Week 1 discussion

Determinants of
Health

What are some factors that make some people healthy and
others ill? Healthy People 2020 identifies five determinants of health that
influence the health of individuals and populations. Healthy People 2020
describes them as “a range of personal, social, economic, and
environmental factors that influence health status” (U.S. Department of
Health and Human Services, 2014, About Determinants of Health, para. 1).
Determinants fall into five categories including: (a) policy making, (b) social
factors, (c) health services, (d) individual behavior, and (e) biology and
genetics.

Go to the “Determinants of Health” link at
http://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health
(Links to an external site.)Links to an external site. and click on each
determinant to read about them.

Choose one of the five determinants. In your post, describe
this determinant and its importance.

Discuss how this determinant relates to one intervention
from the Public Health Intervention Wheel (Nies & McEwen, 2015, pp. 14–15).

U.S. Department of Health and Human Services. (2016).
Healthy People 2020: About Determinants of Health. Retrieved from
http://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health
(Links to an external site.)Links to an external site.

Week 2 discussion

Demographic and
Epidemiological Assessment

For this discussion, you will collect assessment data about
your city or county. This post will include information about demographics
(general characteristics) and epidemiological data (disease or health behavior
rates) of your community.

Demographic data: Go online to the U.S. Census Bureau at
https://www.census.gov/quickfacts/ (Links to an external site.)Links to an
external site.. Obtain a range information about the demographic
characteristics of the population for your city or county of residence. You may
have to look at county data if your city is not listed. Discuss demographic
data about age, ethnicity, poverty levels, housing, and education.

Epidemiological data: Go to your city or county health
department website (search the Internet) or County Health Rankings
(http://www.countyhealthrankings.org/ (Links to an external site.)Links to an
external site.) and report epidemiological data about your area.

Identify several priority health concerns for your area.

The Instructions on Finding Demographic Data on the U.S.
Census Website (Links to an external site.)Links to an external site. will
assist you in using this website as a resource.

Nies, M. A., & McEwen, M. (2015). Community/Public
health nursing: Promoting the health of populations (6th ed.). St. Louis, MO:
Saunders/Elsevier.

Week 3 discussion

Caring for Vulnerable
Populations

Review the Week 3 Case Study (Links to an external
site.)Links to an external site.. This case study focuses on a vulnerable young
woman who is facing many risk factors.

Discuss several risk factors that may impact health outcomes
for vulnerable populations.

Assurance is one of the three core functions of public
health. Find a resource in your community (other than WIC) that could assist
Mary during her pregnancy. Start by searching the Internet for your local
health department’s website. What services does it provide for pregnant women,
those living in poverty, or those with mental health concerns? What about your
local welfare office? Does it provide prenatal or mental health services? Are
there any service organizations, crisis pregnancy centers, or churches
providing help for pregnant women or those experiencing mental health concerns?
(The Internet, your local newspaper, and the telephone book may also help you
locate resources.)

Briefly describe the types of services that you found.

Choose one agency and assess this agency in terms of the 4
A’s. Is it accessible, acceptable, affordable, or available for Mary or other
pregnant women that you case manage?

Are there adequate resources for other vulnerable
populations in your community?

Week 4 discussion

Healthy People
Objectives for Community Settings

Community health nurses practice in a variety of settings.
Choose one of the following CH settings and describe what you have learned
about the setting and the role(s) of the nurse in that setting (see Nies &
McEwen, 2015, Chapters 29–33).

School nursing

Occupational health nursing

Faith-based or parish nursing

Home health nursing

Hospice nursing

Forensic nursing

Correctional nursing

The federal government developed Healthy People as a set of
national health objectives that are revised every 10 years. These objectives
are very specific in order to guide and measure our nation’s progress related
to public health. Please visit http://www.healthypeople.gov/2020/topicsobjectives2020/
(Links to an external site.)Links to an external site.. Click on a topic area
that relates to a role you chose to discuss. Click on the green Objectives tab
in that topic area to choose one Healthy People 2020 objective.

Discuss one specific, numbered Healthy People 2020 objective
(not a goal) related to this community health role.

How could a community health nurse help meet this objective?

Introduction to Healthy People 2020 website (Links to an
external site.)Links to an external site. is an aid to help you navigate the HP
2020 website.

Nies, M. A., & McEwen, M. (2015). Community/Public
health nursing: Promoting the health of populations (6th ed.). St. Louis, MO:
Saunders/Elsevier.

U.S. Department of Health and Human Services. (2016).
Healthy People 2020: Topics & Objectives. Retrieved from
http://www.healthypeople.gov/2020/topicsobjectives2020/ (Links to an external
site.)Links to an external site.

