NRS 428 Community Assessment and Analysis Presentation
NRS 428 Community Assessment and Analysis Presentation
You will find important health information regarding minority groups by exploring the following Centers for Disease Control and Prevention (CDC) links:
- Minority Health: http://www.cdc.gov/minorityhealt/index.html
- Racial and Ethnic Minority Populations: http://www.cdc.gov/minorityhealt/populations/remp.html
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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NRS 428 Community Assessment and Analysis Presentation
ns in the Student Success Center.
PowerPoint Presentation
Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.
Include the following in yo
NRS 428 Community Assessment and Analysis Presentation I
ur presentation:
- Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.
- Summary of community assessment: (a) funding sources and (b) partnerships.
- Summary of interview with community health/public health provider.
- Identification of an issue that is lacking or an opportunity for health promotion.
- A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.
Key Findings from the Interview and Interview Questions: NRS 428 Community Assessment and Analysis Presentation
The interview demonstrates the community (Dallas County) as a well-informed community regarding health, diseases, and control. High education rates and internet access are critical to creating a community up-to-date with health and health-related matters. The assessment further revealed that the main barriers to quality and timely health in Dallas include poverty, lack of insurance, and inequity. Ethnic minorities are the most affected by the inequity problem. However, many enablers, including education and high access to health care, help people live healthily. Other findings include government and non-government agencies partnering to improve health. Community health nurses can improve health outcomes in the community through education and awareness programs, policymaking, and advocacy.
Overall, the health status in Dallas has many positive elements, although there are massive opportunities for improvement. Health care stakeholders and partners should continue working together to maximize the output of enablers as they deal with current and future barriers. When addressing health care problems and setting goals, health care providers should prioritize some areas. Chronic diseases have emerged as a severe health problem affecting all populations. As a result, the immediate goal is to prevent a further rise in their rates by adopting appropriate interventions. Above all, continuous support from government and non-government agencies is key to achieving the desired results.
NRS 428 Community Assessment and Analysis Presentation Interview Questions
Thank you for agreeing to participate in this interview.
- My first question is about your routine work. How do you see it overall? Do you enjoy doing it?
- How can you describe Dallas in terms of health, diseases, and vulnerabilities?
- Do you think the populace is adequately conversant with the essentials of healthy living?
- What can you describe as the main measure of healthy living?
- What are the key barriers to healthy living in Dallas?
- Which area do you think requires government intervention?
- How can community health nurses and other providers help to improve health outcomes in the community?
- Do you think some populations are at a higher risk than others?
- Do you think there are adequate health care providers?
- If you were to prioritize health interventions, what would be your choice?
- Any general remark?
Focus: community description
Community: Dallas County
Content Areas
Community and community boundaries
Community assessment summary
Interview summary
Opportunity for health promotion
Key findings and impressions of the general health
Welcome to this presentation on Dallas County health situation. Its primary purpose is to describe the community in terms of health status to get a general impression of the community health and appropriate health promotion interventions. The first section describes the community and its boundaries. It analyzes the people living in Dallas, social interactions, common goals, social determinants of health, and other elements. The second part reviews assesses the community’s funding sources and partnerships. The third section is the interview summary with the public health provider. The other two sections include an analysis of an opportunity for health promotion and a conclusion of key findings and impressions of the community’s general health.
Description of Community and Community Boundaries
The People, Geographic, Geopolitical Features
Second most populous counties in Texas
Population estimates: 2.6 million people
Population per square mile: approximately 3,000 people
Land area in square miles: 873.06
Current leader: Governor Gregg Abbott
Communities’ health is affected by the density of the population, geographical location, and political presentation. Dallas is the second most populous county in Texas with about 2.6 million people (United States Census Bureau, 2022). Its high density implies that it is a habitable county and likely to experience a gradual increase in population over time. Other crucial geographic and geopolitical features include population per square mile estimated at 3,000 people and land area in square miles at 873.06 (United States Census Bureau, 2022). Political representation is another crucial area as far as a community’s overall status is concerned. Dallas is currently under Governor Gregg Abbott (Texas Governor).
