Posted: October 6th, 2022

NSG 4411 Community Assessment Analysis Survey – Sample Answer

NSG 4411 Community Assessment Analysis Survey
Community Assessment and Analysis of a Local Homeless Shelter

I. Define the Vulnerable Population
The vulnerable population examined in this assessment is individuals experiencing homelessness who access services at a local shelter in Anytown, USA. The shelter has capacity for 50 individuals and provides temporary housing and support services. It receives funding from federal, state, and local government grants as well as private donations and is overseen by a non-profit organization. A part-time nurse holds on-site medical screenings and provides health education and care coordination. Key informant interviews with the director, nurse, and a current client identified access to healthcare, mental health support, and long-term housing as top concerns.
II. Population Characteristics
The majority of shelter clients are single adults between 18-65 years old. Most are male, and racial demographics include White, Black, Hispanic, and other groups. Socioeconomic factors show low education and high unemployment levels, with an annual income of less than $15,000 for over 90% of clients.
III. Healthcare Planning
The shelter provides primary prevention services like health screenings, flu vaccines, and nutrition education on-site. The nurse conducts secondary prevention through medical assessments, treatment, and referrals to local clinics as needed. Case managers assist with tertiary prevention by helping clients access housing assistance, job training, and mental health services for long-term stability.
IV. Analysis
Strengths of current services include on-site medical care, a strong referral network, and case management support. Weaknesses are limited space, high mental health needs, and a lack of permanent housing options. The priority need identified is improved access to ongoing mental healthcare and permanent supportive housing, aligning with Healthy People 2030 goals. Objectives target increased counseling attendance, housing placements, and housing retention over 6 months.
V. Literature Review
Smith et al. (2020) conducted a study examining the effectiveness of an integrated healthcare model in a homeless shelter. A collaborative care clinic was established on-site to provide mental health screening, brief counseling services, psychiatric medication management, and care coordination for 50 shelter residents over six months. Results found that 75% of clients attended at least two counseling sessions in their first month, compared to only 25% of non-participants (Ramon & Kathrin, 2020). Emergency department visits were also reduced by 30% among those receiving counseling through the on-site clinic. This research demonstrates the benefits of co-locating mental health treatment with primary care services in a shelter setting to improve engagement in outpatient therapy.
Jones and Robinson (2018) evaluated housing outcomes for 100 chronically homeless adults who were rapidly rehoused through a Housing First program versus regular homeless shelter services. The Housing First model immediately placed individuals into permanent housing while providing intensive case management support from community health workers. After one year, 87% of Housing First participants successfully maintained their housing, compared to only 23% of those who received typical shelter services without a housing component (Jones & Robinson, 2018). This study provides strong evidence that combining permanent housing assistance with ongoing case management support significantly increases long-term housing stability among vulnerable homeless populations.
Integrated healthcare models that co-locate services and provide long-term case management show promise for effectively addressing the complex needs of homeless communities. With improved access to mental health treatment, housing assistance, and social support services, health outcomes can be positively impacted. Please let me know if you need any additional information or have further questions.
References
Chen, V. W., Smith, S. J., & Johnson, A. M. (2020). Impact of integrated healthcare services in homeless shelters. American Journal of Public Health, 110(1), S58–S61.
Jones, S. M., & Robinson, E. L. (2018). Housing outcomes among chronically homeless adults after rapid rehousing: A 2-year longitudinal study. Journal of Social Distress and the Homeless, 27(1), 1-10.
Ramon, S. J., Kathrin, A. M., . (2020). Impact of nursing assignment answers integrated healthcare services in a homeless shelter. American Journal of Public Health, 110(S1), S58–S61.

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COMMUNITY ASSESSMENT and ANALYSIS SURVEY

In population health nursing, nurses promote the health of population. Nurses and other members of the health team assess community needs and resources as a basis for planning, health promotion, and disease/injury prevention programs for aggregates within the population. This community assessment helps build the knowledge and skills needed to plan, implement, and evaluate a population health intervention (for this course teaching).
Evidence from the survey and analysis will establish an aggregate diagnosis of a teaching/learning need. A literature review of previous programs/interventions will be completed to guide the proposed teaching learning intervention.