Week 5 discussion

Disaster and
Communicable Disease Preparedness

Preparing for disasters, terrorist threats, or communicable
disease outbreaks is an important part of public health nursing. Visit the
websites http://www.ready.gov (Links to an external site.)Links to an external
site. and http://www.ready.gov/pandemic (Links to an external site.)Links to an
external site.. Review the steps for being prepared for a disaster or pandemic.

Choose a natural or man-made disaster that could impact your
community and discuss how a CHN can help the community to prepare or respond to
this disaster.

Choose a potential infectious disease outbreak and discuss
how a CHN can help to prevent or respond to an outbreak.

How well is your community prepared for a potential outbreak
or disaster?

Federal Emergency Management Agency. (2016). Ready: Prepare.
Plan. Stay Informed. Retrieved from http://www.ready.gov/ (Links to an external
site.)Links to an external site..

Federal Emergency Management Agency. (2016). Pandemic.
Retrieved from http://www.ready.gov/pandemic (Links to an external site.)Links
to an external site..

Week 6 discussion

Environmental Health

Visit the U.S. Environmental Protection Agency’s
MyEnvironment site at http://www.epa.gov/myenvironment (Links to an external
site.)Links to an external site. and enter your city and state, ZIP code, or
location into the location box. Explore the site to learn more about your
environment and things that might be impacting the health of its citizens.

Identify something new you learned about your environment
and how it could be affecting health by completing this statement: “I
didn’t know _____.”

How could you, in the role of a community health nurse,
address these concerns?

Optional: For more environmental health information, you can
also visit the following websites.

Environmental health tracking:
http://ephtracking.cdc.gov/InfoByLocation/ (Links to an external site.)Links to
an external site.

Air quality: http://www.airnow.gov/ (Links to an external
site.)Links to an external site.

Toxic release inventory:
http://www.epa.gov/toxics-release-inventory-tri-program (Links to an external
site.)Links to an external site.

Week 7 discussion

The Affordable Care
Act

The Affordable Care Act is a controversial topic, and there
probably are many different viewpoints represented in our class. For this
discussion, let’s start by focus on understanding the basics of the Healthcare
Marketplace so that we can provide accurate information to our patients and
communities. Please explore the healthcare marketplace website at
https://www.healthcare.gov/ (Links to an external site.)Links to an external
site.. Choose the Get Answers tab toward the top of the page.

Review several of the topics in this tab and share two
things that you learned about how the marketplace works.

How does this information apply to those in your community?

As a healthcare provider, has this raised any ethical
questions or concerns for you?

Week 8 discussion

Future Directions

Reflect on what you have learned in this course.

What future concerns are likely to impact public health?

How do you see global health concerns impacting your
community?

How can you apply what you have learned in this course to
your current practice?

Week 2 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

This assignment enables the student to meet the following
course outcome.

CO2: Assess the health needs of individuals, families,
aggregates, and communities using demographic and epidemiological data to
identify population health risks. (PO 4)

Due Date

Submit your completed windshield survey form by 11:59 p.m.
MT Sunday of Week 2.

Points: 150 points

Directions

Download the Community Windshield Survey form (Links to an
external site.)Links to an external site.. 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 a professional writing style with complete
sentences, accurate grammar, and correct spelling. If references are used, they
must be cited in the text and the complete reference should be included in the
reference box in APA format. References are optional.

Watch Caring for Populations project overview and Milestone
1 tutorial (click this link or copy and paste it into your browser):
http://www.brainshark.com/devry/CourseProjectandMS1_2016. (Links to an external
site.)Links to an external site. (transcript (Links to an external site.)Links
to an external site.)

Save the form by clicking Save as and adding your last name
to the file name; for example, NR443 Windshield Survey Form_Smith.

Submit the completed form by Sunday, 11:59 p.m. MT at the
end of Week 2.

Length: The completed form should be three to four pages in
length (not including any optional references).

Guidelines

Below are the requirements needed for successful completion
of the Windshield Survey Form.

Introduction to the Community: Identify the community you
will be using for this assignment with the city and state and provide a brief,
one paragraph description of the community. Your community should be the area
where you live or the area surrounding your work setting. The community must
include a residential area and be broad enough to answer the survey questions.
You do not need to include demographic data.

Windshield Survey: Assess your community by doing a
windshield survey. Information about the components of a windshield survey is
located in your textbook, Nies & McEwen (2015) on page 98 (Box 6-2). Drive
through the area and report your observations by describing each of the
following six areas using a majority of the questions from each category of Box
6-2 as your guide (one to two in depth paragraphs for each category). Be sure
to include what you observed related to each of these categories, and also
include any significant items that are missing in your community because this
may be equally important in identifying a community health problem.

