CONFIDENTIAL ©2020 Chamberlain University LLC. All right

CONFIDENTIAL ©2020 Chamberlain University LLC. All
rights reserved.
Oscar L Perez
July 30, 2022 Chamberlain University College Of Nursing
AIR Quality Flag Program
Kendal, a census-designated place in Miami, is home to the
Kendal community.
As of 2016, the population was 75,152 in this suburban town.
Men and women make up 48.8 and 51.2 percent of the
community’s population respectively.
92.7 percent have at least a high school diploma, whereas just
36.4 percent have a bachelor's degree.
There is 5.6 percent of the population living below the poverty
line in this community.
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(County Health Rankings, 2018)
Community Description
As a preface, let me first introduce you to the city of Kendal
near Miami, which is a suburb covering an area of around 90

square miles. Around 75,000 people live in the neighborhood,
and the majority of them are in their 30s and 40s. Despite the
modest percentage difference between the sexes, the gender
distribution shows that women make up the vast majority of the
population. There are around 51 percent females and 48 percent
men in the population. 92 percent of the population has a high
school diploma, while just 36 percent have earned a bachelor's
degree at the college level. The median family income in the
United States is $55,000, while 5.6 percent of the population is
deemed to be living below the poverty level. For example,
respiratory health problems might be directly or indirectly
linked to these features.
2
Thousands of youngsters in Kendal are affected by asthma, a
long-term lung illness.
Kendal has a high prevalence of Asthma because to the poor air
quality in the region.
Tailpipe pollution is one of the most common causes of Asthma
cases in the neighborhood.
Vehicle emissions, both gasoline and diesel, are to blame.
children under the age of 5 are highly affected by harmful gases
emitted by vehicles such as nitrogen oxides, carbon monoxide,
and hydrocarbons.
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(American Lung Association, 2020).
Problem Description
Many children in Kendal suffer from asthma, a debilitating
respiratory illness that has no known cure. That poor air quality
is to blame for so many cases of pediatric asthma in Kendal is
undeniable. Tailpipe pollution from gasoline and diesel -

powered automobiles is one of several local risk factors for
asthma. Human health is jeopardized because of the toxic
chemicals released into the air by automobile tailpipes, such as
hydrocarbons, carbon monoxide, and nitrogen oxides.
3
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Problem Description Continued
There are still numerous companies in the city that don't have
the required controls in place for their emissions, which pose a
health concern to vulnerable groups, such as children.
Lung cancer and other respiratory problems may be contracted
by those who live in close proximity to landfills, which are also
prevalent in the neighborhood.
As a result of the aforementioned causes, air pollution
exacerbates the symptoms of respiratory disorders including the
common cold and asthma in children.
4
American Lung Association, 2020
As a result of the city's heavy industrialization, many
businesses are still unable to properly manage their emissions.
As a consequence, when released into the atmosphere, these
pollutants endanger the health of those most at risk, such as
children. Lung cancer and other respiratory problems are more
common among those who reside within a five-kilometer radius
of the nearest dump. Several landfills may be found nearby.
Pollutants in the air may lead to respiratory infections like colds
and flu in children, which can worsen asthma symptoms in those
with the condition.
4

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The state's outreach effort for asthmatics includes the Kendal
Asthma Control Program.
The program offers free seminars on the best ways to deal with
and avoid the symptoms of asthma.
Moreover, all state-owned medical institutions provide free
medical screenings for patients with asthma. Patients may
benefit from this training by better understanding their disease
and how to communicate their needs to their doctors.
Through education on how to keep children free of Asthma, the
initiative hopes to reduce the number of children with the
disease.
Community Resource
County Health Rankings, 2018
The Villa Hospital's Community Outreach division oversees the
Kendal Community Asthma Program. Asthma prevention and
management workshops are offered at no cost as part of the
program. Free asthma screening is also available at its clinic
locations. A primary goal of the outreach program is to assist
asthmatic patients in better communicating their requirements to
healthcare professionals and gaining a better understanding of
their condition. An added benefit: less time lost from work or
school due to asthma-related emergencies or hospitalizations.
It's much simpler to catch conditions early on with the free
screening programs. It reveals that the Kendal COPD Control
Program has been at the forefront of helping those who cannot
afford medical treatment. Each state-owned medical facility has
the software, thus anyone may use it when they go to a hospital.
Everywhere you look, you'll see state-owned facilities of all
kinds.
5

