, access to grocery stores, recreational facilities, and transportation options, nurses can gain a comprehensive understanding of potential health risks and barriers to healthcare without relying on preconceived notions. Cultural Context: Observing community practices, religious institutions, and cultural landmarks can help nurses understand the cultural nuances of a community, leading to more culturally sensitive care delivery. Identifying Disparities: A windshield survey can reveal areas lacking healthcare facilities, limited access to healthy food, or high levels of environmental pollution, which can disproportionately impact specific demographics, highlighting health disparities. Community-Specific Needs: By observing a community's unique characteristics, nurses can tailor healthcare interventions to address specific needs rather than applying a one-size-fits-all approach. Challenging Stereotypes: Direct observation can challenge preconceived notions about a community, helping nurses to identify and address healthcare needs that might be overlooked due to stereotypes. Examples of what a nurse might observe during a windshield survey: Housing conditions: Overcrowding, dilapidated housing, and lack of access to clean water. Food access: Availability of healthy food options, abundance of fast-food restaurants Environmental factors: Pollution levels, unsafe walking areas Healthcare facilities: Location and accessibility of clinics and hospitals Community resources: Parks, recreation centers, community centers 
