Discussion: Community Assessment

Discussion: Community Assessment

Community Health Assessment

The ultimate goal of healthcare is to improve patient outcomes and raise the quality of healthcare services. These have become the main objective of all healthcare systems worldwide as they define the desired patient outcome. Community health assessments are important to realizing the healthcare issue affecting the community (Cunningham et al., 2018). Then, it would be effective to develop an effective intervention plan to correct the problem noted in the community. The assessment was done in Jordan, a small Minnesota town. Therefore, the purpose of this assignment is to assess the healthcare needs of a selected community and summarize the results.

Executive Summary

General Condition and Public Health Needs

The outcome from the windshield survey shows that the rate of people who have diabetes is high despite measures that have been taken to solve the issue. The community has been adopting various evidence-based practices to address the problem despite the measures taken not giving the desired results. The following graph shows the variation in the healthcare problem.

Figure 1.

According to the presented analysis, diabetes is high among American Indian and Non-Hispanic blacks. Hispanics also have a significantly high rate of diabetes. The survey’s outcome shows that ethnicity affects the prevalence of diabetic rates in the Jordan Community (Data USA, n.d). The solution to the diabetic problem in the community needs to commence with having an adequate analysis of the ethnic issues affecting the community and targeting the community based on ethnicity with increased risk of the healthcare problem.

Over the years, new approaches have been introduced in the community system to heighten disease prevention, better treatment, and adopt effective management of diseases. One of the most important approaches that have shaped healthcare in the recent past is adopting modern technology (Canedo et al., 2018). It has played a huge role in enhancing diabetic treatment. In the previous weeks, diabetes has been discussed as the major problem affecting a wide range of patients in the Jordan community. Having delved much into diabetes and the approach that needs to be taken to reduce its effect on the population, it is imperative to focus on the intervention plan.

The community’s problem is the poorly controlled diabetes among the majority of patients receiving diabetes care at the facility. Cases of diabetes have been increasing each year, which calls for effective intervention measures to solve the healthcare problem. Diabetes is a condition where the body is incapable of producing enough insulin as required or the body fails to utilize the produced insulin as appropriate. Poorly controlled diabetes is one of the most chronic conditions. The identified population health problem relevant to the practice is poorly controlled diabetes among most patients receiving diabetes care at the facility. Diabetes is a condition where the body is incapable of producing enough insulin as required or fails to utilize the produced insulin as appropriate (Canedo et al., 2018). Poorly controlled diabetes is one of the most chronic conditions. In addition, it has been associated with other complications such as diabetic foot ulcers, neuropathy, nephropathy, retinopathy, and hearing problems, among other conditions.

Environmental Analysis

Based on the environmental analysis, the cases of diabetes have been high among African Americans because they lack effective measures to address the problem. Many people who have diabetes are from low social status. The population of poor Africa Americans is high. This limits their ability to address the problem using the most effective interventions. In a community with an increased population of affluent people, they have been gaining the ability to invest in modern technology to address the rising cases of diabetes (Fang et al., 2021). Technological intervention is the most effective method to reduce the poor management of diabetes among the selected population. The survey analysis has effectively identified the relationship between diabetes and the selected population in the Jordan community. The process has been significant in gaining more professional skills on the current trend of diabetic cases in the Jordan community (Fang et al., 2021).

The environmental analysis aims to improve healthcare services to achieve the desired quality and gratification for the patient experience of care, enhancing public health and lessening the healthcare per capita cost. The surrounding environment affects the healthcare outcome in a community as it aids in addressing socioeconomic factors that hinder the community from undertaking effective interventions to address a problem. Patient safety is one of the fundamental indicators of quality in healthcare (Ford et al., 2021). It is connected to safety and positive clinical outcomes among patients. The proposed technology will empower healthcare professionals to admit patients with underlying conditions such as diabetes. In doing so, they would increase patient awareness of effective measures for controlling diabetes with the proposed technological interventions.


Jordan community has more cases of diabetes among the African American population. Measures that have been taken in the past have yet to be effective in addressing the said problem. However, approaching the diabetes healthcare problem through various technological efforts would improve patient outcomes. The proposed intervention plan would ensure that all the facility’s healthcare professionals understand the intervention’s impact and support its due cause. This would have a positive change on the implementation of a new change.




Canedo, J. R., Miller, S. T., Schlundt, D., Fadden, M. K., & Sanderson, M. (2018). Racial/ethnic disparities in diabetes quality of care: the role of healthcare access and socioeconomic status. Journal Of Racial And Ethnic Health Disparities5(1), 7-14.

Cunningham, A. T., Crittendon, D. R., White, N., Mills, G. D., Diaz, V., & LaNoue, M. D. (2018). The effect of diabetes self-management education on HbA1c and quality of life in African-Americans: a systematic review and meta-analysis. BMC Health Services Research18(1), 1-13.

