Description

 

N4465
Care of Vulnerable Populations

COMMUNITY
ASSESSMENT, ANALYSIS, and NURSING INTERVENTION

Modules
1-3 (Weeks 1 – 3) Assignment Template

Use of the Three-Part
Course Template

●  The use of the three-part template to submit
weekly Major Course Paper Assignments goes as follows:

●  Week 1:  Clinical
Experience: Windshield Survey and Key Informant Interviews. Complete
the  First
Section of the  course template and
submit. (Keep this section attached to Weeks 2 and 3 assignments.)

● Week 2:  Statistical  Analysis of Community Health Problem.
Complete the Second Section of the
course template and submit.  (Keep this
section attached to Weeks 1 and 3 assignments.)

● Week 3:  Community
Health Nursing Intervention. Complete the Third Section of the course template and submit.  By now, you should have Sections 1-3 as one
whole document.  

 

● Each section of the
course template is submitted on a WEEKLY
basis, depending on which week you

are
working on.  DO NOT wait to submit all three sections at the end of the third
week.

● Please note that
students are not to make any changes
to the content of the course template, for example, removal of questions or
examples imbedded in the response box of the template.  

 

● Removal of the questions or examples imbedded in the response box of
the template is

considered
tampering with the content and will result in a 10-point grade deduction per
assignment.

Should removal of the
questions or examples imbedded in the response box of the template persist
by the student, in addition to the 10-point deduction, the student will be
referred to the Office of Student Conduct for final disposition.  You are strongly encouraged to be mindful of
this course policy.

 

● The ONLY change students may make to the
template is to enlarge the space to make their entries in the response boxes.

 

● Should you encounter
any difficulties with these course policy guidelines, please consult with your

Academic
Coach.                     

 

 

 

 

Clinical Experience: Windshield Survey
and Key Informant Interviews

 

Student
Name: ________Salma Gamal______________Dates: 2/28/20_________________

Name of Community or Zip
Code: ____CEDAR HILL___75104______________

 

Module One (Week One): Part One Windshield Survey and Key Informant
Interviews

Please
complete the following information on this template
about the community you have selected. If
you do not
use this template there will be a 10- point grade penalty per assignment, and you will be
required to resubmit within 48 hrs. You may increase the size of the
block by continuing to type.  Use as much
space as necessary to provide your answers