Community Resource Cont’d
6
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Community Resource:
Villa Comprehensive Treatment Center
4 A’s
Affordability: Medium
Acceptability: High
Accessibility: High
Availability: Medium
Villa Comprehensive Treatment Center is one of the community
services now provided to the residents. They may be reached in
person, via phone or through an appointment. If the client does
not have insurance, there are a variety of methods available to
help them pay for their medical care. But it would still qualify
as medium-priced. There are various choices for you to obtain
their services, they offer many services, they portray Asthma in
a favorable light and last but not least they are accessible 24
hours a day, seven days a week.
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Air Quality Flag Program Description
7
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Elements of the Program
The Kendal asthma program makes use of brightly colored flags

to let children know how the air they breathe is doing on any
given day.
Like the Air Quality Index, these flags are based on the same
system.
In order to reduce exposure to air pollution and regulate
respiratory diseases, it helps children in coordinating their
activities depending on air quality.
There are two main goals of this program: to educate the public
on air quality concerns and to safeguard the health of young
people by providing practical suggestions for healthy living.
Balbi & Vasquez, 2017
In order to inform individuals and their communities about air
quality, the Kendal asthma program employs brightly colored
flags based on the Miami EPA's Air Quality Index (AQI). When
the local air quality is predicted to be poor, students at the
school fly a flag in protest. With the help of the Miami EPA, the
Kendal asthma Program aims to educate Miami's children about
the dangers of poor air quality and what they can do about it.
On days with bad air quality, the initiative aims to educate
children about the dangers of poor air quality and advocate
specific measures that families and communities may take.
7
Air Quality Flag Program Description Cont’d
8
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Cost
Due to its high initial investment costs, the Kendal asthma
program is cost-effective.

From a local shop or internet dealer you may get a set of five
flags in the colors of purple/red/orange/yellow/green for $100.
C. Outreach Programs available
An effective method of educating Kendal residents is to spread
the word by word-of-mouth; radio announcements; street
advertisements; local newspapers; posters; flyers; emails and
newsletters.
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D. use
In order to raise public awareness regarding air quality, a
brightly colored flag is used. Every day, the majority of
facilities in the surrounding regions raise flags in accordance
with the area's air quality prediction. All outside activities
should be postponed or monitored inside if the air quality is in
the shade of purple. As a result, those who are more susceptible
to illness should avoid being outside for an extended period of
time if the air quality is red. The color orange indicates poor air
quality for those who are most at risk for those with respiratory
disorders like asthma. High-risk individuals should avoid
prolonged exposure to the elements if a yellow flag is flying.
The green flag indicates that the air quality is satisfactory and
that there is no danger present.
9

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E. Example
Children under the age of five are particularly vulnerable to the
effects of air pollution.
Students in community classrooms may utilize the Kendal
asthma program as a guidance to adapt their outside activities to
safeguard the safety of their fellow classmates and community
members' children.
When the flag is orange, for example, persons with weaker
immune systems may decide to remain home for the sake of
their well-being.
F. Outcomes
The Kendal asthma program may reduce the incidence of
childhood asthma by minimizing children's exposure to poor air
quality by scheduling outside activities when the quality of the
air is favorable.
10
Public awareness of outdoor air quality issues is raised vi a the
School Flag Program. You don't have to sacrifice your child's
physical activity in order to safeguard their health from the
dangers of bad air quality. Compared to adults, children's lungs
are still growing, thus they take in more air per pound of body
weight. An asthma attack may be caused by breathing in
polluted air, and children are especially vulnerable. For
sensitive groups, it's crucial to adapt outdoor activities, such as
shortening exercise or transferring it inside, if required, in order
to safeguard the health of our pupils.
10

The air quality flag program is an important tool for reducing
and managing respiratory issues in young schoolchildren.
Data on the prevalence of childhood asthma is critical in order
for the school to put in place measures to prevent future
exacerbation of the disease while also providing healthy and
encouraging learning environments for students with asthma.
As a result of implementing the air quality flag program,
schoolchildren and adults would be less likely to be exposed to
harmful outdoor air pollution.
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Implications
Reducing and controlling respiratory complications in young
schoolchildren is made easier with the help of the air quality
flag program. In order to avoid further aggravation of the
disease and to provide safe and supportive learning
environments for students with asthma, the school has to know
the incidence of pediatric asthma. As a result of this initiative ,
children and adults are less likely to be exposed to outdoor air
pollution, which improves their health outcomes.
11
Kendal Community in Miami has a total population of 71,811
inhabitants, according to 2019 census.
The poor air quality in the Kendal neighborhood is to blame for
a rise in the number of children with asthma in the area.
Factors that contribute to the city's high pollution levels are
difficult to regulate. When they are released into the
atmosphere, they pose a health threat to children and other

susceptible groups.
There are free seminars for families with asthma offered by the
Kendal Asthma Control Program.
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Conclusion
About 71,000 people live in Kendal, a suburban Miami city that
is multicultural and multiethnic, with 48% of residents being
men and 52% of residents being women. As a consequence, the
incidence of pediatric asthma is on the increase, with thousands
of cases documented each year. Using brightly colored flags,
the asthma flag program raises awareness of poor air quality in
a school's surrounding neighborhood on a regular basis. Since
children and adults are exposed to poor air quality, the program
helps schools alter their outdoor activities depending on the flag
colors in order to reduce their risk of developing chronic lung
disorders such as asthma. It is the goal of the program to assist
asthma sufferers better understand their condition and learn how
to effectively communicate their requirements to their
healthcare practitioner. In accordance with the local air quality
prediction, each community raises a brilliantly colored flag
every day. The implementation of a school-wide asthma flag
program would help decrease asthma symptoms among students
and staff by reducing their exposure to outdoor air pollution.
12
Questions?
13
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rights reserved.
References
American Lung Association. (2020). Estimated prevalence and
incidence of lung disease. https://www.lung.org/research/trends -
in-lungdisease/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/ Orellano, P., Quaranta, N.,
Reynoso, J.,
Balbi, B., & Vasquez, J. (2017). Effect of outdoor air pollution
on asthma exacerbations in children and adults: systematic
review and multilevel meta-analysis. PloS one, 12(3),
e0174050.
https://www.airnow.gov/sites/default/files/201804/coordinator%
20handbook-2015.pdf
14
Direct Care Project Part 4
Evaluating the Project
Directions: Use this template to evaluate your project. For more
information on the template sections, see the Directions for Part
4 and the Direct Care Project Part 4 Tutorial for more
information and paragraph requirements.

