community health assessment and then develop a health diagnosis, plan, interventions, and evaluation for a selected aggregate population.

6) Include the following sections (detailed criteria listed below and in the Grading Rubric).

  1. Community Assessment ‐
  • Provides a description of the community based on the findings from the team’s windshield survey.
  • Provides pictures or videos taken during the windshield survey clearly identifying windshield survey elements.
  • Discusses demographic data.
  • Discusses geographic data.
  • Uses data from databases, interviews, and the textbook to support the assessment.
  1. Aggregate (Target) Population ‐
    • Identifies an aggregate population, based on age vulnerability, culture, or chronic disease, to develop a community health diagnosis, plan, interventions and evaluation.
    • Includes a thorough description of the aggregate population.
    • Aggregate population is based on three or more elements or risks that impose a negative impact on the health of the community, identified in the community assessment.
    • Identifies gatekeepers or key informants who will assist the community health nurse in gaining access to the population of interest.
  2. Community Health Diagnoses ‐
    • Includes two community health diagnoses using the data from the community assessment.
    • Includes one wellness diagnosis.
    • Diagnoses are listed in the order of priority justified by the data findings and analysis.
    • The diagnoses consist of four components: the identification of the health problem or risk, the affected aggregate, the etiological statement, and the support for the diagnosis (Nies, 2019, p. 102).
  3. Plan for Priority Diagnosis ‐
    • Includes a minimum of 1 short‐term and 1 long‐term goal for identified priority diagnosis.
    • Goals relate to the identified priority diagnosis.
    • Goals follow the SMART format: specific, measurable, attainable, realistic, and timed.
    • Explains how the plan allows for client involvement.
    • Explains how the plan advances the knowledge of members of the community.
  1. Interventions for Priority Diagnosis ‐
  • Proposed interventions are specific to the identified priority diagnosis and assist in meeting the identified goals.
  • Proposed interventions are supported by scholarly, evidence based sources.
  • Identifies the level of prevention for proposed interventions.
  • Identifies the category and level of practice (community, systems, or individual/family) that best describes the proposed interventions from the Public Health Intervention Wheel (Nies, 2019, p. 14).
  1. Evaluation for Priority Diagnosis –
  • Discusses evaluation from the level of a client to the aggregate population.
  • Describes the measures that will be used to evaluate meeting the identified goals.
  • Evaluation plan establishes specific outcome criteria for evaluating the identified goals.
  • The evaluation plan includes specific elements to determine efficacy of interventions (how, who, when).
  1. Community Resources –
  • Identifies a minimum of two community partners or agencies that can serve as resources for carrying out the proposed interventions.
  • Includes an evidence-based rationale for why the community partner or agency is the ideal partner for the proposed interventions.
  • Identifies specific resources at the community partner or agency that can be used by the community or population.
  • Describes websites or other electronic sources that provide support for the proposed intervention.
  1. APA Style and Presentation
  • Maintains professionalism, including presence of all team members, adhering to the time limit, and using presentation software.
  • References are submitted with assignment.
  • Uses current APA format and is free of errors.
  • Grammar and mechanics are free of errors.
  • At least three (3) scholarly, primary sources from the last 5 years, excluding the textbook, are provided.

For writing assistance, visit the Writing Center.

Struggling with where to start this assignment? Follow this guide to tackle your assignment easily!


Step 1: Understand the Assignment Requirements

This assignment requires you to conduct a community health assessment and then develop a health diagnosis, plan, interventions, and evaluation for a selected aggregate population. The ultimate goal is to improve community health by identifying and addressing the most pressing health concerns of a vulnerable population.

Here’s a breakdown of what you need to cover in each section:

  1. Community Assessment: Conduct a windshield survey and use data to describe the community.
  2. Aggregate Population: Identify a vulnerable population in the community and assess their needs.
  3. Community Health Diagnoses: Make two health diagnoses based on the community assessment.
  4. Plan for Priority Diagnosis: Set goals and explain how they will be met.
  5. Interventions for Priority Diagnosis: Suggest targeted interventions.
  6. Evaluation for Priority Diagnosis: Discuss how to evaluate the effectiveness of interventions.
  7. Community Resources: Identify local partners or agencies to help carry out the plan.

Step 2: Start with the Community Assessment

The first part of the assignment is the community assessment, which will guide your overall understanding of the community’s needs.