Elements	Descriptors
Physical Environment	Make sure you address fully what you observed and NOTE if something was not found within your community area.
● Boundaries	What defines the boundaries? Roads, water, railroads. Is the area known for a particular name? What area is this community located in? I would definitely say roads are what define Cedar hill TX it’s such a small city, but we do not have any railroads or lakes in the city. The closest would be Grand prairie lake reserve which is 10miles from where I live.
● Housing and Zoning	What is the age of the houses? Describe type of construction material, appearance, and general condition. Do you see single family housing?  Multi-family housing? Cedar hill was founded around 1846. Cedar hill currently has 5 home listed on the national park service’s national register of the Texas historical commission’s list of recorded Texas historic landmarks. Almost all homes I saw were made out brick I couldn’t find any exact material information online but I did notice that our town has many old homes as well as new modern brick ones.
● Common Meeting Places	Where do people in the neighborhood hang out? Who hangs out there and what hours of the day? Starbucks, AMC cedar hill (our only theater in town) Uptown cedar hill Mall (outdoor shopping center that has many mall based stores.
● Indicators of Growth or Decline	Is this a “thriving” community or does it look “run down?”  Is there new or ongoing construction?  Businesses and Industries coming to the area? Are buildings, roadways, and public areas clean and well-kept. Do you see dirt, trash, or graffiti? I think I would say it’s a thriving community, we have many shopping, dining places that are up to date on what’s popular in the state , I didn’t notice any trash anywhere, neither did I notice dirt of graffiti.
● Employment Opportunities	What places for employment are there is this area? Name the businesses and industries in this area. There’s many retail Employment opportunities, however I didn’t notice any big businesses in our town, we have large business bank branches but other than that I cant think of any other ones we have.
● Transportation	How to people get from one place to another?  Is public transportation available?  How timely is it? Personal autos? Bikes?  Walking? Mostly everyone gets around by personal transportation, we don’t have a dart train nearby neither did I notice any bus stops, I believe one would have to go to Duncanville ( the next town over to use public transportation.
People	Make sure you address fully what you observed and NOTE if something was not found within your community area.
● Race and Ethnicity	What is the majority racial group represented? What is the majority ethnic group represented? Describe the distribution of gender, approximate ages, single families, multiple families, generational families?  The racial and ethnic composition of the population is 51% black, 25.8 white 0.5 hispanic black, 2% Asian, .5 native American , this city is very family oriented, and often times I would see families together but also single people at times. Median age of the city is 34 years old. I do believe many people that live here stay a while and many generations stay here.
● Cultural Characteristics	What cultural similarities or differences do you observe? Languages spoken?  Clothing?  Ethnic eating places?  Culturally-based celebrations? Signs in languages other than English? English is obviously #1, then I would say Spanish is second most common, and Asian. Theres many different diverse eating places such as Chinese, American, Mexican, Asian, country fried, seafood.
●Lifestyle Healthy Behaviors	What healthy lifestyle behaviors do you observe? Do you see people exercising, wearing helmets when biking, seat belt usage, using trash cans for garbage disposal, healthy eating practices? Theres many gyms In the area, Such as Planet fitness, 24 fitness, LA fitness, Orange theory, I never saw people biking to be honest, I did observe people who drive and passengers wearing seat belts, There is rare healthy food options in the town but a couple such as smoothie king, subway, sprouts.
● Lifestyle Risk Behaviors	What unhealthy lifestyle behaviors do you observe? Do you see people practicing risky lifestyle behaviors such as drinking alcoholic beverages, smoking, fighting? Do you see signs of violence, gang activity, drug use, criminal activity, and bars on doors and/or windows?  Do you see overweight/underweight persons? Do you see children unattended playing out in the streets? Do you see any signs of homelessness?  Street people? Describe gender, age, and race/ethnicity of persons observed. I didn’t observe any risky lifestyle behaviors, I did observe people smoking cigarettes while driving. No fighting, no bars on doors or windows seen. I do see many overweight people and I also observed the town is filled with fast food chains and unhealthy dining options which can’t help the health crisis of the city. I rarely saw children playing in the streets however while passing by a park I did observe them there. I didn’t come across any homelessness nor street people. Everyone I saw in the streets seemed like average people.
● Poverty Indications	Do you see any signs of homelessness?  Street people? Describe gender, age, and race/ethnicity of persons observed. No I didn’t notice anyone lying or living in any side of the town.
Services in the Community	Make sure you address fully what you observed and NOTE if something was not found within your community area, how far away it is and how people will access it.
● Social Services	Do you see evidence of recreation centers, parks, and social services? For services that are not available, how far must persons travel to access these services?   Describe each. We do have a cedar hill recreation center. Its in the middle of town near Joe Wilson road so I believe it should be close to everyone in town, also on that street there is a park with a walking trail.
● Health Services	Do you see evidence of health (Hospitals, Dr’s Offices, Clinics) and mental health services?  Describe each. Are there any signs of alternative services in the area, such as healers (curanderos), herbalists, herbal stores, palm readers, acupunctures, chiropractors. For services that are not available, how far must persons travel to access these services? I didn’t notice any hospital chains , only a Emergency 24hr clinic. I didn’t see any mental health service clinics. I did see many massage businesses such as massage envy and a palm reader.
● Fire and Police Services	Do you see any fire and police services/equipment/officers? Where are the closest fire and/or police stations? The closest police station is near my neighborhood on jewels rd. in the middle of town also the fire department is a couple miles down from it.

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Description

In the Cleveland Clinic case, and related HBR article, there are many issues to consider. What is their responsibility? What should they do, and what resources can they bring to help this patient? In your report, please use the data provided in the case as much as possible to help you make informed decisions, and to support your arguments. 

Wendy Leebov provides an outstanding presentation on communication practices. Additionally, AIDET is a framework for communication in health care. I am also posting Behaviors of Excellence from a health care organization with which I have worked that show how communication can be operationalized into job descriptions and performance reviews. Other best practices have been implemented to ensure service quality. What other examples can you share?

Finally, Sievert (NEJM) shares an incredibly powerful narrative about a patient that, to me, touches on many topics that we have covered in this class, and is related to the Cleveland Clinic case. What are your thoughts on this?

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Description

HBSP Case, available online; “Cleveland Clinic: Improving the Patient Experience,” by Ananth Raman and Anita Tucker (2011), Prod. #: 612031-PDF-ENG: http://hbr.org/product/Cleveland-Clinic–Improvi/an/612031-PDF-ENG (Links to an external site.)

HBSP Case (“Cleveland Clinic: Improving the Patient Experience,” by Ananth Raman and Anita Tucker: This three-page paper will challenge you to apply concepts discussed previously in this class to describing specific issues, assessing opportunities utilizing analytic tools, and determining a course of action going forward. Please answer the three questions (one page maximum each) provided below.

Please answer 3  questions. This assignment should be written as completely yet concisely as possible, in no more than three (3) single-spaced 8.5 x 11” pages, in 12 point font, with 1” margins all around.