Student Name: Date:
1. Title of presentation (including county/state name)
_______________
2. Date presentation completed
________________________________
3. Tables of results: Tally the results of your surveys and place
the numerical values in the boxes below.
PRE-Survey
#
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
1
2
3

Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
1
2
3
4
5

6
7
8
4. Comprehensive interpretation of results
a. Comprehensive summary of pre and post survey data in
tables:
b. Include any positive or negative changes in pre- and post-
survey data:
5. Overall experience with the project:

6. Summary of outcomes from the pre and post surveys. For
example, does pre/post-survey data indicate participants may be
more willing to implement SBIRT or Flag Program following
the presentation? What type(s) of discussions did your
presentation lead to with your audience:
7. Barriers in the project (i.e., participant interest, time, limited
resources, willingness for change, etc.):
8. Implications for future practice. How could this project
impact your personal and professional practice?
© 2019. Chamberlain University LLC. All rights reserved.
12/08/21
Week 6: Direct Care Project Part 4: Evaluating the Project
(Graded)
Start Assignment
Purpose
The purpose of this direct care project is for learners to apply
the nursing process to a community health problem determined
by their observations and data collected of vulnerable
populations in their community. This is Part 4 of 4 in the Direct
Care Project.
Direct Care Project Overview
1. There are four parts to the Direct Care Project.
2. There will be graded Project Check-ins that correlate to each
part.
3. The topic selected in Part 1 will be the same one used in
Parts 2 through 4.
4. Review the table below for overview and due dates with each

topic.
5. Contact your instructor with questions.
Overview
Points
Due Date
Projects
Air Quality
Substance Use
Part 1: Assessment Completed in Week 2
Part 2: Planning the Presentation Completed in Week 4
Part 3: Implementing the Presentation Completed in Weeks 5 or
6
Part 4: Evaluation: Check-In
10
Wednesday of Week 6
Required, graded check-in on progress of evaluation of the
presentation and project
Part 4: Evaluating the Project
140
Sunday end of Week 6
Evaluate learning and reflect on the project.
Evaluate learning and reflect on the project.
Course Outcomes
This direct care project enables the student to meet the
following course outcomes: 
· CO2 Assess the health of populations, aggregates, and
communities (PO4)
· CO3 Apply the nursing process to vulnerable populations with
professional clinical judgment and evidence-based practice
(PO4 & 8)
· CO5 Utilize a collaborative approach to address factors that
influence population health (PO2)
· CO6 Examine collaborative trends in community health

nursing (PO2)
Part 4 enables the student to meet the following course
outcomes:
· CO3 Apply the nursing process to vulnerable populations with
professional clinical judgment and evidence-based practice
(PO4 & 8)
· CO5 Utilize a collaborative approach to address factors that
influence population health (PO2)
· CO6 Examine collaborative trends in community health
nursing (PO2)
Due Date for Part 4
Sunday 11:59 PM MT at the end of Week 6
Points Possible for Part 4
140 Points
Late Assignment Policy
If the assignment is not submitted by due date, a late deduction
will be applied. See rubric below.
Directions for Part 4
1. View the Direct Care Project Part 4 Tutorial (Links to an
external site.)
2. Download the Evaluating the Project template below
3. Gather the information from the surveys and attendance form.
4. Complete the Part 4 template with the following:
a. Title of presentation
i. Include community name in the title
b. Tables of results
i. PRE-Survey and POST-Survey results in numerical form
c. Comprehensive interpretation of results
i. Comprehensive summary of pre and post survey data in tables
i. Minimum of one paragraph
ii. Include any positive or negative changes in pre and post-
survey data
d. Comprehensive reflection

i. Overall experience
ii. Summary of outcomes from the pre and post surveys i.e. does
pre/post-survey data indicate participants may be more willing
to implement SBIRT or Flag Program following the
presentation? Did your presentation lead to further discussion
about the topic with your audience?)
iii. Barriers to the project (i.e. participant interest, time, limited
resources, willingness for change, etc.)
iv. Implications for future practice
i. How could this project impact your personal and professional
practice?
1. Minimum of one paragraph
5. Submit the Direct Care Part 4 Evaluating the Project
template and the attendance form. *Please note, your
assignment will not be graded until the attendance form is
submitted. As part of accreditation requirements, an email
address is required for any audience member.
Template
Click on the link below to download your template.
Evaluating the Project Template (The document was added as an
attachment )
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.

· Use the rubric as a final check prior to submission to ensure
all content is clearly addressed.

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