Direct Care Project Part 1 Air Quality Assessment and Diagnosis Template Directions: Collect the data outlined in this template. Fill in the blanks in the tables provided. There are two parts - online data collection and a modified windshield survey data collection. You will then identify a nursing problem in a vulnerable population and write a nursing diagnosis. See the assignment directions and tutorial for suggestions and best practices. All information in a category must be completed. Air quality will be the topic of your Assessment and Nursing Diagnosis Template and also Parts 2 through 4 of your course project. Name:Date: Online Data Collection 1. Community Information Your Community Data Name of city or town and state Population Nature of this community (rural, suburban, urban) Describe your community in 2-3 sentences 2. Community Demographics a. Go to https://www.census.gov/quickfacts/fact/table/US/PST045218 i. The US data should automatically populate ii. Input your zip code or county/township name iii. Then input your state for comparison data iv. Enter the data into the table below v. Compare the county, state, and US data County Data State Data U.S. Data Population total Male (subtract female % from 100) Female Persons under 5 Persons over 65 Race and origin data County Data State Data U.S. Data White alone Black or African American alone American Indian and Alaska Native alone Asian alone Native Hawaiian and other Pacific Islander alone Two or more races Hispanic or Latino White alone, not Hispanic or Latino Significant population characteristics County Data State Data U.S. Data Veterans Foreign born persons Housing overview County Data State Data U.S. Data Housing units Owner-occupied housing unit rate Median selected monthly owner costs with a mortgage Median selected monthly owner costs without a mortgage Median value of owner-occupied housing units Median gross rent Family and living arrangements County Data State Data U.S. Data Households Persons per household Living in same house 1 year ago Language other than English spoken at home Computer and Internet Use County Data State Data U.S. Data Households with a computer Households with broadband internet subscription Education County Data State Data U.S. Data High school graduate or higher Bachelor’s degree or higher Health County Data State Data U.S. Data With a disability under age 65 years Persons without health insurance under age 65 years Economy County Data State Data U.S. Data Civilian labor workforce ages 16+ Transportation-mean travel time to work (minutes) Income and poverty County Data State Data U.S. Data Median household income Persons in poverty 3. Community Epidemiological Data a. Go to: https://www.countyhealthrankings.org/ b. Click on your state i. Start with Overall Rankings in Health Outcomes ii. Then choose your county ...

1. Direct Care Project Part 1
Air Quality Assessment and Diagnosis Template
Directions: Collect the data outlined in this template. Fill in the
blanks in the tables provided. There are two parts - online data
collection and a modified windshield survey data collection.
You will then identify a nursing problem in a vulnerable
population and write a nursing diagnosis. See the assignment
directions and tutorial for suggestions and best practices. All
information in a category must be completed. Air quality will be
the topic of your Assessment and Nursing Diagnosis Template
and also Parts 2 through 4 of your course project.
Name:Date:
Online Data Collection
1. Community Information
Your Community Data
Name of city or town and state
Population
Nature of this community (rural, suburban, urban)
Describe your community in 2-3 sentences
2. Community Demographics

2. a. Go to
https://www.census.gov/quickfacts/fact/table/US/PST045218
i. The US data should automatically populate
ii. Input your zip code or county/township name
iii. Then input your state for comparison data
iv. Enter the data into the table below
v. Compare the county, state, and US data
County Data
State Data
U.S. Data
Population total
Male (subtract female % from 100)
Female
Persons under 5
Persons over 65
Race and origin data
County Data
State Data

3. U.S. Data
White alone
Black or African American alone
American Indian and Alaska Native alone
Asian alone
Native Hawaiian and other Pacific Islander alone
Two or more races
Hispanic or Latino
White alone, not Hispanic or Latino
Significant population characteristics
County Data

4. State Data
U.S. Data
Veterans
Foreign born persons
Housing overview
County Data
State Data
U.S. Data
Housing units
Owner-occupied housing unit rate
Median selected monthly owner costs with a mortgage
Median selected monthly owner costs without a mortgage
Median value of owner-occupied housing units
Median gross rent

5. Family and living arrangements
County Data
State Data
U.S. Data
Households
Persons per household
Living in same house 1 year ago
Language other than English spoken at home
Computer and Internet Use
County Data
State Data
U.S. Data
Households with a computer
Households with broadband internet subscription

