Chamberlain College of Nursing NR443 Community Health Nursing.docx

Chamberlain College of Nursing NR443 Community Health
Nursing
NR443 ON Instructions on U.S. Census Web Site.docx
Revised 10.2.12 MM 1
Instructions for Finding Demographic Data on the U.S. Census
Web Site
The U.S. Census Bureau Web site contains a wealth of
demographic data you can obtain information for
the entire U.S. by state, county, city and zip code. This
information will be used in the discussion for
Week 2 and for your paper, Caring for Populations: Assessment
and Diagnosis.
To get started, go to the U.S Census Bureau Web site at
http://www.census.gov/. The home page shows
a list of links along the left side of the page. Go to the area
called “Quick Facts” and select your state.
http://www.census.gov/

Nursing
This screen reveals a list of general people, business, and
geography Quick Facts for the state selected.
This screen lets you narrow down your results to county and/or
city-specific statistics. Please note that not
all cities are available.
Nursing

Try to narrow down your results to your city or county. This
will give you the best basis to perform a
comparison to state and U. S. statistics. You can select the USA
Quick Facts tab located on the pages,
too.
This will give you the basic statistics for the U. S. for
comparison.
Nursing
There are also many other areas you can access from the home
screen (http://www.census.gov) such as
the population finder, interactive map, census news, links to
other resources (that may help with finding
more data on your identified problem), and much more!

http://www.census.gov/
Nursing
Nursing
NR443 Qualitative and Quantitative Evaluation Methods
9/27/12 mm 1
QUALITATIVE AND QUANTITATIVE EVALUATION
METHODS
For the final assignment in NR 443: Community Health
Nursing, you will need to utilize a qualitative or
quantitative evaluation method to evaluate your proposed
intervention.
Qualitative evaluation techniques generally are subjective data
and can include methods such as:

• observation methods
• interviews
• focus groups
• other non-statistical data
Example:
If your proposed intervention is related to childhood obesity,
you may want to interview the children
pre and post intervention to see if their attitude about food and
health has changed. This would be a
qualitative evaluation method.
Example:
For the same intervention, you want to have a focus group with
pre and post intervention with parents
to see if their children’s attitudes about food have changed. This
would be a qualitative evaluation
method.
Quantitative evaluation techniques generally are objective data
and can include methods such as:
• surveys/questionnaires
• pre/posttests
• physiologic data
• statistical analysis
Example:
Your proposed intervention is the same as the example above,
but instead of an interview, you would
like to measure the children’s weight pre and post your
intervention. This would be a quantitative
evaluation method.

Example:
Another example of a quantitative evaluation method would be
having a pre and posttest on healthy
foods and importance of exercise. You would compare the pre
intervention test results with the post to
measure if your intervention was effective.
Chamberlain College of Nursing NR443 Community
Health Nursing
NR443 Guidelines for Caring for Populations
Milestone 3: Intervention and Evaluation
Purpose
The purpose of this PowerPoint presentation is to provide an
opportunity to develop a community health nursing intervention
and evaluation tool for your identified community health
problem (described in Milestone 2: Assessment and Diagnosis)
and identify the components of the nursing process as it applies
to a community or population.
Course Outcomes
This assignment enables the student to meet the following
course outcomes.
CO #2. Integrate clinical judgment in professional decision-
making and implementation of the nursing process through
analysis of community health nursing practice. (PO #4)
CO #6. Recognize effective nursing skills and collaborative
techniques used with consumers and other healthcare providers
within all levels of healthcare. (PO #2)
CO #8. Incorporate evidence-based practice in the planning of
professional nursing care to individuals, families, aggregates,
and communities. (PO #8)
Due Date

