NURS 492 Community Health Nursing Clinical Application Project/Community Health Project Part I Purpose: The purpose of this clinical application project is for students to assess the health care needs of a population within their community. This is an independent assignment. Task: Working within the community, students will identify a community based coalition, school, civic organization, occupational health setting or other practice site for this clinical experience and work with this community to identify and prioritize a community diagnosis and develop a plan to address it. Students are encouraged to begin this process early and identify a mentor within the chosen clinical/practicum site. Students will complete the Organizational Mentor Form to course faculty for review and feedback before beginning this assignment. Students are expected to use adequate and appropriate resources to support your discussion. Assessment is the first step in the nursing process. Assessment of the community will involve statistical analysis as well as observations. Local and State Health Departments and the Centers for Disease Control (CDC) will offer statistical data to guide this project. Refer to Healthy People 2020 and include social determinants of health as you begin to assess your community and identify an population of the community that has a need and may benefit from intervention. Once you identify the population, continue the nursing process with determining diagnoses, prioritizing diagnoses and developing interventions to address the identified need. Refer to Chapter 9 in the course text for guidance with planning for change. Literature Review • To begin the discussion review 5 or more current nursing research articles and research from other professions. This literature should be used to support your discussion of the characteristics, problems/needs of population. (A minimum of 5 total resources is required) Literature reviewed but not cited within the discussion should appear on reference page. Assessment • • • • Define your identified population and rationale for selection. Discuss methods for gaining entry to the community and include any research or tools utilized Discuss the characteristics of population. Use data sources to define sociodemographic characteristics. Discuss actual and perceived health status. Identify both internal and external influences affecting population health Compare/Contrast your chosen population with similar populations, the community, the state and/or the nation. Provide specific examples and/or current statistics. Community Health

Nursing Diagnoses (plural) should accurately reflect the needs of your population Support your Nursing Diagnoses with rationale and theory support and prioritization applied to population. Include comparative analysis and interpretation of data collection and current research relative to health problems/needs. Wagner Fall 2017 • Compare/Contrast- Compare and contrast target population with similar populations, the community, the state and/or the nation. Provide specific examples and/or current statistics. Planning • • Health Planning/Needs- Select and discuss one priority Nursing Diagnosis which needs intervention. Provide specific, measurable objectives. Alternative Interventions- Include description of alternative interventions necessary to fulfill objectives. Discuss either existing or developing resources. Format • • • • • Appropriate APA formatting using the APA 6th edition guidelines, correct grammar and spelling are expected. This discussion should not exceed 6-8 pages excluding title page and reference page, should be doubled spaced and follow APA 6th edition guidelines. Proper grammar and syntax is expected All statements should be supported with professional literature. A minimum of 5 sources of nursing research are required. Literature reviewed but not cited should appear on reference page. Use of material from websites should be judicious ** Keep in mind that when you use/cite a source you are identifying the author as an expert worthy of being cited. Lay person web sites and blogs are generally not appropriate for use in professional discussions. Submit via Bb submissions link Wagner Fall 2017 NURS 492 Community Health Nursing Clinical Application Project/Community Health Project Part II Purpose: The purpose of this clinical application project is to allow students the opportunity to refine the planning process and implement and evaluate the interventions designed to address the health needs of the chosen population within their community. This is an independent assignment. Task: As you continue working with the population identified in Part I of this project you will refine the plan and continue with the implementation and evaluation phases of the nursing process as it is applied to your population. To be successful with this project you will implement your interventions and evaluate the outcomes. There is an 8 page maximum limit on this paper. Planning • • • Nursing Diagnoses- Discuss health problems identified in the assessment phase (Part I) with rationale for selection with resources provided. Please use traditional nursing diagnosis format. Please make sure your diagnoses are community oriented and incorporate the community assessment data. Priority diagnosis- Identify a priority nursing diagnosis with sound rationale and EBP support. Identify an overall goal and specific and measurable objectives. Interventions- Describe interventions necessary to accomplish objectives. Include consideration of interventions at each systems level (Review Text p 155) where appropriate. Select and validate intervention(s) with highest probability of success. Include use of existing or developed resources. Intervention • • • Planned Interventions- Identify one intervention at appropriate level (primary, secondary or tertiary) and support intervention with EBP. Literature -Please identify 5 acceptable resources to support your planned interventions. Barriers-Identify barriers and discuss remediation. Evaluation • • • • Planning- Develop an evaluation plan that addresses achievement of objectives as stated to include processes and rationales. Community Health