6. Education
County Data
State Data
U.S. Data
High school graduate or higher
Bachelor’s degree or higher
Health
County Data
State Data
U.S. Data
With a disability under age 65 years
Persons without health insurance under age 65 years
Economy
County Data
State Data
U.S. Data
Civilian labor workforce ages 16+

7. Transportation-mean travel time to work (minutes)
Income and poverty
County Data
State Data
U.S. Data
Median household income
Persons in poverty
3. Community Epidemiological Data
a. Go to: https://www.countyhealthrankings.org/
b. Click on your state
i. Start with Overall Rankings in Health Outcomes
ii. Then choose your county
**you will need to use the “+” to see all of the
data**
County Data

8. State Data
Health Outcomes Percentile
N/A
Health Factors Percentile
N/A
Premature death
Low birth weight
Adult smoking
Adult obesity
Physical inactivity
Excessive drinking
Alcohol impaired deaths
STIs
Teen births
Drug overdose deaths

9. Uninsured
Unemployment
Children in poverty
Violent crime
Air pollution
Drinking water violations
Long commutes
4. Respiratory Conditions

10. a. Go to https://www.lung.org/research/trends-in-lung-
disease/prevalence-incidence-lung-disease
i. Input your state
ii. Then identify your county
**Please note these are estimated amounts of total diseases.
Communities with a higher population will likely have more
cases. Be sure it is clear in your presentation that these totals
are estimates.**
County Data
State Data
Pediatric asthma
Adult asthma
COPD
Chronic lung disease
Lung cancer
Windshield Survey
It is recommended that you have someone drive you around
your community at least 2 times, ideally at different times of
day and weekend vs. weekday.
Look at the people in your community.
Did you observe:
No
Yes

11. If Yes, provide number or state “many” “some” or “few”
· *pregnant women
· *pregnant adolescents
· *infants (under age of 1 year old)
· *young children (1-5 years old)
· *school-age children (6-18 years old)
· adults (18 – 60 years old)
· *older adults (over the age of 60 years old)
· people exercising
· people driving

12. · people walking
· people biking
· people congregating in groups on the street
· *people that had hygiene issues or were unkempt
· people that were appropriately dressed
· people that were physically fit
· people that were obese
· *people that were undernourished, thin
· people that appear healthy

13. · *people that have obvious physical disabilities, such as those
using walkers or wheelchairs
· *people with apparent mental/emotional disabilities
· *people who appeared homeless or unemployed
*Represents vulnerable populations
Social and Economic Conditions
Did you observe:
No
Yes
If Yes, provide number or state “many” “some” or “few”
· housing that was run down or dilapidated
· areas undergoing renewal
· public housing
· public transit (subway, train, buses, taxis, etc.)

14. · transportation to health care resources
· landfills
· restaurants
· any political signs
· any evidence of health education on billboards,
advertisements, or signs
· any efforts to improve the neighborhood’s health such as
advertisements for health-related events, health fairs, clinics, or
lectures
· any group efforts in the neighborhood to improve the living
conditions or the neighborhood
· churches, synagogues, mosques, and other places of worship

15. Health Resources
Did you observe:
No
Yes
If Yes, provide number or state “many” “some” or “few”
· hospitals
· community clinics
· family planning clinics
· generalist doctors
· dentist offices
· pharmacies
· urgent care clinics

16. · skilled nursing facilities
· mental health or counselling clinics
· homeless or abuse shelters
· public health department office
· substance abuse treatment center
· alternative medicine practices, botanicals, or herbal medicine
shops
Answer the following question:
If some of the above health resources were not observed,
approximately how far away would a person need to travel to
find these resources?