Submit your assignment to the appropriate basket in the
Dropbox by 11:59 p.m. MT Sunday of Week 6.
Points: 250 Points
Scenario
You are a Community/Public Health Nurse (C/PHN) working in
your setting of choice. You have identified a community health
problem and have analyzed the data collected from your
windshield survey and assessment & diagnosis assignments (the
first two milestones). You have decided on one nursing
intervention and need your organization’s approval for funding
of this intervention. Your leadership team has agreed to listen
to your proposal. Directions
· Choose a community health nurse setting. Some examples of
settings are school nurse, parish nurse, home health nurse, nurse
working in the health department (be specific to what area in
the health department, e.g., WIC, STD clinic, health promotion,
maternal-child health, etc.)
· Introduction: Introduce the identified problem, the purpose of
the presentation, and reiterate at least one or two important
findings that demonstrate this problem in your community
(average of 1–2 slides)
· Proposed Intervention: Propose one community health nursing
intervention that would address one or more of the major direct
or indirect factors that contribute to the problem. Keep in mind
the Public Health Intervention Wheel (Nies & McEwen, p. 14,
figure 1-3) as your framework (average of 3-4 slides). Your
intervention needs to be specific:
· Who is your target population?
· Where is this intervention taking place?
· Will it take place one time or multiple times?
· How will you reach out to your target population?
· How will you get your target population involved?
· What is the CH Nurses role in this intervention?
· Will you collaborate with anyone (e.g., physician’s office,
church, local resources, etc.?)
· Is anyone else involved besides yourself (C/PHN)?

· If yes, are they paid or volunteers?
· What level(s) of prevention is your intervention addressing
(primary, secondary and/or tertiary prevention)?
· Intervention Justification: Justify why the problem and your
nursing interventions should be a priority.
· Based on what you have found in the literature, discuss why
these interventions are expected to be effective. Include
summarized information from at least two professional
scholarly sources related to your interventions (average of 2-3
slides).
· Proposed Evaluation: Your presentation must include at least
one proposed quantitative or qualitative evaluation method that
you would use to determine whether your intervention is
effective. It should include the method you would use along
with desired outcomes. Outcome measurement is a crucial piece
when implementing interventions. There is a helpful tool in Doc
Sharing to assist you with understanding qualitative and
quantitative methods of evaluation. (average of 2-3 slides)
· Include discussion about the long-term and short-term impact
on your community if the intervention is successful. Keep in
mind your desired outcomes when analyzing the evaluation.
· Summary: The summary should reiterate the main points of the
presentation and conclude with what you are asking to be
accomplished, e.g., “Based on ABC, it is imperative our
community has XYZ. Thank you for your consideration.”
· In addition to the slides described above, your presentation
should include a title slide, and reference slide. Remember, you
are presenting to your leadership team, so the slides should
include the most important elements for them to know in short
bullet pointed phrases. You may add additional comments in the
notes section to clarify information for your
instructor.Guidelines
· Application: Use Microsoft PowerPoint 2010.
· Length: The PowerPoint slide show is expected to be no more
than 20 slides in length (not including the title slide and
reference list slide).

· Submission: Submit your files via the basket in the Dropbox:
“Caring for Populations: Intervention and Evaluation” by 11:59
p.m. Sunday of Week 6.
· Save the assignment with your last name in the file title.
Example: “Smith Intervention and Evaluation”
· Late Submission: See the course policy on late submissions.
· Tutorial: If needed, Microsoft Office has many templates and
tutorials to help you get started.
Best Practices in Preparing PowerPoint
The following are best practices in preparing this project:
· Be creative, but realistic with your intervention and evaluation
tool.
· Incorporate graphics, clip art or photographs to increase
interest.
· Slides should be easy to read with short bullet points and large
font.
· Review directions thoroughly.
· Cite all sources within the slide show as well as on the
reference page.
· Proofread prior to final submission.
· Spell check for spelling and grammar errors prior to final
submission.
· Abide by the CCN academic integrity policy.
Grading Rubric: Caring for Populations: Intervention and
Evaluation (250 points)
Criteria
A
(92–100%)
Outstanding or highest level of performance
B
(84–91%)
Very good or high level of performance
C
(76–83%)
Competent or satisfactory level of performance

F
(0–75%)
Poor or failing or unsatisfactory level of performance
Pts
Problem identification
10 points
Presentation includes at least one slide that introduces the
problem and significant findings in the community
(9–10 points)
Problem is introduced but lacks support with findings
(8 points)
Supportive findings discussed but problem identification not
clear.
(7 points)
Problem is not introduced and does not have significant
community findings
(0–6 points)
/10
Proposed intervention
85 points
One community health nursing intervention is proposed that
would address one or more of the major direct or indirect
factors that contribute to the problem. Intervention includes
specifics:
*Where is this intervention taking place?”
*Will it take place one time or multiple times?
*How will you reach your target population?
*How will you involve your target population? Will you
collaborate with anyone (e.g., physician’s office, church, local
resources, etc.)
CHN role? Is anyone else involved besides yourself (C/PHN)?
*What level(s) of prevention are you addressing?
*Community setting is clear.
(78–85 points)
One intervention is proposed but is missing one or two specific
details.