Financial and Educational Level
Financial Level
Median household income- $61,870
Poverty levels- 13.7%
Educational Level
High school graduates or higher- 80.3%
Bachelor’s degree or higher- 32.5%
People’s financial status affects health multi-dimensionally. It is among the elements that determine access to health care services and the quality of health care services a person gets when sick. Financial projections show that the median household income in Dallas County is $61,870 and the poverty level is at 13.7% (United States Census Bureau, 2022). The implication is that a significant population can afford the basic lifestyle. The education status in Dallas is encouraging. A proportion of high school graduates over 80% and bachelor’s degree holders over 32.5% demonstrate a highly educated populace. However, efforts are necessary to improve the current levels.
Ethnic and Phenomenological Features
Dominant ethnicity: (whites- 66%)
Others: African Americans (23.8%), Asians (7%), American Indians (1%)
Foreign born populace: 24.3%
Elderly adults (over 65 years): 11.5%
Children under 5 years: 6.9%
A community’s ethnic representation has many effects on people’s health. It shapes cultural and religious beliefs, economic patterns, and attitudes. Current projections show that the dominant ethnic group in Dallas County is whites making up 66% of the total population (United States Census Bureau, 2022). The other major population group is African Americans at 23.8% as Asians and American Indians occupy 7% and 1% respectively. The ethnic composition portrays Dallas as an ethnically diverse county. The diversity is further enriched by the foreign-born populace that comprises 24.3% of the population (United States Census Bureau, 2022). As vulnerable populations, elderly adults comprise 11.5% and children less than 5 years 6.9%.
Social Interactions, Goals, and Interests
Businesses: establishments (68,180)
Social media/online communication
Religious places and social sites
Goals, Interests
Economic prosperity
Quality life and progressive growth
Social interactions are crucial for a healthy and progressive community. A glance at the community shows numerous opportunities for social interactions. The first opportunity is business/trade since people interact while engaging in business. Businesses (employer establishments) were estimated at 68,180 in 2020 (United States Census Bureau, 2022). People also interact via social media and other forms of online communication since broadband internet subscription in households is approximately 84.9% (United States Census Bureau, 2022). Religious centers and social sites such as tourist centers also provide avenues for social interaction. Goals and interests are similar to many other communities and include economic prosperity, quality life, and progressive growth.
Barriers and Challenges (Health-Related)
Under-insurance leading to:
- Low access to health care services
- Struggle with preventable and treatable diseases
Vulnerability to chronic diseases
- High prevalence of diabetes- 11.7%
- Related conditions: obesity, heart disease, etc.
Health care barriers and challenges are another important area requiring in-depth reflection to provide a detailed view of health status in Dallas County. A leading barrier is under-insurance of a significant population. Health insurance facilitates access to care, implying that the uninsured population cannot access timely health care services. Lack of coverage also deters them from seeking medical attention when in need. The other major barrier is chronic diseases. Chatha et al. (2021) noted that diabetes prevalence in Dallas is approximately 11.7%. Other chronic diseases include obesity and heart disease. Insurance coverage problems and chronic diseases lead to poor health outcomes.
Identified Social Determinants of Health
People live in different areas and make health-related choices based on many factors. Social determinants of health represent the conditions in which people are born, work, and grow (Artiga & Hinton, 2018). They include factors such as employment, access to health, education, and neighborhoods. Education rates in Dallas County are encouraging. Education status determines people’s health behaviors and attitudes and educated people are likely to make informed decisions. The other social determinant is income/poverty. Per capital income in Dallas is $33,604 (United States Census Bureau, 2022). Income determines eating behaviors since people eat what they can afford. It also affects where people live and their ability to afford health care services.
Funding Sources and Partnerships
Government and non-governmental sources
Health and Human Services
CARES Act funding
Private partners
Grant resources
Like other counties, Dallas depends on multiple sources of funding to sustain public health. The sources help to fund services such as community-based programs, preventive health initiatives, and improving access to communities living in remote areas. Government and non-government entities collaborate to fund different programs. The Health and Human Services has an annual budget for protecting and promoting health. CARES Act funding is a stimulus package to help health care providers to surmount the effects of COVID-19 pandemic and improve its management. Private partners include business organizations that support community health programs as part of corporate social responsibility. Grant resources are also available from multiple sources.
Summary of Interview
My first question is about your routine work. How do you see it overall? Do you enjoy doing it?
It is an exciting field that offers a great opportunity for health care professionals to meet people.
How can you describe Dallas in terms of health, diseases, and vulnerabilities?
People live healthily and access to health care services is encouraging.
Do you think the populace is adequately conversant with the essentials of healthy living?