17. Environmental Conditions
Did you observe:
No
Yes
If Yes, provide number or state “many” “some” or “few”
· evidence of anything that might make you suspicious of
ground, water, or air pollutants
· poor road conditions with potholes, or poor drainage
· adequate traffic lights, signs, sidewalks, and curbs
· railroad crossings fitted with warnings and barriers
· streets and parking lots well lit
· handicapped access to buildings, sidewalks, and streets
· recreational facilities, playgrounds, and/or facilities like the
YMCA

18. · children playing in the streets, alleys, yards, or parks
· evidence of nuisances such as ants, flies, mosquitoes, or
rodents, or stray animals observed
Problem
Identify a nursing problem based on your data and observations.
The problem must be related to air quality. Example: Childhood
asthma
Problem Identification: _________________
Vulnerable Population
Identify the vulnerable population that is most impacted by this
problem. Example: Children
Vulnerable Population Identification: _________________
Diagnosis
Write a nursing diagnosis based on your problem from above.
Fill in the blanks below.

19. Example: Increased risk of asthma among children related to
local air pollution demonstrated in county childhood asthma
rates.
*See chapter 6 in the Nies and McEwen (2019) textbook for
more examples of composing a community health nursing
diagnosis.
Nursing Diagnosis: Increased risk of____________(problem
from above) among ____________ (vulnerable population from
above) related to ___________(etiological statement) as
demonstrated in _______(health indicators/community data
from above)
References

20. American Lung Association. (2020). Estimated prevalence and
incidence of lung disease.https://www.lung.org/research/trends -
in-lung-disease/prevalence-incidence-lung-disease
County Health Rankings and Roadmaps. (2018). Explore
rankings. http://www.countyhealthrankings.org/
U.S. Census Bureau. (2018). State and county QuickFacts.
https://www.census.gov/quickfacts/
© 2019. Chamberlain University LLC. All rights reserved.
1
6.2.21
Self-Assessment Paper
The purpose of this paper is to conduct a cultural self-
assessment.
1. You will read each of the boxes in Chapter 2 of your
textbook (one for each domain of the Purnell Model for Cultural
Competence), answer these questions as they relate to you.
2. Remember to answer these questions from your personal
perspective. At all times, explain why you do or do not adhere
to the dominant cultural practices and beliefs of the ethnic
group(s) with which you primarily identify.
3. If you do not wish to self-disclose a specific area from the
Organizing Framework, indicate so instead of just not
addressing it; of course, this should not happen very often.
Your paper should be formatted per APA and references should
be current (published within last five years) scholarly journal
articles or primary legal sources (statutes, court opinions)
Submission Instructions:
· The paper is to be clear and concise and students will lose
points for improper grammar, punctuation and misspelling.
· The paper is to be no shorter than 3 pages; nor longer than 5

21. pages in length, excluding the title, abstract and references
page.
· Incorporate a minimum of 3 current (published within last five
years) scholarly journal articles or primary legal sources
(statutes, court opinions) within your work. Journal articles and
books should be referenced according to APA style (the library
has a copy of the APA Manual).
Direct Care Project Part 1
Substance Use Assessment and Diagnosis Template
Directions: Collect the data outlined in this template. Fill in the
blanks in the tables provided. There are two parts - online data
collection and a modified windshield survey data collection.
You will then identify a nursing problem in a vulnerable
population and write a nursing diagnosis. See the assignment
directions for suggestions and best practices. For full credit, all
information in a category must be completed. This will be the
topic of your Assessment and Nursing Diagnosis Template and
also Parts 2 through 4 of your course project.
Name:Date:
Online Data Collection
1. Community Information
Your Community Data
Name of city or town and state
Population

22. Nature of this community (rural, suburban, urban)
Describe your community in 2-3 sentences
2. Community Demographics
a. Go to
https://www.census.gov/quickfacts/fact/table/US/PST045218
i. The US data should automatically populate
ii. Input your zip code or county/township name
iii. Then input your state for comparison data
iv. Enter the data into the table below
v. Compare the county, state, and US data
County Data
State Data
U.S. Data
Population total
Male (subtract female % from 100)
Female
Persons under 5
Persons over 65

23. Race and origin data
County Data
State Data
U.S. Data
White alone
Black or African American alone
American Indian and Alaska Native alone
Asian alone
Native Hawaiian and other Pacific Islander alone
Two or more races
Hispanic or Latino
White alone, not Hispanic or Latino

24. Significant population characteristics
County Data
State Data
U.S. Data
Veterans
Foreign born persons
Housing overview
County Data
State Data
U.S. Data
Housing units
Owner-occupied housing unit rate
Median selected monthly owner costs with a mortgage
Median selected monthly owner costs without a mortgage