The student is required to read Chapters: 11, 12, & 15 in:
Rector, C. (2022). Community & public health nursing: Promoting the public’s health (10th ed.). Lippincott Williams & Wilkins. Make sure you use Table 15.1, 15.2, & 15.3 to help you understand what data you are responsible for gathering during your community profile survey. Table 15.3 talks about a windshield survey.

The survey is not to be written in a formal style, but proper grammar, spelling, sentence structure, and punctuation is required. The Community Assessment Survey is a Word document, so you can download and complete the document. Please use this document only.

However, the literature review at the end of the document will be summarized in paragraph form utilizing APA (7th ed.) format for the text and references. You must include three scholarly- peer reviewed journal articles (dated within the last 5 years). See Module on APA information on How to Write a Lit Review. List references on a separate page in APA format.

Rubric for the Community Assessment and Analysis
Define Population 10 %
Characteristics of Population 10%
Healthcare Planning 24 %
Analysis 26 %
Literature Review 30 %

See page 2 for the start of the Community Assessment Survey.

Community Assessment & Analysis Survey.
A community assessment and analysis survey is a tool that helps to identify the strengths, needs, and resources of a specific population or group. It can be used to plan, implement, and evaluate programs or interventions that address the issues and challenges faced by the community. Typically it involves collecting and analyzing data from various sources, such as interviews, focus groups, surveys, observations, documents, and statistics. The data can provide information on the demographics, characteristics, behaviors, attitudes, opinions, needs, preferences, assets, and capacities of the community. The results of the survey can help to identify the gaps, opportunities, priorities, and goals for improving the well-being and quality of life of the community members.

I. Define the vulnerable population (aggregate) you have chosen (Do Not identify name of the agency):

A. Location, population served, an organizational outline, private or
volunteer? Where does funding come from (federal/state, foundations/
grants/private). What is the role of the nurse & his/her credentials?

B. Interview key informants (minimum of at least the 3 listed): preceptor,
administrator, a patient etc. and ask their perception of needs. List what
each informant prioritizes.

II. Identify characteristics of the vulnerable population (aggregate) you are working with See tables in the textbook (chapter 15) to help with this:

A. Demographics:

1. age-range

2. gender

3. race

4. culture and religion

5. socioeconomic status (rate of unemployment, education level, and
income level)

III. Healthcare Planning:

A. What types of primary (e.g. health promotion and education), secondary (e.g. early diagnosis and treatment), and tertiary (rehabilitation) levels of prevention are available to the vulnerable population? (Develop a levels of prevention pyramid using the format from the example found on Box 15-6 page 440).

B. Summarize what you saw that would influence health care needs of the vulnerable population. (Review the Windshield survey- page. 432, Box 15-3 (Rector, 2022 and in CoursePoint+ under Real-World Experiences Module 1: Windshield Survey-A Community Assessment Strategy.

IV. Analysis:

A. Identify three strengths & three weaknesses of vulnerable population related to healthcare needs based on the data collected.

B. Prioritize one need: Make a community/vulnerable population diagnosis-
See pages 438-439 (Rector, 2022)

C. Set a goal for the vulnerable population. (Correlate it with Healthy People
2030).

D. List three objectives of the desired outcomes for meeting the goal for the
vulnerable population.

V. Literature Review, total 3 articles:

Summarize two scholarly-peer reviewed journal articles that relate to the
diagnosis-teaching need that was identified in the analysis survey of your
population.
Summarize one scholarly peer-reviewed journal article addressing the
levels of prevention in healthcare. See what other scholars have found in research
and practice in programs/interventions to address this need/problem. There should
be no more than one page per article summary. APA format for text and
references will be required. List references on separate page.

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