Limitations- Discuss limitations relative to the evaluation process or tool used and suggestions for resolution. Recommendations- Address recommendations for further action based upon evaluation and communicate to appropriate individuals. Implications- Discuss the implications for Community Health Nursing. Format • Appropriate APA formatting using APA 6th edition, correct grammar and spelling are expected. Wagner Fall 2017 • • • This discussion should not exceed 6-8 pages excluding title page and reference page, should be doubled spaced and follow APA 6th edition guidelines. Proper grammar and syntax is expected All statements should be supported with professional literature. A minimum of 5 sources other than course textbook are required. Use of material from websites should be judicious ** Keep in mind that when you use/cite a source you are identifying the author as an expert worthy of being cited. Lay person web sites and blogs are generally not appropriate for use in professional discussions. Submit via Bb submissions link Wagner Fall 2017 NURS 492 Community Health Nursing Community Health Project Paper: Part 1 Purpose: The purpose of this assignment is to allow students the opportunity to gain entry and assess a population within their community. This is an independent assignment. Task: Working within the community, students will identify a community based coalition, school, civic organization, occupational health setting or other practice site for this clinical experience and work with this community to identify and prioritize a community diagnosis and develop a plan to address it. Students are encouraged to begin this process early and a preceptor form must be submitted identifying the contact at the chosen clinical/practicum site. Please use adequate and appropriate resources to support your discussion. Criteria Assessment – Aggregate (10) – Aggregate Characteristics (25) Poor Novice Proficient Excellent Aggregate is not well identified or defined. Rationale for aggregate selection missing. Lacks discussion for how entry to community is gained (0-3) Aggregate identified but not defined. Rationale for selection not thoroughly discussed. Identifies methods for gaining entry to community aggregate. (4-6) Discusses introduction to aggregate. Includes rationale for aggregate selection. Methods for gaining entry to community identified. (7-9) Sociodemographics not supported by data. Health Status determined by student opinion, not supported by objective and subjective data. Sociodemographics supported by opinion and 2 or less data sources. Health Status determined by student opinion, not supported by objective and subjective data. Utilizes 2-4 or more data sources to define sociodemographic characteristics . Discusses actual and perceived health status. Identifies both internal and Discusses introduction to aggregate. Includes rationale for aggregate selection and process. Methods for gaining entry to community discussed, including any research or tools utilized. (9-10) Utilizes 4 or more data sources to define sociodemographic characteristics . Discusses actual and perceived health status. Identifies both internal and – Literature Review Resources (15) – Compare/Contra st (10) – Population Needs (Nursing Diagnoses) (5) Internal and External influences missing or lacks accuracy. (010) Conducts literature review of less than 3 current nursing research articles plus utilizes current research from other professions. Research not well applied to the characteristic, problems/need s of aggregate (0-6) Lacks comparison of target aggregate with similar aggregates, the community, the state and/or the nation (0-3) Internal and External influences missing or lacks accuracy. (1117) external influences affecting aggregate health. (18-23) external influences affecting aggregate health.Community Health

(24-25) Conducts literature review of less than 4 current nursing research articles plus utilizes current research from other professions. Research not well applied to the characteristic, problems/needs of aggregate (710) Conducts literature review of less than 5 current nursing research articles plus utilizes current research from other professions. Applies research to the characteristic, problems/need s of aggregate (11-13) Conducts literature review of 5 or more current nursing research articles plus utilizes current research from other professions. Applies research to the characteristic, problems/need s of aggregate (14-15) Compares target aggregate with similar aggregates, the community, the state and/or the nation (4-6) Compares and contrasts target aggregate with similar aggregates, the community, the state and/or the nation (7-9) Nursing Diagnoses identified but Nursing Diagnoses identified but Appropriate Nursing Diagnoses Compares and contrasts target aggregate with similar aggregates, the community, the state and/or the nation. Provides specific examples and/or current statistics. (910) Appropriate Nursing Diagnoses Planning – Health Planning/Needs (15) – Alternative Interventions (10) Format (10) APA, Spelling, Grammar Total-100 lacks 2 or more of the following componentslacks rationale, theory support, and or prioritization ( 0-2) lacks 1-2 of the following componentslacks rationale, theory support, and or prioritization (3) (plural) with rationale and theory support and prioritization applied to aggregate. (4) (plural) with rationale and theory support and prioritization applied to aggregate. Health problems/need s include comparative analysis and interpretation of data collection and current research. (5) Lacks one priority Nursing Diagnosis which needs intervention. Provides generalized objectives. (06) Identifies one priority Nursing Diagnosis