Yes
Community health nursing was described as an exciting field that offers a great opportunity for health care professionals to meet people and understand their health problems in more detail. It requires nurses to combine clinical knowledge, communication, and research skills to excel in this area. On Dallas’ overall health, there are many health care initiatives for promoting healthy living. People live healthily and access to health care services is encouraging. However, there are many diseases hampering people’s health and overall productivity. Vulnerable populations include the elderly minority communities. Regarding healthy living, access to information from both mainstream and social media helps to create an informed populace that can make accurate health-related decisions.
Summary of Interview
What can you describe as the main measure of healthy living?
Preventive health
What are the key barriers to healthy living in Dallas?
Poverty, inequality, insurance coverage challenges
There are many interventions for enabling people avoid diseases and injuries in the community. They include regular screening, community-based education, and an active lifestyle. Among these and others, the main measure is preventive health. Preventive health strategies include healthy eating, getting children at a productive age, and avoiding risky behaviors such as alcoholism and smoking. Inequality is a leading barrier. For instance, structural racism affects how and when different populations access health care services. Poverty among some communities is another barrier. The other problem that needs to be addressed is lack of insurance coverage.
Summary of Interview
Which area do you think requires government intervention?
Insurance coverage
How can community health nurses and other providers help to improve health outcomes in the community?
Health education, awareness programs, policymaking, and advocacy
Insurance coverage: people need more support and education to improve coverage. Such measures will ensure that people can get health care services when needed. Timely services are integral to reducing mortality and morbidity rates. A community health nurse can be involved in health education via media, community-based teaching, and publishing/distributing educational materials. Awareness programs sensitize people on risk avoidance while reminding them on the essentials of healthy living. Policies would help to address inequities and other barriers. Advocacy is essential for promoting health needs of different populations.
Summary of Interview
Do you think some populations are at a higher risk than others?
Yes: ethnic and sexual minorities, elderly adults
Do you think there are adequate health care providers?
No
If you were to prioritize health interventions, what would be your choice?
School-based education programs
Ethnic and sexual minorities and the elderly are more vulnerable to health care issues than other populations. Like many other counties and states, Dallas County needs more health care providers. Increasing the current number of nurses will lead to a significant reduction in health care staff shortage and patient care problems since health care services will be timely and efficient. On school-based education programs, all children should be educated on chronic diseases including causes, risk factors, and management. There should be a mandatory exam on the same at all levels.
Opportunity for Health Promotion
Problem/issue: chronic diseases/ high diabetes incidence
Opportunity: school-based health education program
Features/Defining Elements
Health education at all levels
Regular school visits
Exams/continuous assessment
After a detailed assessment of health status, barriers, and enablers to health in the community, the appropriate opportunity for health promotion is a school-based health education program. The opportunity would effectively respond to the problem of chronic diseases in the community characterized by high diabetes incidence. Under this program, children will receive health education at all levels to ensure they are conversant with chronic diseases’ prevention and management. To improve outcomes, community health nurses and other health care professionals will regularly visit learning institutions to review/update the programs where necessary. Learners will also undergo mandatory assessment to enable them retain the learned skills.
Rationale/Considerations
Problem centered intervention
Proactive measure for health promotion
EBP integration in community health
Creating informed populations
Improving nurses-community connection
The opportunity for health promotion has been selected based on many considerations. Generally, it is problem-centered intervention to address a critical community health problem. Educating children at an early is a proactive measure for health promotion since it will help children avoid risky behaviors that can expose them to chronic diseases. Furthermore, the opportunity helps to integrate evidence-based practice (EBP) into community health practice. As such, it coincides with the professional obligation of health care providers of integrating clinical expertise and research to improve health outcomes. Other justifications include creating informed populace and improving the community’s relationship with health care providers.
Key Findings/Conclusion
A well-informed population/community
Main barriers to health: poverty, lack of insurance, inequity
Leading enablers: education and access to health care
Government and non-government agencies partner to improve health outcomes
Community health nurses’ support: education/awareness, policymaking, advocacy
The community health assessment from research and the interview demonstrates Dallas County as a well-informed community as far as health, diseases, and control are concerned. High education rates and internet access are critical to creating a community up-to-date with health and health-related matters. The assessment further reveals that the main barriers to quality and timely health in Dallas include poverty, lack of insurance, and inequity. Ethnic minorities are the most affected by the inequity problem. However, there are many enablers, including education and high access to health care, that help people live healthily. Other findings include government and non-government agencies partnering to improve health. Community health nurses can improve health outcomes in the community through education and awareness programs, policymaking, and advocacy.