Community vitality

Indicators of social and economic conditions

Health resources

Environmental conditions related to health

Social functioning

Attitude toward healthcare

Note: 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.

Vulnerable population: Identify an aggregate or vulnerable
population in your community based on your observations. What did you observe
about this population? See Units five (5) and six (6) in Nies and McEwen (2015)
for examples of vulnerable populations and aggregates.

Conclusion: Provide a summary of your findings. Describe
several potential community health problems for the vulnerable population that
you identified.

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 (Author, year)
and listed in the reference section in APA format (see APA resources for help
with formatting).

Best Practices in Completing 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).

Use a professional writing style with complete sentences.

Proofread prior to final submission.

Check for spelling and grammar errors prior to final
submission.

Abide by the Chamberlain academic integrity policy.

Week 4 Milestone 2
Vulnerable Population Assessment

Purpose

The purpose of this paper is to identify and assess an
aggregate or vulnerable population in your community. You will also describe
one community health problem that impacts this group. This problem must be one
that a community health nurse could positively impact.

Course Outcomes

This assignment enables the student to meet the following
course outcomes:

CO2: Assess the health needs of individuals, families,
aggregates, and communities using demographic and epidemiological data to
identify population health risks. (PO 4)

CO6: Utilize a systems-based and collaborative approach to
address factors that influence the health of a community and population health
problems. (PO 2)

Due Date

Submit the paper by 11:59 p.m. MT Sunday by the end of Week
4.

Points: 225 points

Rubric

Click to view and download the NR443 Milestone 2: Caring for
Vulnerable Populations Rubric (Links to an external site.)Links to an external
site..

Directions

Watch the Milestone 2 tutorial at
http://www.brainshark.com/devry/Milestone2_2016 (Links to an external site.)Links
to an external site.

This APA paper is expected to be no more than four pages in
length (not including the title page and reference list). Below are the
requirements for successful completion of this paper. Please use the categories
described below as the first level headings on your paper (note: the
introduction does not carry a heading of “introduction,” instead the
title of the paper is repeated and centered at the top of the second page in
plain text). APA formatting helps you to format your paper in a professional
manner and provides consistent methods for citing your sources within the paper
and providing the complete reference on the reference page. See the APA
resources for assistance with APA formatting. There is an APA template that you
can use to type on and this will help with APA formatting. The SSPRNBSN Student
Success Strategies resource has a module on writing scholarly papers and APA
formatting. You may access SSPRNBSN by finding its tile in your dashboard, or
clicking on the link in your course list.

Based on your community assessment, including your windshield
survey and the assessment information from your discussions, identify one
aggregate or vulnerable population in your community that faces a community
health problem. See units five (5) and six (6) in Nies and McEwen (2015) for
examples of vulnerable populations and aggregates. Your community must be the
area where you live or work.

Introduction (one paragraph): The introduction should be
interesting and capture the reader’s attention.

Provide a brief description of your community including the
city name and state and key features.

Briefly introduce one aggregate or vulnerable population
that you identified in your assessment.

Discuss the purpose of your paper. The purpose statement of
the paper should relate to assessing this vulnerable population in your
community.

Note: the introduction does not carry a heading of
“introduction,” instead; the title of the paper is repeated and
centered at the top of the second page in plain text.

Vulnerable Population Overview (one to two paragraphs):

Describe one aggregate or vulnerable group in your community
in greater detail.

Include your observations about this group from the
windshield survey.

Discuss events or trends that have affected this vulnerable
group such as economic conditions, trends in health related behaviors or
disease rates, etc.

Strengths, Risk Factors, and/or Barriers (two to three
paragraphs):

Discuss the strengths, risk factors, and/or barriers that
impact this vulnerable population’s health.

Include support from at least one scholarly peer-reviewed
journal article in this discussion. Go to the Chamberlain library at
http:/library.chamberlain.edu (Links to an external site.)Links to an external
site.. Search peer reviewed journals to find a scholarly article that discuss
the strengths, risk factors, and/or barriers faced by this vulnerable group.
Summarize what you learned from this article and cite the source in the text
and reference page (Author, year). For this section, you must choose at least
one scholarly article from a peer-reviewed journal. The article must be less
than 10 years old (less than 5 years is best). You may include and cite your
textbook or other scholarly sources as well, but they do not count as the
scholarly journal article.

Please do not include more than two short quotations, at the
most. You will need to summarize and analyze the information from the article
in your own words.