DATA USA. (n.d.). Jordan, MN. Data USA. Retrieved February 19, 2023, from

Fang, M., Wang, D., Coresh, J., & Selvin, E. (2021). Trends in diabetes treatment and control in US adults, 1999–2018. New England Journal of Medicine384(23), 2219-2228.  DOI: 10.1056/NEJMsa2032271

Ford, J., Ford, L., & Polin, B. (2021). Leadership in the implementation of change: Functions, sources, and requisite variety. Journal of Change Management21(1), 87-119.

Question Description
NURS 303 Final Project: Community Assessment and Project Planning
A Multi Step Final Project
⦁ Part 1 – research and conduct and a Community Assessment and identify issues that impact health
⦁ Part 2 – Develop a targeted program/ intervention using supplied budget
⦁ Prepare 10 slides to present and share your findings and analysis with classmates

Grading rubric is posted in the Course site

The goal of this course is for community health/public health nurses to learn how to conduct a community assessment and plan appropriate interventions. The nurse will gain a working knowledge of a specific community.
Identify the key needs and problems that community members face Identify the community’s strengths and resources
Create realistic interventions to improve the community’s and its people’s health.
Use the guidelines outlined in Healthy People 2020. ⦁ Http:// )
Learning Objectives: Students will be able to: Use a community assessment to identify health indicators; Identify nursing and health-related research data in community health nursing practice; and Evaluate the health status of populations, health determinants, and risk factors impacting health promotion, maintenance, and delivery of health services.
Create a program or intervention to address a community’s health needs.
This multi-step final assignment will aim to develop and strengthen your skills in the following ways: Students will conduct an in-depth analysis of a community. Identify your clients’ health problem or issue in a selected community (vital statistics) Analyze what factors contribute to the cause of the problem (risk factors, health determinants) Synthesize collected data to propose a project that will offer interventions to improve the health of your selected community (intervention project proposal)
Your task will be to submit two papers capturing:
Part 1: community assessment Identifying the issue or problem that needs to be addressed
Part 2: Prepare a 10-slide presentation to share findings and analysis with peers by proposing a project or program to address a health issue or need.

Part One of the Final Project: Community Assessment/Identification of a Health Problem or Issue = 100 points
Part Two of the Final Project: Propose a Project to Address Identified Community Health Needs = 100 points
Presentation of the Final Project Slides to Peers

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: Discussion: Community Assessment

Part One of the Final Project: Assessing the Community and Defining the Problem
Week 6 Sunday 11:59 p.m. EST
Summarize your community assessment and define your community’s problem or health need in a well-written 1000- 1500 word

paper (5 – 6 pages). Use the APA format.
I.Choose a community in which you work, live, or have an interest.
Define the community’s composition.
Determine the community’s resources and distinguishing features.
Using the suggested websites, look up vital statistics for your community.
Analyze the vital statistics data and compare it to New York City vital statistics as well as national trends.
Identify three major issues affecting the community’s health.
II. Evaluate your chosen community
Part Two of the Final Project: Community Intervention Plan
Develop a proposed project with interventions to address one of the issues by Week 11 Sunday 11:59 PM EST.
Presentation using Power Point
Prepare 10 slides to share your findings and analysis with peers by Week 15 A Thursday.

Outline for Assignment Part 1
I. Choose a community in which you work, live, or have an interest.
II. Evaluate your chosen community
Define the demographic makeup of the community.
Your community assessment is a comprehensive evaluation of a community’s status. It identifies population groups, their needs, and available resources.
Determine your neighborhood’s name, zip code, and county.
Take a Windshield Survey by walking or driving around your neighborhood and observing your surroundings. How does your chosen community appear? Describe your windshield survey findings and incorporate a discussion of some key components. Use additional resources to back up your observations. Describe the following key components:
Community name and/or Community District number Location and geographical boundaries
Types of housing and open spaces; signs of decay; safety services (list local police precincts, fire companies, and ambulance companies) transportation accessibility
Determine the community’s resources and distinguishing features.
Identify some of the community resources/distinctive features:
Government: Local Politicians Health Care: Hospitals, Skilled Nursing Facilities (see suggested websites)
Schools, recreation centers, and senior services such as NORCS

Using websites, research vital statistics for your community.

⦁ Research and discuss the vital statistics of your community.
Report on demographics (population numbers, ethnic composition, percentages of old and young, gender, economic status, and vital statistics) and vital statistics (leading causes of morbidity and mortality, infant mortality rates etc).
Analyze the vital statistics data and compare it to New York City vital statistics as well as national trends.
Compare and contrast the data: What changes have occurred since the last time these statistics were reported?
Examine the data for similarities and differences with that of New York City and the rest of the country.