(71–77 points)
Intervention is missing more than two specific details.
(65–70 points)
Intervention is not proposed or insufficient.
(0–64 points)
/85
Intervention justification and application of evidence-based
literature
30 points
Includes at least one slide that discusses why this intervention
should be a priority based on two scholarly findings. Two or
more quality references from professional literature are cited
that clearly support your rationale.
(28–30 points)
Includes slide stating why the intervention should be a priority.
Two references cited but information in the reference may be
biased or not directly relevant to your rationale.
(25–27 points)
Intervention justification inadequate or fewer than two
references cited.
(23–24 points)
Lacks slide on intervention justification. No references cited.
(0–22 points)
/30
Evaluation
85 points
Presentation includes at least one proposed quantitative or
qualitative evaluation method and desired outcomes. Long-term
and short-term impact on your community if the intervention is
“successful” discussed.
(78–85 points)
At least one evaluation method described but lacks discussion
on long and short-term impact on community
(71–77 points)
Long and short term impact on community discussed, but
evaluation method unclear.

(65–70 points)
Presentation lacks clear evaluation method and future impact.
(0–64 points)
/85
Summary
20 points
Includes at least one summary slide that reiterates the problem
and purpose of the presentation.
(19–20 points)
Summary does not clearly reiterate the problem OR purpose.
(17–18 points)
Lacks reiteration of problem AND purpose.
(15–16 points)
Summary slide not present.
(0–14 points)
/20
Overall presentation
10 points
Presentation is presented in a clear and logical manner.
PowerPoint is appealing to the eye and includes creativity. Font
is easy to read.
(9–10 points)
Presentation is accurate and covers most elements but lacks
creativity.
(8 points)
Presentation lacks flow and creativity or is difficult to follow.
(7 points)
Presentation lacks any attempt at organization and comes across
as chaotic.
(0–6 points)
/10
Mechanics
10 points
Includes title slide (1)
Grammar, punctuation, and sentence structure are correct. (3)
References properly cited within the paper (2)

Reference page includes all citations. (2)
Evidence of spell and grammar check. (2)
(9–10 points)
Title slide incomplete
Minimal errors in grammar, punctuation and/or sentence
structure noted
Citations are present but not in correct format
References are present, with minimal errors in format
(8 points)
Missing title slide
Multiple grammar and punctuation errors noted
(7 points)
Title slide and citations are missing
References are missing or incomplete
No evidence of proof-reading prior to submitting paper
(0–6 points)
/10
Total points:
/250
NR443 Milestone 3 Intervention Evaluation Guidelines
updated 12/16/13 LS
5
Health Nursing
Milestone 2: Assessment and Diagnosis
Purpose

The purpose of this paper is to provide an opportunity to utilize
community assessment strategies, uncover a community health
problem, and identify the components of the problem related to
the community dynamics.
Course Outcomes
Course Outcomes.
CO 1. Evaluate the planning of delivery of care to individuals,
families, aggregates, and communities in a variety of healthcare
settings based on theories and principles of nursing and related
disciplines. (PO 1)
CO 2. Integrate clinical judgment in professional decision-
analysis of community health nursing practice. (PO 4)
CO 7. Accept accountability for personal and professional
development as part of the life-long learning process. (PO 5)
Due Date
Submit to the appropriate basket in the Dropbox by 11:59 p.m.
MT Sunday of Week 4.
Points
225 pointsDirections
This paper is expected to be no more than four pages in length
(not including the title page and reference list). Typical papers
are usually three pages. Below are the requirements for
successful completion of this paper.
· Introduction: This should catch the reader’s attention with
interesting facts and supporting sources and include the purpose
statement of the paper. This should be no more than one or two
paragraphs.
· Community: Identify the community by name that you will be
using for this paper and provide a brief, general description of
the community. Your community should be the area where you
live or work. This should be one or two paragraphs.
· Demographic and epidemiological data: Compile a range of
demographic (population description) and epidemiological
(causes of health problems and death) data for your community