Community Resources (one to two paragraphs):

Search your local public health department website, the
internet, the local newspaper and/or telephone book for health resources
available in your community for this vulnerable group.

Briefly describe the resources in your community that are
available for this group.

Are these resources adequate? If so, why? If not, discuss
gaps in services that you identified.

Community Health Problem Diagnosis (one to two paragraphs):

Based on your assessment and the Healthy People 2020
objectives, identify and discuss one priority community health problem that a
community health nurse could positively impact. Examples include an increase in
teen pregnancies, prevalence of cancer, high incidence of tobacco use, above
average infant mortality etc. The problem must relate to the aggregate or
vulnerable population you identified.

Go to the Healthy People topic areas at
http://www.healthypeople.gov/2020/topics-objectives (Links to an external
site.)Links to an external site.. Find a topic area that relates to your
aggregate or vulnerable population. Click on the topic area and then click on
the green “Objectives” tab. Find and state the Healthy People 2020
specific numbered objective (not just a goal) that describes your problem (ex.
for teen pregnancy, the topic area Family Planning is relevant, click the green
objectives tab and you might choose FP-8.1 “Reduce pregnancies among
adolescent females aged 15 to 17 years” (US Department of Health and Human
Services: Healthy People 2020, 2016, Objectives: Family Planning, para 8).

Summary (one paragraph):

Summarize important points from the body of your paper
including the aggregate or vulnerable group you identified and key factors that
you discussed above that affect the health of this group.

Include a statement about the priority problem you
identified.

End with a concluding statement.

Reference Page:

The Reference Page should start on a new page (insert a page
break). All references should be cited within the body of the paper as (Author,
year) and the full reference should be included in APA format on the reference
page. A URL link alone is not an adequate reference. See the APA Guidelines in
Course Resources for examples of properly formatted references.

Guidelines

Application: Use Microsoft Word 2010™ or later to create
this assignment.

Scholarly Writing: APA format is required. Review the APA
resources and take advantage of the free tutorial resources.

Use the categories above as APA headings for the sections of
your paper.

Length: This paper is expected to be no more than 4 pages in
length (not including the title page and reference list).

Quotations should be minimal – please paraphrase your
sources. A maximum of two short quotations should be used for this paper.

Submission: Submit your paper by 11:59 p.m. MT Sunday of
Week 4.

Save your paper with your last name in the document title
(e.g., Smith Vulnerable Population Assessment).

Late Submission: See the Policies on late submissions.

Best Practices in Preparing the Paper

The following are best practices in preparing this project.

Use the assessment information that you collected in your
windshield survey and weekly discussions to identify the aggregate or
vulnerable group of interest.

Choose one nursing problem specific to your community that
this aggregate or vulnerable group faces.

Find one article about this vulnerable group from the
Chamberlain library from a peer reviewed journal.

Visit the SSPRNBSN Student Success Strategies resource for
help with writing a scholarly paper, APA formatting, and library navigation.
You may access SSPRNBSN by finding its tile in your dashboard, or clicking on
the link in your course list.

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
Reference page.

Proofread prior to final submission.

Check for spelling and grammar errors prior to final
submission.

Use the first column of the rubric below to ensure that you
have included all the needed elements.

Week 6 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
plan for a community health problem that you identified in your community
(described in Milestone 2: Vulnerable Population Assessment). You will apply
the components of the nursing process to assist this vulnerable population and
develop a proposal that could be presented to community leaders.

Course Outcomes

This assignment enables the student to meet the following
course outcomes.

CO1: Apply principles of nursing theory to the public health
system by analyzing determinants of health and the public health intervention
wheel. (PO 1)

CO3: Plan prevention and population-focused interventions
for vulnerable populations using professional clinical judgment and evidence-based
practice. (PO 4, 8)

CO4: Evaluate the delivery of care for individuals,
families, aggregates, and communities based on theories and principles of
nursing and related disciplines. (PO 1)

Due Date

Submit your PowerPoint presentation by 11:59 p.m. MT Sunday
by the end of Week 6.

Points

This assignment is worth a total of 225 points.

Scenario

You are a community public health nurse (C/PHN) working with
the vulnerable population you identified in Milestone 2. You will choose a
specific community health role that would serve this population. You have
analyzed the data collected from your windshield survey and vulnerable
population assignments (the first two milestones) and identified one community
health problem that a nurse can impact. Now, review the scholarly literature or
scholarly websites listed below and identify one specific evidence-based
nursing intervention that has the potential to improve the health of this
group. Then develop a proposal to implement this intervention and a plan to
evaluate the outcomes of this intervention. Create a PowerPoint that you could
use to present to an organization in your community to request approval for
funding and support for this intervention. (You are not required to implement
the intervention or present your PowerPoint, though you may want to consider
implementing your project in the future).

