Windshield Survey/Community Assessment
Conduct a “Windshield Survey” in a section of your community. Instructions for the survey can be found in Stanhope and Lancaster (2016) on page 416, Table 18-6. As you notice, conducting a Windshield Survey requires that you either walk around or drive around a particular section of the community and take notes about what you observe. A Windshield Survey cannot be conducted by reviewing websites or Google Earth only. It requires actually taking a look at the selected area of the community. This survey should be focused on the problem and population you have selected for your practicum project. If you choose, for example, obesity among Hispanic schoolchildren, you might want to locate a section of the community where many Hispanic children live, or you might want to conduct the Windshield Survey around where Hispanic children attend school. If Hispanic children are not found in a specific section of your community (e.g., Chinatown in San Francisco or Harlem in New York), then you may select the section of the community where you live or work but pay particular attention to your practicum population and practicum problem as you conduct a survey of the community as viewed through the eyes of the public health nurse.
By Day 7 of Week 3
Submit a 3- to 4-page paper including:
- Introduction to the community, including the name of the community and any interesting or historical facts you would like to add about where you live
- Photographs of the selected area of the community that serve as evidence of your observations and hypotheses
- Windshield Survey findings, including a description of the section of your community that you chose to survey
- Description of the Vulnerable Population and Available Resources
- Demographics of the vulnerable population
- What social determinants create their vulnerable status?
- What community strengths exist to assist this population?
- Conclusions based on Nursing Assessment of the Community
- Based on what you have found, what conclusions can you draw about your community and your selected population for your practicum?
- Select at least 5 scholarly resources to support your assessment. Websites may be included but the paper must include scholarly resources in its development.Assignment: Windshield Survey/Community Assignment
NURS 4210-4/4211-4 Role of the Nurse Leader
January 25, 2020
Windshield Survey-Community Assessment
Facts and General Population of the A cme community, Grand Traverse County
Acme is one of the communities in Grand Traverse County, Michigan State. It has a total population of 4, 375, and covers a land area of 64.8 square kilometers, with more than 2,215 households and 1, 231 families. Currently, the population density is 172.1 people per square kilometer. The community population is composed of various races (Ogden et al., 2017). The white race makes 97.3%, African American 0.23%, Native American 0.28%, Asian 0.35%, and Hispanic 2.10%. As a nurse, I am determined to serve the obese adults’ population across all the present races in the community. The completion of a windshield survey will help me identify healthcare gaps among adults with obesity and ways in which their condition is enhanced or promoted.
A windshield survey of the Acme community facilitates this Community assessment. 25 .5% of the population is below 18 years old, 6.1% range between 19 to 24 years, 27.1% from 25 to 44 years, 27.4 from 45 to 64, and those with over 65 years of age make 13.9%. The average earning for a household in the community is $50, 425, and the average income for a family is $58, 886 (Hales et al., 2018). The per capita income for the community is $24, 219. Almost 4.5% and 6.5% of the community population is under poverty line, inclusive of 3.5% of those under 18 years old and 9.7% of those aged 65 and above .
While walking around the Acme township, the general view of the environment is attractive. Tarmacked roads and skyscrapers are everywhere. All races engage in business activities that make a busy community. However, the white race dominates the community, and white people own most of the private healthcare facilities. On the streets, most of the adult beggars have excess body weight. Below are some of the photographs taken during the windshield survey
1.0. Obese adults seeking help from authorities 1.1. Business activities in Acme townsip
1.2. Healthcare Facility 1.3. Acme Township Street 1.4. Healthcare Facility
1.5. Manufacturing Plant
Obese Adults in Acme Community
Approximately 25% of adults within the Acme community are obese, according to the Michigan State Health Report. Out of 83 counties of Michigan State, Grand Traverse County is ranked 23rd as one of the top counties leading in obesity. In 2013, Grand Traverse County had 26.8% of residents with obese (Perez-Sanz, 2019). The graph below from the Centers for Disease Control indicates the percentage of Grand Traverse County adults who are overweight. Adult African Americans in my community have a significantly high prevalence of obesity (20.1%) than other races .