  • Windshield Survey: Go out into the community and observe the environment. Take notes and pictures or videos, identifying key elements such as:

    • Infrastructure (roads, housing, cleanliness, access to services)
    • Access to healthcare facilities
    • Social or environmental issues (e.g., crime, pollution)
  • Demographic Data: Gather information on the population’s age, income, race, education level, and health statistics. You can use sources such as:

  • Geographic Data: Understand the layout and geographical context of the community. For example:

    • Is it urban or rural?
    • What are the physical barriers to healthcare access?
  • Use Multiple Sources: Your assessment should incorporate data from interviews, databases, and your textbook to provide a thorough understanding of the community.

Step 3: Identify the Aggregate Population

Next, you need to identify a specific aggregate population within the community that has health challenges.

  • This could be a population vulnerable by age, culture, or chronic disease. For example:

    • Elderly individuals with chronic disease
    • Low-income communities
    • Racial or ethnic minorities
    • Homeless individuals
  • Describe the health challenges of the aggregate population you’ve identified. Consider three or more risk factors that impact their health, which you identified during the community assessment.

  • Gatekeepers/Key Informants: Identify key people (e.g., local healthcare providers, community leaders) who can help you access the aggregate population and provide further insights.

Step 4: Community Health Diagnoses

Now that you’ve identified your aggregate population, you’ll need to create two community health diagnoses:

  • One wellness diagnosis: This focuses on the strengths of the community. For example, if the population has a strong community network, you can focus on this in a wellness diagnosis.

  • Prioritize health diagnoses: Order the diagnoses based on the severity or urgency of the issues.

  • For each diagnosis, make sure to include:

    • The health problem/risk (e.g., lack of access to healthy food)
    • The affected population (e.g., low-income families)
    • The etiological statement (why this issue is happening)
    • Support: Data from your assessment and research that back up the diagnosis.

Step 5: Plan for Priority Diagnosis

Now focus on your priority diagnosis (the most urgent or impactful issue from your diagnoses):

  • Set Goals: Develop both short-term and long-term goals for addressing this health issue. Ensure they follow the SMART format (Specific, Measurable, Attainable, Realistic, and Timed).

    Example:

    • Short-term goal: Increase access to fresh fruits and vegetables in the community within 6 months.
    • Long-term goal: Reduce the number of low-income families with diet-related health conditions in the next 2 years.
  • Client Involvement: Explain how the community will be involved in the planning process. This could include involving community members in decision-making, feedback, or program development.

  • Community Education: Discuss how the plan will also educate community members to advance their knowledge and engagement.

Step 6: Propose Interventions for Priority Diagnosis

Now that you have goals, propose interventions that can help achieve the desired outcomes. These interventions should be:

  • Evidence-based: Refer to scholarly sources and best practices.
  • Specific to the priority diagnosis: For example, for a nutrition-related health issue, interventions might include creating community gardens or nutrition workshops.
  • Level of Prevention: Identify whether the intervention is primary, secondary, or tertiary prevention.
  • Public Health Intervention Wheel: Determine if the interventions align with the community, systems, or individual/family practice levels.

Step 7: Evaluation Plan

Create a comprehensive evaluation plan to assess the effectiveness of your interventions.

  • Describe how you will measure progress toward the goals.
  • Identify who will be responsible for the evaluation (e.g., community health nurse, local health department).
  • Set clear criteria for evaluating success (e.g., improvement in health metrics, reduced disease rates).
  • Timeline: Establish when the evaluation will take place (e.g., quarterly reviews).

Step 8: Community Resources

Identify at least two community partners that can help carry out your plan.

  • These might be local agencies, healthcare centers, or community organizations.
  • Justify why these agencies are ideal partners for the proposed interventions, using evidence-based rationale.
  • Provide details on what resources the agencies offer, such as facilities, volunteers, or funding.
  • List any websites or electronic resources that could be useful to support the intervention.

Step 9: Final Review and Submission

Before submitting, make sure:

  • Your presentation is professional: Ensure it meets the length requirement, includes all team members, and follows any guidelines for format.
  • APA style: All citations and references should be in current APA format.
  • Grammar and Mechanics: Your work should be free of errors.
  • Include at least three scholarly sources from the past five years to support your assessment and interventions.

By following these steps, you’ll be able to create a comprehensive, community-focused health plan that addresses priority health issues and aims to improve the health of a vulnerable population. Good luck!

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