by examining census reports, vital statistic reports, city records,
morbidity and mortality reports, and other agency sources.
Using these data, describe the community and the problem.
Compare your community data to state or national data. This
comparison will help to identify a community health problem
specific to your community. A summary of these data should be
no more than one page.
· Windshield survey: Provide a brief summary of the findings
from your first assignment. Make sure to discuss elements that
link your observations to your identified problem. This should
be no more than one or two paragraphs.
· Problem: Using the assessment data, identify the problem that
you consider to be a priority concern. Provide a rationale for
your choice and relate your choice to one of the Healthy People
2020 specific numbered objectives. Healthy People objectives
are located within a topic area under the Objectives page. Your
rationale should also include why this is specifically a problem
in your community. This should be no more than three
paragraphs. Include support of your rationale with at least two
scholarly sources such as professional journal articles related to
your problem.
· Summary: The summary paragraph of your paper should
include a statement about the problem, the population at risk for
this problem, and the major direct or indirect factors that
contribute to this problem. This information should be no more
than one or two paragraphs.
· Reference page: All references cited within the paper should
be included on a separate References page.Guidelines
· Application: Use Microsoft Word 2010™ to create this
assignment.
· Use the categories above as APA headings for the sections of
your paper.
· Length: This paper is expected to be no more than four pages
in length (not including the title page and reference list).
Typical papers are three pages.
· Submission: Submit your file via the basket in the Dropbox:

Caring for Populations: Assessment and Diagnosis by 11:59
p.m. MT Sunday of Week 4.
· Technical writing: APA format is required. Review APA
tutorials in Doc Sharing and use the resources of Smarthinking
for writing tutors.
· Do not use first person (I, me, my, our) in this paper. Make
the community the subject even in your windshield survey
summary.
· Save your paper with your last name in the document title
(e.g., “Smith Assessment and Diagnosis”).
· Late submission: See the course policy on late submissions.
Best Practices in Preparing the Paper
The following are best practices in preparing this project.
· Complete the demographic, epidemiologic, and windshield
survey prior to choosing a problem to focus on.
· Choose a nursing problem specific to your community.
· Make sure all elements of the paper are addressed and
headings for each category are included.
· Review directions thoroughly.
· Cite all sources within the paper as well as on the References
page.
· Check for spelling and grammar errors prior to final
submission.
· Use the A column of the rubric below to ensure that you have
included all the needed elements.
· Abide by the CCN academic integrity policy.
Grading Rubric: Milestone 2: Assessment and Diagnosis (225
points)
Criteria
A
(92–100%)
B

(84–91%)
C
(76–83%)
F
(0–75%)
Poor or failing or unsatisfactory level of performance
Pts
Introduction
10 points
Catches the reader’s attention with interesting facts and
supporting sources; includes the purpose of the paper
(9–10 points)
No purpose provided but “hook” is present
(8 points)
Purpose of paper discussed; hook to get reader interested is
missing
(7 points)
No purpose provided and no attention-getting hook
(0–6 points)
/10
Community Data
25 points
Community identified and briefly described
(23–25 points)
Community identified but description missing
(21–22 points)
Community not identified and/or not described
(19–20 points)
Community not identified and not described
(0–18 points)
/25
Demographic and Epidemiological Data
50 points
A range of demographic and epidemiological data for your

community examined by census reports, vital statistic reports,
city records, morbidity, and/or mortality rates and other agency
sources, and compared to state or national data
(46–50 points)
Some demographic and epidemiological data described or
missing state or national comparison
( 42–45 points)
Little demographic and epidemiological data and missing state
or national comparisons
( 38–41 points)
Lacking demographic and epidemiological data and missing
state or national comparisons
(0–37points)
/ 50
Windshield Survey
10 points
Community windshield survey findings briefly described;
findings relate to identified problem
(9–10 points)
Windshield survey findings described but not clearly related to
identified problem
(8 points)
Windshield survey lacks sufficient assessment and relation to
identified problem
(7 points)
Windshield survey findings not described
(0–6 points)
/10
Problem
50 points
Assessment data used to identify the problem; rationale
provided for your choice and related to one of the Healthy
People objectives; supportive data provided to validate this as a
problem in your community
(46–50 points)
Problem not related to Healthy People objective or lacks