Within the Acme community, the most vulnerable obese population has low income and lives below the federal poverty line. Obese beggars depict this along Acme township streets from the photographs taken during my windshield survey. These obese adults use wheelchairs to seek assistance from government offices.
Social Determinants Creating Obese State
Race, education level, gender, income level, poverty, and unemployment are the main social determinants leading to increased rates of obesity among adults in the Acme community. Diet remains a critical factor attributed to obesity that has a close connection with differences in dominance seen across geographical areas and higher obesity rates with low social and economic status individuals in the Acme community. In the Acme community, most of the many businesses sell fast foods. Fast food restaurant density contributes to increased cases of obesity among residents and makes the issue prevalent (Ogden et al., 2017). Adults who eat two to three times a week at a fast-food restaurant do not meet physical activity guidelines. They have decreased self-efficacy for feeding on healthy diets. Transport is another considerable factor influencing the rate of obesity among adults because the community infrastructure determines neighborhood walkability and transportation linked to weight status. Walkability leads to the low prevalence of overweight and obesity among adults within the community. Proximity to recreational facilities, access to sidewalks and paths, and access to parks are the main facilitators of physical activity .
Acme community has some strengths (resources), too, despite vulnerabilities to obesity. There are many resources to reverse the obesity epidemic among adults in the Acme community. The community enjoys initiatives provided by higher learning institutions in dealing with the obesity issue among adults and other residents. Michigan State University Extension Action is an initiative that gives or delivers relevant, affordable, evidenced-based education to assist obese adults, young people, and families living in urban and rural communities (Lee et al., 2019). The initiative helps obese adults in the Acme community to acquire skills required to purchase and prepare nutritious, budget-friendly meals, and increase physical activity. These services offered to form an integral part of the community strengthens that prevail to help the population. This program has reached even other neighborhoods in all counties of the State of Michigan.
Building Healthy Communities program is a beneficial resource within the Acme community for fighting against obesity among adults. Community members apply for this program since it is a private-public initiative designed to fight obesity in the Acme community. The Michigan Fitness Foundation and Community Impact and Action for Healthy Adults back the initiative (Arend et al., 2019). The initiative educates obese adults about risk factors to obesity and ways they can avoid them. For instance, the community is encouraged to adopt healthy lifestyles, such as a good diet that determines their health for a lifetime. Further, the program target schools to assist kids with obesity, where the main objective is improving childhood health through school-based wellness. Kids gain knowledge of healthy habits that can even help them in their adulthood.
Acme community in Grand Traverse County continues to face obesity as a public health issue. Obese adults do not have adequate knowledge in maintaining the condition in terms of lifestyles. Social factors such as poverty, low education, and low-income are prevalent risk factors to the obesity issue. Most of the community members do not engage in physical activity since the improved infrastructure, such as roads, makes them use cars instead of walking. This transportation issue increases the prevalence of obesity within the community. If the community uses available resources, the obesity issue within time will become a thing of the past .
Arend, A., Liu, L., Vapenik, K., Ye, N., & Yu, K. (2019). The Blue Communities Initiative: Empowering communities to instill the value of water at the heart of all they do.
Hales, C. M., Fryar, C. D., Carroll, M. D., Freedman, D. S., & Ogden, C. L. (2018). Trends in obesity and severe obesity prevalence in US youth and adults by sex and age, 2007-2008 to 2015-2016. JAMA, 319(16), 1723-1725.
Lee, K. H., Heo, J., Jayaraman, R., & Dawson, S. (2019). Proximity to parks and natural areas as an environmental determinant to spatial disparities in obesity prevalence. Applied Geography, 112, 102074.
Ogden, C. L., Fakhouri, T. H., Carroll, M. D., Hales, C. M., Fryar, C. D., Li, X., & Freedman, D. S. (2017). Prevalence of obesity among adults, by household income and education—United States, 2011–2014. MMWR. Morbidity and mortality weekly report, 66(50), 1369.
Perez-Sanz, S. (2019). The problem of obesity among high school students in Michigan State House District 101. Public Health Review, 2(1).
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