25. Median value of owner-occupied housing units
Median gross rent
Family and living arrangements
County Data
State Data
U.S. Data
Households
Persons per household
Living in same house 1 year ago
Language other than English spoken at home
Computer and Internet Use
County Data
State Data
U.S. Data
Households with a computer

26. Households with broadband internet subscription
Education
County Data
State Data
U.S. Data
High school graduate or higher
Bachelor’s degree or higher
Health
County Data
State Data
U.S. Data
With a disability under age 65 years
Persons without health insurance under age 65 years
Economy
County Data

27. State Data
U.S. Data
Civilian labor workforce ages 16+
Transportation-mean travel time to work (minutes)
Income and poverty
County Data
State Data
U.S. Data
Median household income
Persons in poverty
3. Community Epidemiological Data
a. Go to: https://www.countyhealthrankings.org/
b. Click on your state
i. Start with Overall Rankings in Health Outcomes
ii. Then choose your county
**you will need to use the “+” to see all of the data**
County Data
State Data
Health Outcomes Percentile

28. N/A
Health Factors Percentile
N/A
Premature death
Low birth weight
Adult smoking
Adult obesity
Physical inactivity
Excessive drinking
Alcohol impaired deaths
STIs
Teen births
Drug overdose deaths
Uninsured

29. Unemployment
Children in poverty
Violent crime
Air pollution
Drinker water violations
Long commutes
4. Substance Use
a. Go to: https://www.samhsa.gov/data/report/behavioral-health-
barometer-state-barometers-volume-6?page=0
i. Find your state and download the report.
ii. Review the report and document the following:
1. Go to Substance Use, Misuse, and Use disorders section. This
will be the area that discusses those 12 and older (near end of
report).
iii. Find the following percentages:
State Average
Regional Average
National Average
Tobacco use

30. Marijuana
Marijuana use disorder
Heroin use
Misuse of prescription pain reliever
Opioid use disorder
Illicit drug use disorder
Alcohol use disorder
Substance use disorder

31. Windshield Survey
It is recommended that you have someone drive you around
your community at least 2 times, ideally at different times of
day and weekend vs. weekday.
Look at the people in your community.
Did you observe:
No
Yes
If Yes, provide number or state “many” “some” or “few”
· *pregnant women
· *pregnant adolescents
· *infants (under the age of 1 year old)
· *young children (1-5 years old)
· *school-age children (6-18 years old)
· adults (18 – 60 years old)
· *older adults (over the age of 60 years old)

32. · people exercising
· people driving
· people walking
· people biking
· people congregating in groups on the street
· *people that had hygiene issues or were unkempt
· people that were appropriately dressed
· people that were physically fit
· people that were obese

33. · *people that were undernourished, thin
· people that appear healthy
· *people that have obvious physical disabilities, such as those
using walkers or wheelchairs
· *people with apparent mental/emotional disabilities
· *people who appeared homeless or unemployed
*Represents vulnerable populations
Social and Economic Conditions
Did you observe:
No
Yes
If Yes, provide number or state “many” “some” or “few”
· housing that was run down or dilapidated
· areas undergoing renewal

34. · public housing
· public transit (subway, train, buses, taxis, etc)
· transportation to health care resources
· landfills
· restaurants
· any political signs
· any evidence of health education on billboards,
advertisements, or signs
· any efforts to improve the neighborhood’s health such as
advertisements for health-related events, health fares, clinics, or
lectures

35. · any group efforts in the neighborhood to improve the living
conditions or the neighborhood
· churches, synagogues, and other places of worship
Health Resources
Did you observe:
No
Yes
If Yes, provide number or state “many” “some” or “few”
· hospitals
· community clinics
· family planning clinics
· generalist doctors

36. · dentist offices
· pharmacies
· urgent care clinics
· skilled nursing facilities
· mental health or counselling clinics
· homeless or abuse shelters
· public health department office
· substance abuse treatment center
· alternative medicine practices, botanicals, or herbal medicine
shops