Directions

Watch the Milestone 3 tutorial at
http://www.brainshark.com/devry/Milestone3_2016 (Links to an external site.)Links
to an external site..

Introduction: (average of 2-3 slides)

Describe the identified problem

Include at least two important findings that demonstrate
that this is a problem in your community.

Describe your specific community health role: Some examples
of roles are school nurse, parish nurse, home health nurse, occupational nurse,
health department nurse etc.

Identify the purpose of the presentation which is related to
proposing a community health intervention and evaluation plan.

Identify an evidence based intervention: (average of 2-3
slides).

Find an evidence-based nursing intervention from a
peer-reviewed journal article OR one of the following databases. These
databases evaluate research evidence about community health interventions. Be
sure that your intervention is one that is recommended. Cite your source on the
slide with the author or organization and year.

Use at least one of the following to identify an evidence
based intervention:

A peer reviewed journal article demonstrating that your
intervention has been successful

The Community Guide (http://www.thecommunityguide.org/
(Links to an external site.)Links to an external site.) Choose one of the
topics in the topic tab to find interventions.

The CDC Community Health Improvement Navigator Database of
Interventions (http://wwwn.cdc.gov/chidatabase (Links to an external
site.)Links to an external site.)

Healthy People 2020 evidence-based interventions. Find a
relevant topic area at (http://www.healthypeople.gov/2020/topics-objectives
(Links to an external site.)Links to an external site.), click on that topic
area, and then click on the “Interventions and Resources” tab to see
the evidence-based interventions list for that topic area

Provide a brief overview of your intervention.

Discuss why this intervention is a good fit for your
community (why you expect it to be effective in your community).

Intervention Implementation: (average of 3-4 slides).

Describe how you would implement your community health
nursing intervention in your community

Discuss the actions will you take as the community health
nurse to accomplish this intervention.

Relate your actions to the Public Health Intervention Wheel
(Nies & McEwen, 2015, p. 14, Figure 1-3)

Identify your target population.

Describe how you will reach out to your target population.

Include strategies to engage your target population.

Describe where the intervention will take place.

Identify when your intervention will take place

Will it take place once or multiple times?

Identify those in the community that you will collaborate
with (e.g., physician’s office, church, local resources, etc.).

Explain what level(s) of prevention is your intervention
addressing (primary, secondary, or tertiary prevention)?

Proposed Evaluation Methods: (average of 2-3 slides)

Your presentation must include at least one proposed
quantitative or qualitative evaluation method that you would use to determine whether
your intervention is effective. Outcome measurement is a crucial piece when
implementing interventions.

Describe the method you would use to evaluate whether your
intervention was effective. (The Qualitative and Quantitative Education Methods
(Links to an external site.)Links to an external site. handout can help with
understanding qualitative and quantitative methods of evaluation).

Identify the outcomes you would track to show whether your
intervention works (eg. BMI would be one outcome you could track for a weight
loss intervention).

When would you measure these outcomes?

Describe the short-term and long-term impact on your
community if the intervention is successful.

Summary: (average 1 slide)

The summary should reiterate the main points of the presentation
and conclude with what you are asking to be accomplished; for example,
“Based on ABC, it is imperative our community has XYZ. Can we count on
your support? Thank you for your consideration.”

In addition to the slides described above, your presentation
should include a title slide with your name and role and a reference slide.
Cite all sources used with (Author, year) on the PowerPoint slide.

The slides should include the most important points in short
bullet pointed phrases. Do not include full sentences or paragraphs on the
PowerPoint slides. You may add additional comments in the notes section to
clarify information for your instructor.

The slides should be visually appealing and not overcrowded.
Use an interesting template and include some clipart or graphics for interest.

Guidelines

Application: Use Microsoft PowerPoint 2010 or later.

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).

Save the assignment with your last name in the file title:
example: “Smith Intervention and Evaluation.”

Submission: Submit your PowerPoint file by 11:59 p.m. Sunday
by the end of Week 6.

Late Submission: See Policies on late submissions.

Tutorial: For those not familiar with the development of a
PowerPoint slideshow, the following link to the Microsoft website may be
helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx
(Links to an external site.)Links to an external site. The SSP Chamberlain Student
Success Strategies offers a module on Computer Literacy that contains a section
on PowerPoint. The link to SSP CCSSS may be found on your course list in the
student portal.

Best Practices in Preparing PowerPoint

The following are best practices in preparing this
presentation.

Be creative.

Incorporate graphics, clip art, or photographs to increase
interest.

Mak