Conclusion: General Health of the Community/Impressions
The community health status can be further improved
Multiple barriers hamper access, affordability, and attitude
There are also many enablers to enable people live better lives
Chronic diseases should be prioritized
Continuous governmental and non-governmental support determines the overall health outcomes
Overall, the health status in Dallas has many positive elements although there are massive opportunities for improvement. Health care stakeholders and partners should continue working together to maximize the output of enablers as they deal with current and future barriers. When addressing health care problems or setting goals, health care providers should prioritize some areas. Chronic diseases have emerged as a severe health problem affecting all populations. As a result, the immediate goal is to prevent further rise in their rates by adopting appropriate interventions. Above all, continuous support from government and nongovernment agencies is key to achieving the desired results.
1.Describing the community and its limits, including its inhabitants, its geography, geopolitics, economy, educational level, ethnic makeup, and forms of social interactions, as well as its obstacles and problems, which may include any known socioeconomic determinants of health.
2.Detailed summary of the community assessment’s financial and collaboration components.
3.Summary of the interview with community health/public health provider.
- Identification of a deficiency in the community or a prospect for health promotion
5.A conclusion synthesizing significant results and discussing interviewers’ opinion of the community’s overall health.
The Mexican-American population is the second biggest in the United States. These people make up 16.7% of the total population of the United States. They make up 53% of the Latino/Hispanic populace in the US. Various elements, especially Mexican Americans’ movement inclinations, add to the scattering of the Mexican American people group all through the US. Mexican Americans make up by far most of Los Angeles’ populace, representing 97% of the city’s aggregate. Texas, California, and Miami all have a significant amount of these inhabitants.
Mexican Americans moved away from their hometown mostly due to poverty. Notwithstanding, their development has supported the elevated degrees of destitution in their new settlement regions. Most members of this ethnic group are financially insecure. This cultural group is the least educated in America. Due to their recent embrace of education, about 8 million Mexican Americans now attend public schools throughout the country. Nevertheless, the neighborhood faces educational segregation with the establishment of low-level Mexican schools.
A widely diverse population makes up Mexican Americans. The group has members from a wide variety of cultures that contribute to the current lifestyle that the neighbourhood has adopted. Instead of being categorized as a race, Mexican Americans are an ethnic group. This is shown by statistics from a 2006 research by the Institute of Genomic Medicine, which showed that Mexicans are composed of 58.9% Europeans, 35.05 Asians, and 5.03% other compositions. Due to their origins, the group is now classified as an ethnicity rather than a race.
Mexican Americans share many traits with Hispanics, including an extroverted personality. Everyone they come into touch with appreciates their kind disposition. They are extremely transparent in their relationships with others, and even among themselves, they rarely engage in confrontational behavior. Parents serve as their children’s primary social context educators. The cultural traditions of the group are passed down through parents. Currently, Mexican Americans have a high rate of intercultural marriage.
The Mexican American community shares objectives like being financially independent. This was the aspiration of the people when they immigrated to the United States. Mexican Americans work tirelessly to improve their living situations and by engaging in education. They believe that they will be able to escape poverty by pursuing formal education. The group is interested in improving their living conditions . The safeguarding of their way of life, which has been displayed to adversely affect individuals, is a main issue among Mexican Americans.
Mexican Americans face a number of difficulties, including economic hardship brought on by a lack of resources as a result of their disadvantaged upbringing. On a variety of levels, this makes it challenging for people to engage within cultures. Additionally, the danger of their removal as immigrants exists. One of the most important problems confronting the Mexican American community is this. Their kids do get a good education, as shown by the overcrowded, subpar learning environments in public schools where they are jammed. This group is affected by the racial segregation from their neighborhood. The community’s interaction with other American communities is also constrained by language barriers.
One of the lifestyle influences affecting the health of Mexican Americans is the level of education they have, which influences how well they know the healthcare system and interact with it. One social viewpoint that influences their wellbeing is the local area’s dietary culture, which is likewise a way of life for them. This is a result of individuals from this background not caring about their nutrition. Socially imposed poverty levels, which include a mindset of inexpensive treatment options, prevent people from accessing better healthcare.