rationale or lacks supportive data
(42–45 points)
Problem not related to Healthy People objective and lacks
rationale or lacks supportive data
(38–41 points)
Problem not related to Healthy People objective, lacks
rationale, and lacks supportive data
(0–37 points)
/50
Application of Evidence-Based Literature
30 points
Two or more quality references from professional literature
cited that clearly support your rationale
( 28–30 points)
Two references cited, but information in reference may be
biased or not directly relevant to your rationale
( 25–27 points)
Only one reference cited that is directly relevant to rationale
( 23–24 points)
No references cited or one reference cited that is not relevant to
rationale
(0–22 points)
/ 30
Summary
10 points
Includes a statement about the problem, the population at risk
for this problem, and the major factors that contribute to the
problem
(9–10 points)
Summary lacks reiteration of identified problem or population
at risk or contributing factors
(8 points)
Summary lacks two or more of the following: reiteration of
identified problem, population at risk, and contributing factors
(7 points)
Summary unsatisfactory or not completed

(0–6 points)
/10
Presentation
20 points
Discussion well organized and logically supports analysis and
reasoning; structure clear and compelling to reader; easy to
follow author's reasoning; paragraphs linked together in logical
ways; main ideas stand out
(19–20 points)
Discussion accurate but limited; some attempt at organization
apparent, but in general paper does not flow well
(17–18 points)
Paper comes across as disjointed or rambling; flow of paper
difficult to follow
(15–16 points)
Discussion has errors in content; no discernible attempt at
organization; paper is chaotic
(0–14 points)
/20
Mechanics
20 points
· Title page, running head, and page numbers (3)
· Grammar, punctuation, and sentence structure correct (5)
· References properly cited within paper (5)
· Reference page includes all citations (2)
· Evidence of spelling and grammar checks (5)
(19–20 points)
· Minimal errors in APA title page noted
· Minimal errors in grammar, punctuation, and/or sentence
structure noted
· Citations present but not in correct format
· References present, with minimal errors in format
· Minimal red or green wavy lines within document
(17–18 points)
· Multiple errors in APA format
· Several grammar and punctuation errors noted

(15–16 points)
· Citations missing
· References missing or incomplete
· No evidence of proofreading prior to submitting paper
(0–14 points)
/20
Total Points
/225
NR443 Milestone 2 Assessment Diagnosis Guidelines updated
12/16/13 LS
4
Health Nursing
Milestone 1: Community Windshield Survey
Purpose
The purpose of this assignment is to complete a direct
observational assessment of a community in your area. This
windshield survey will be the initial step in uncovering a
community health problem in your area and identifying
community dynamics. This problem will be further assessed in
the following two assignments.
Course Outcomes
course outcomes.
CO #2. Integrate clinical judgment in professional decision-

analysis of community health nursing practice. (PO #4)
CO #5. Analyze the nursing roles in the community health
setting. (PO #7)
CO #7. Accept accountability for personal and professional
development as part of the life-long learning process. (PO #5)
Due Date
Submit to the appropriate basket in the Dropbox by 11:59 p.m.
MT Sunday of Week 2.
Points: 150 pointsDirections
1. Download the NR443 Community Windshield Survey Form
from Doc Sharing. You will type your name and answers
directly onto this Word document. Your form does NOT need to
follow APA formatting; however, you are expected to use
correct grammar, spelling, syntax and write in complete
sentences.
2. Save the file by clicking “Save as” and adding your last name
to the file name, e.g., “NR443 Windshield Survey Form_Smith”
3. Submit the completed form to the “Caring for Populations:
Community Windshield Survey” Dropbox by Sunday, 11:59
p.m. MT at the end of Week 2.
4. Length: The completed form should be no more than three
pages in length (not including any optional references).
Guidelines
Below are the requirements needed for successful completion of
the Windshield Survey Form:
1. Introduction to the Community: Identify the community you
will be using for this assignment and provide a brief one to two
paragraph description of the community. Your community
should be the area where you live or the area surrounding your
work setting.
2. Windshield Survey: Assess your community by doing an
informal windshield survey. Information about the components
of a windshield survey is located in your textbook, Nies &
McEwen (2011) on page 97 (Box 6-2). Drive through the area
and report your observations by describing each of the
following six areas using the questions in the text as your guide