Identify vulnerable populations, unmet needs, and current resources for them (Utilize suggested websites from your syllabus)

⦁ Speak with at least two key informants in your neighborhood. These could be long-term residents of the community who are familiar with its history and problems, or a community leader. What is their community role? Describe the community’s problems and strengths, as well as how they relate to community health concepts.

Summarize your chosen community’s health strengths, health risks, and health problems.
III. Describe the major issues affecting the community’s health.
E. Identify and analyze three major issues affecting the community’s health.
1. Identify at least three issues affecting the health of your community’s population groups.
2. Describe three problems in detail using supporting data from your windshield survey, your literature search relating to your community/problem, and supporting vital statistics.
3. Connect the findings to at least two Healthy People 2020 Leading Health Indicators and one HP 2020 overall goal.
Part 1 Paper Guidelines for the Final Project:
APA format, double-spaced, Times New Roman 12 point font, one inch margins all around, 1000 – 1500 word paper (5 – 6 pages) (Refer to APA guidelines in the APA guidelines menu tab)
Include your name on the paper and submit it with your last name and Final Project Part One in the subject line (e.g., Reilly Final Project Part One).
Submit as a Word document by saving it to your computer and uploading it to the Assignment Link.

⦁ Due by Week 8 Sunday 11:59 PM EST
Harkness Chapter 11, Community Assessment
Web Resources:

Conducting a Community Assessment…
Helping America’s Youth through Community Assessment
Collaborative Community Assessments…
North Carolina Community Health Assessment
Assess Community Needs and Resources
United Way Community Assessment of Santa Barbara County
Community Assessment Survey…
Community Assessment Tools…

Also see the web resources in your NURS 303 Syllabus

Final Project Part Two: Community Intervention Plan
Due by Week 11 Friday 11:59 PM EST
⦁ Develop a proposed project with interventions to address one of the issues.
Assignment Part 2 Outline
In Part two of your paper you will propose a plan to address one of these problems over a one year time period
Final Project Part Two: You have analyzed a health issue in the community you have assessed. A private organization wants to promote community participatory health promotion and prevention and will award a $50,000 grant to be used over one year for a proposal that can impact health outcomes. Propose a project that would offer a program to provide services or interventions that could be effective in addressing the identified health problem or issue. Discuss why you selected the issue, determine measureable outcomes, select evidence based interventions, draft a budget and provide a timeline (Use attached forms below)
Due by Week 11 Friday by 11:59 PM EST
In a well-constructed 750 –1000 word paper (3 – 4 pages) in APA format, address the following components of a proposal for your project – include all topics):
Describe the following: Title of Proposed Community Intervention Project Plan
Describe the following in a written summary:
⦁ Discuss why you selected one or more health related issues of the community identified in Part 1. Include background information that will explain the need. Provide a rationale to support your proposed project (utilize research obtained from Community Vital Statistics, Windshield Survey, Evidence on the Issue in the Literature).

⦁ Literature search: in addition to the vital statistics data sources that you identified in Part One, provide at least three article references within the last 5 years

⦁ Identify the Target population (vulnerable population) to be served by the project

⦁ Overall Goals of the project – how do they relate to HP 2020?

⦁ Determine measureable outcomes that would demonstrate improvement for each problem. Remember to use terms that list specific quantitative measurements, are realistic and have time frames. (See Healthy People 2020 leading health indicator targets for examples). Use the SMART approach: Specific, Measureable, Achieveable, Realistice, Time-oriented

⦁ Identify clearly which Healthy People 2020 leading health indicators and overall HP goal would be addressed by your interventions.

⦁ Community participatory Partners: Who will you engage to collaborate with and offer the community support

⦁ Propose a budget based on the Grant Funding ($50,000)

⦁ Evaluation Process- how will you evaluate effectiveness of your proposed intervention plan?

⦁ Future Plans: How might it be sustained?

Use attached Forms:

⦁ Activities timetable (over 1 year)

⦁ Outcomes (As a result of the project participants will ………) Determine measureable outcomes that would demonstrate improvement of the problem or issue.
⦁ Budget: ($50,000)
⦁ Using the forms provided, attach a proposed budget indicating anticipated program expenses.

⦁ Provide a written budget justification to give detail behind each line item.
Guidelines for Paper:
⦁ Double-spaced, Times New Roman #12 point font, one inch margins all around.
⦁ Include your name on the paper and submit with your last name and Final Project Part Two (e.g.: Reilly_Final Project Part Two) in the subject line.
⦁ This paper should be a 750 – 1000 word paper (3-4 pages) in length PLUS attachments,
⦁ APA format must be used (Refer to APA guidelines under tools)
⦁ The paper is to be written in a scholarly, professional tone with no slang or jargon phrases.
⦁ Submit as Word document by saving the document your computer and upload the document to Assignment Link.
⦁ Due by Week 11 Friday by 11:59 PM EST

NURS 303 Caring in Communities
Community Assessment and Project Planning – A Two Part Final Paper
List Activities with Timetable

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.