In addition to my own funds, our instructor, a school official, provided the required funding for this assessment. To aid with the completion of this job in line with the course requirements, guidance was provided by the instructor. Thank you everyone for providing the funding and enough supply of the necessary resources, which allowed the evaluation of this community to be completed successfully. I enlisted the help of other students from my school to do the several tasks required to evaluate this community. To do the community evaluation, I also had help from a close friend. The success of the evaluation was also significantly influenced by members of the general public and the healthcare professional who accorded me his time.
Since the community health worker answered the questions honestly, the interview with the healthcare professional went well. The person gave comprehensive responses to every question, she raised and gave replies that were supported by examples from her own professional experiences. Because of this interaction, the community’s understanding and viewpoint have both improved. I now understand why members of this group interact with the medical system the way they do. The conversation helped to clarify a number of other factors that affect how Mexican Americans get healthcare.
The absence of health information in the community is one of the main issues that was raised throughout this interview. It is evident that most people (Mexican Americans) are ignorant of the importance of healthcare and the benefits of engaging with it. To change the condition in this neighborhood, the health sector must be involved in general. It will also be essential to pass health education, which offers an opportunity to enhance health. Reaching out to underprivileged regions of the community and teaching people about the value of health is part of the process (Castro-Schilo, Fredrickson, & Mungas, 2018). Long-term improvements in Mexican Americans’ medical encounters with healthcare will result from community education.
As per this assessment, the way that 33% of the Mexican American populace is large adds to the local area’s wellbeing concerns. This is a huge gamble factor that advances the improvement of a few way of life sicknesses(Castro-Schilo, Fredrickson, & Mungas, 2018). One aspect of this problem is a lack of nutritional education and the need of good meals. This problem has also led to the rise in diabetes prevalence in society (Giger, 2016). Community education on dietary habits will give an opportunity for health promotion. Individuals in the community will live better lives because of this method, which will significantly improve health.
The fact that communication is a barrier to Mexican Americans, willingness to seek healthcare may be another factor. To address this issue, the health sector’s involvement must be focused. Increasing the number of Mexican healthcare professionals in areas where this issue has been identified is one way to solve it (Giger, 2016). Individuals are more ready to interface with health services when they feel that they are much improved comprehended. Language barriers can make it difficult to accurately address and promptly resolve the problems they Mexicans Americans encounter.
The study’s main result is that Mexican Americans’ relationships with their health are often poor. The community has put healthcare so far down the list of priorities that it is now unworkable. Another significant finding is that these individuals have little interaction with the healthcare system largely due part to financial constraints. The income of most households’ limits interactions with health practitioners due to the community’s extreme poverty. Another important finding was that since the local population still adheres to conventional beliefs and outdated healthcare delivery techniques, they are less engaged with contemporary healthcare (Lemley, & Spies, 2015).
The investigation’s key result is that the Mexican American population lacks understanding, which greatly affects how they engage with modern healthcare. Lack of understanding of how important healthcare is to an individual’s well being contributes to this. The relationship between this community and healthcare might be improved with the required knowledge. The third important finding is that Mexican Americans’ access to the healthcare system has been hampered for a long time by the language barrier.
Based on this assessment, the overall impression of health services among Mexican Americans is that they have not completely embraced current healthcare. This may be seen in the way they have long ignored this part of society. The population is now adopting English as a common language and have a connection to education. Their financial condition will change as a result, opening the door to potential interactions with the healthcare system. In the next four generations, the situation will likewise significantly change . As a result, more Mexican Americans will start using contemporary medical treatments.
References
Castro-Schilo, L., Fredrickson, B. L., & Mungas, D. (2018). Association of Positive Affect with Cognitive Health and Decline for Elder Mexican Americans. Journal of Happiness Studies, 1-16.
Lemley, M., & Spies, L. A. (2015). Traditional beliefs and practices among Mexican American immigrants with type II diabetes: A case study. Journal of the American Association of Nurse Practitioners, 27(4), 185-189.
Champagne, B. R., Fox, R. S., Mills, S. D., Sadler, G. R., & Malcarne, V. L. (2016). Multidimensional profiles of health locus of control in Hispanic Americans. Journal of health psychology, 21(10), 2376-2385.
Giger, J. N. (2016). Transcultural nursing: Assessment and intervention. Elsevier Health Sciences.