(one to two paragraphs each):
a. Community vitality
b. Indicators of social and economic conditions
c. Health resources
d. Environmental conditions related to health
e. Social functioning
f. Attitude toward healthcare
It is helpful to conduct this assessment at least two different
times: during the day or evening, on a weekday and/or on the
weekend. If possible, plan on asking someone to drive during
your survey so that you can take notes.
3. Conclusion: Provide a summary of your findings. The
information gathered during the windshield survey should assist
you to identify a community health problem that will be further
assessed in the next assignment.
4. References: The purpose of this assignment is to document
your observations of your community. Outside sources are not
required. However, if sources are used, these sources must be
cited within the form and listed in the Reference section. Best
Practices in Preparing the Form
The following are best practices in preparing this project:
· Make sure all elements of the form are included.
· Review directions and grading rubric below thoroughly.
· Cite any outside references as above (these are optional).
· Check for spelling and grammar errors prior to final
submission.
· Abide by the CCN academic integrity policy, which may be
found in the Policies under the Course Home tab.
Grading Rubric: Caring for Populations: Community Windshield
Survey (150 points)
Criteria

A
(92–100%)
B
(84–91%)
C
(76–83%)
F
(0–75%)
Poor, failing, or unsatisfactory level of performance
Pts
Introduction of Community
10 points
Community identified and briefly described.
(9–10 points)
Community identification or description is insufficient.
(8 points)
Community identification and description are insufficient.
(7 points)
Community not identified or described.
(0–6 points)
/10
Windshield Survey
120 points
Community assessed: Findings adequately cover the 6 criteria
listed.
(110–120 points)
Assessment of 1–2 of the criteria is missing or inadequate.
(100–109 points)
Assessment of 3-4 of the criteria is missing or inadequate.
(91-99 points)
Windshield survey not completed or criteria not followed.
(0–90 points)
/120

Conclusion
10 points
Conclusion sufficient and includes brief summary of windshield
survey findings.
(9–10 points)
Conclusion lacks brief reiteration of windshield survey
findings.
(8 points)
Conclusion is insufficient.
(7 points)
Conclusion not completed.
(0–6 points)
/10
Mechanics
10 points
Two or fewer grammar, spelling, or syntax errors. Writes
logically in complete sentences.
(10 points)
Three errors of any type.
(8-9 points)
Four errors of any type.
(6-7 points)
More than four errors of any type.
(0-5 points)
/10
Total Points:
/150
NR443 Milestone 1: Windshield Survey updated
3/17/2014 LS
3

Nursing I
Caring for Populations: Milestone1: Community Windshield
Survey Form
Directions: Please refer to the Milestone 1: Community
Windshield Survey Guidelines and grading rubric found in Doc
Sharing for specific instructions in order to complete the
information below. This assignment is worth 150 points.
Type your name above and your answers below directly on this
form. Click Save as and save the file with the assignment name
and your last name (e.g., “NR443 Windshield Survey
Form_Smith”). When you are finished, submit the form to the
Week 2 Caring for Populations: Windshield Survey Dropbox by
the deadline indicated in your guidelines.
Your Name: Date:
Your Instructor’s Name:
Criteria
Your response
1. Community introduction:
Identify the community you will be using for this assignment. It
should be the area where you live or the area surrounding your
work setting.
2. Windshield survey
a. vitality
b. Indicators of social and economic conditions
c. Health resources
d. Environmental conditions related to health
e. Social functioning

f. Attitude toward healthcare
3. Conclusion:
Provide a summary of your findings and your conclusion. What
problems did you identify?
4. References:
OPTIONAL: List any references that you cited.
NR443 Windshield Survey Form 11/18/13
LS
1

Chamberlain College of Nursing NR443 Community Health Nursing.docx

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