which needs intervention. Provides generalized objectives. (710) Does not discuss alternative interventions, does not include identification of resources. (0-3) Identifies but does not discuss alternative interventions, does not include identification of resources. (4-6) Selects and discusses one priority Nursing Diagnosis which needs intervention. Provides specific, measurable objectives. (11-13) Includes description of alternative interventions necessary to fulfill objectives. Lacks full discussion of resources. (7-9) Greater than 5 errors. (0-3) 4-5 errors (4-6) Selects and discusses one priority Nursing Diagnosis which needs intervention. Provides specific, measurable objectives. (14-15) Includes description of alternative interventions necessary to fulfill objectives. Discusses either existing, developing or resources. (910) 0-1 errors (910) 2-3 errors (7-9) NURS 492 Community Health Nursing Community Health Project Paper: Part 2 Purpose: The purpose of this assignment is to allow students the opportunity to refine planning and implement and evaluate interventions designed to address the health needs of an identified aggregate within their community. This is an independent assignment. Community Health

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Task: As you continue working within the community with the aggregate you identified in part 1, you will continue with the implementation and evaluation phases of the nursing process as it is applied to your aggregate. Criteria Planning – Nursing Diagnoses(7) – Priority diagnosis (9) Poor Novice Proficient Excellent Health problems not identified or no discussion of health problems. Traditional Nursing diagnosis not used. (0-1) Health problems identified with minimal discussion. Traditional nursing diagnosis format used. (2-3) Discusses health problems identified in assessment phase with rationale for selection with resources provided. Traditional nursing diagnosis format used. (6-7) Nursing diagnosis not identified or poorly discussed. No EBP. Goals and objectives are vague and not measurable. (0-1) Nursing Diagnosis discussed without sound rationale. Minimal EBP support. Goal identified. Objectives are vague or broad. (2-4) Discusses health problems identified in assessment phase with rationale for selection with minimal resources provided. Traditional nursing diagnosis format used. (4-5) Discussion of priority nursing diagnosis with rationale. General goal identified. Some objectives are specific and measurable. (5-7) Priority nursing diagnosis identified with sound rationale and supported EBP. Goal identified and identified objectives are specific and measurable. (8-9) – Interventions (9) Intervention – Planned Intervention (10) – EBP (10) – Barriers (10) Interventions not discussed relative to achievement of set objectives. Probability of success not addressed sufficiently. (0-1) Describes interventions necessary to accomplish objectives. Probability of success minimally discussed. (2-3) Described interventions necessary to accomplish objectives, interventions with highest probability of success identified with minimal validation (4-6) Described interventions necessary to accomplish objectives. Included consideration of interventions at each systems level where appropriate. Select and validate intervention(s) with highest probability of success. Include use of existing or developed resources. (7-9) Intervention is not thoroughly identified and/or discussed. No EBP for rationale, (0-1) One intervention is identified to implement. With or without EBP rationale. (2-4) Less than 2 resources cited. Use of inappropriate resources. (0-1) Barriers not discussed. (0-1) Citation of 2-3 acceptable resources. (2-4) One intervention is identified at appropriate level (primary, secondary or tertiary) is planned with EBP rationale. (5-7) Citation of 3-4 acceptable resources. (5-7) One intervention is identified at appropriate level (primary, secondary or tertiary) is planned with EBP rationale. (8-10) Citation of 5 acceptable resources. (8-10) Barriers may or may not be identifiedremediation efforts not discussed. Barriers identified and discussed with remediation identified. (5-7) Barriers identified and thoroughly discussed with remediation identified. (2-4) Evaluation – Planning (9) – Limitations (8) – Recommendatio ns(9) – Implications (9) Format (10) APA, Spelling, Grammar Evaluation plan not developed adequately (0-1) An evaluation plan is developed without regard to achievement of objectives. (2-3) (8-10) An evaluation plan is developed that addresses achievement of objectives to include processes and rationales. (4-7) An evaluation plan is developed that addresses achievement of objectives as stated to include processes and rationales. (7-9) Limitations are Limitations are Limitations are Limitations are inadequately or discussed and discussed adequately not addressed. suggestions for broadly discussed Resolution of resolution relative to the relative to the limitations not discussed. evaluation evaluation addressed. (2-3) process or tool process or tool (0-1) used and used and suggestions for suggestions for resolution resolution discussed. discussed. (4-6) (6-8) Recommendati Recommendati Recommendati Recommendati ons are not ons are made. ons for further ons for further minimally No action based action based discussed with communicatio upon upon no follow n through evaluation are evaluation are through. appropriate and are adequately (0-1) channels. communicated addressed and 2-3) to appropriate are individuals. communicated (4-7) to appropriate individuals. (7-9) Implications Implications Implications Implications for Community for Community for Community for Community Health Nursing Health Nursing Health Nursing Health Nursing not or minimally discussed. thoroughly inaccurately discussed. (4-7) discussed. discussed. 2-3) (7-9) (0-1) Greater than 5 4-5 errors 2-3 errors 0-1 errors (9errors. (4-6) (7-9) 10) (0-3) Total-100 …