37. Answer the following question:
If some of the above health resources were not observed,
approximately how far away would a person need to travel to
find these resources?
Environmental Conditions
Did you observe:
No
Yes
If Yes, provide number or state “many” “some” or “few”
· evidence of anything that might make you suspicious of
ground, water, or air pollutants
· poor road conditions with potholes, or poor drainage
· adequate traffic lights, signs, sidewalks, and curbs
· railroad crossings fitted with warnings and barriers

38. · streets and parking lots well lit
· handicapped access to buildings, sidewalks, and streets
· recreational facilities, playgrounds, and/or facilities like the
YMCA
· children playing in the streets, alleys, yards, or parks
· evidence of nuisances such as ants, flies, mosquitoes, or
rodents, or stray animals observed
Problem
Identify a nursing problem based on your data and observations.
The problem must be related to substance use. Example:
Alcohol use
Problem Identification: _________________
Vulnerable Population
Identify the vulnerable population that is most impacted by this
problem. Example: Adolescents

39. Vulnerable Population Identification: _________________
Diagnosis
Write a nursing diagnosis based on your problem from above.
Fill in the blanks below.
Example: Increased risk for alcohol use among adolescents
related to lack of sufficient knowledge about the long and short-
term impacts demonstrated in increased county data compared
to state/national averages.
*See chapter 6 in the Nies and McEwen (2019) textbook for
more examples of composing a community health nursing
diagnosis.
Nursing Diagnosis: Increased risk of____________(problem
from above) among ____________ (vulnerable population from
above) related to ___________(etiological statement) as
demonstrated in _______(health indicators/community data
from above)
References
Substance Abuse and Mental Health Services Administration
(SAMHSA). (2020). Behavioral health barometer, volume 6.
https://www.samhsa.gov/data/report/behavioral-health-
barometer-state-barometers-volume-6?page=0
County Health Rankings and Roadmaps. (2018). Explore

40. rankings. http://www.countyhealthrankings.org/
U.S. Census Bureau. (2018). State and county QuickFacts.
https://www.census.gov/quickfacts/
© 2019. Chamberlain University LLC. All rights reserved.
1
9.7.21
Directions for Part 1
1. Review the Direct Care Project Overview above. Select topic
(Air Quality OR Substance Use) from the table. This will be the
topic of your entire course project.
2. View the Direct Care Project Part 1 Tutorial (Links to an
external site.).
3. Download the corresponding Assessment and Diagnosis
template under Templates below. For example, if you have
selected Air Quality as your topic, download the Air Quality
Assessment and Diagnosis Template.
4. Collect the data outlined in the template. There are two parts:
· Online data collection - gather data from the weblinks
provided on the template
· Please note, if you live in Washington D.C. it may be listed as
a state or county. You may list the Washington D.C. data as
state and county, then compare to the U.S. data.
· Modified windshield survey data collection - gather local
community data by physically looking at your community
· If possible, plan on asking someone to drive during your
survey so that you can take notes.
· Your community should be the area where you live or the area
surrounding your work. The community must include a
residential area and be a large enough area to answer the survey
questions. If you live in a large area, you may choose a suburb.
· Note: It is helpful to conduct this portion of the assessment at

41. least two different times: during the day or evening, on a
weekday, and/or on the weekend.
5. Identify a nursing problem (nursing diagnosis) based on data
and observations
· You must select a problem caused by your topic
· Important: the problem you identify will be utilized in Parts 2,
3, and 4 of the project.
6. Identify the vulnerable population that the problem affects.
This will also determine who you will present to in Part 3.
7. Write the nursing diagnosis (See template and chapter 6 in
Nies & McEwen textbook for more information)
8. Submit template through the submit assignment button on
this page.
Templates
Select and download from the links below the one that
corresponds with selected topic:
Air Quality Assessment and Diagnosis Template (Links to an
external site.)
Substance Use Assessment and Diagnosis Template (Links to an
external site.)
Best Practices
· Please use your browser's File setting to save or print this
page.
· Use the template provided. If the template is not used, a
deduction will be applied. See rubric below.
· Download and save the template (with your name) to your
computer. Type directly on the template.
· Spell check for spelling and grammar errors prior to final
submission.
· Include your name and date on the template.
· Use the rubric as a final check prior to submission to ensure
all content is clearly addressed.