 

1.     Dr. Berwick realized that there are ties between clinical effectiveness and patient experiences. Dr. Cosgrove’s wake-up call at Harvard was that patients don’t decide to go to a specific hospital on clinical outcomes alone. Dr. Merlino also asserted that there is a relationship among discharge information, nurse communication, and readmission rates. What is your assessment of the realization that there is a relationship between clinical quality and patient perspectives? How does this impact the description of patient experience as “customer service” and “nonclinical factors” that may be “competitive differentiators”

 

 

 2. Managing patients’ expectations is an important way to manage perceptions of quality. Describe how Cleveland Clinic’s efforts to manage patient expectations relate to the Gap Model of Service Quality. Assess Dr. Merlino’s comments on and response to quiet-at-night as a specific initiative to manage patient expectations. Given what we know from this course, is his perspective reasonable? What else would you suggest that he consider when strategizing around increasing scores for noiseat-night?

 

3. Assess the following statement, given what we have covered in this class and what is covered in the case: “Improving the patient experience is the right thing to do for our patients, but at what point does the burden of improvement exceed the responsibility of hospitals?” What advice would you give to Dr. Cosgrove about investing in the OPE, and what he might measure to gauge ROI?

 

 

 

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Application: Project Schedule

 

 

 

Once a project’s deliverables have been identified and diagrammed in a work breakdown structure, the next step is to subdivide each deliverable into smaller components that represent the specific work that needs to be performed in order to complete the work package. These defined activities can then be sequenced. This sequence of activities provides the basis for the project schedule. By including these details, schedules enable project managers to monitor and control project activities, assess how delays will affect a project, and determine how to allocate excess available resources.

 

For this Assignment, you use the example from this week’s Discussion to construct a schedule in Microsoft Project. (See below example below)

 

 

Task Dependencies

 

Inserting an intravenous (IV) line is a multi-step process. Before attempting to find a suitable vein, nurses must gather the appropriate materials (tourniquet, catheter, IV tubing, etc.). Before puncturing a patient’s vein, nurses must first find one that is suitable. This process illustrates the project management principle of task dependencies. Each task in the process depends upon the previous one’s completion in order to begin.

 

Once a project’s scope has been defined and its work breakdown structure created, the next step is to generate a detailed and precise schedule for all activities in the project. This schedule allows for monitoring the project’s progress and provides a strategy for mitigating risk during the project’s life cycle. The identification of the relationships (dependencies) between the tasks in a health information technology project is critical as you determine a project timeline.

 

 

 

 

 

To prepare:

 

 

 

• Review this week’s media presentation on scheduling resources and activities.
• Recall the example you presented in this week’s Discussion. (SEE ABOVE)
• Consider the tasks and dependencies identified.
• Think about how you would sequence the tasks, and dependencies, for the example.
• Consider tasks and dependencies that might be modified to create the most time-efficient project schedule

   

   

   

  To complete:

   

  Submit the following:

 

1. A schedule created in Microsoft Project for the example from this week’s Discussion. Include the following:
   1. The dependencies related to the tasks outlined in your schedule
   2. Identification of each dependency’s type
2. An explanation of how the tasks and their dependencies were modified to expedite the project schedule.

 

 

 

 

 

Required Readings

 

 

 

Coplan, S., & Masuda, D. (2011). Project management for healthcare information technology. New York, NY: McGraw-Hill.

 

 

 

• Chapter 3, “Project Management”
  • “Time Management” (pp. 59–68)

     

    This section of Chapter 3 focuses on how project managers may plan and control a project schedule to complete a project in a given timeframe. The chapter explains the various aspects of tasks, resources, and scheduling that are necessary for effective time management.

    Project Management Institute. (2013). A guide to the project management body of knowledge (PMBOK guide) (5th ed.). Newtown Square, PA: Author.

 

• Chapter 6 “Project Time Management” (pp. 141–192)

   

  This chapter provides an overview of processes that can be used to manage a project so that it is completed on time: defining activities, sequencing activities, estimating activity resources, estimating activity durations, developing a schedule, and controlling a schedule.

   

  Biffi, M.-H. (2008). Linking the estimate, the schedule and the cost control through a standardized WBS. AACE International Transactions, 1–11.

  Retrieved from the Walden Library databases.

   

  This article explores how a WBS can link almost all the aspects of a project. The author describes how a WBS can be the starting point for many other documents that organize a project.

   

  Fretty, P. (2012). On the right track. PM Network, 26(9), 50–55.

  Retrieved from the Walden Library databases.

   

  This article examines the consequences of accelerating a project schedule and provides guidelines for when a project should be “fast-tracked.”

   

  Pells, D. L. (2012). Seek the truth! [Special section, Editorial]. PM World Today, 14(2), 1–10.

  Retrieved from the Walden Library databases.

   

  The author of this editorial stresses the importance of honesty in project planning and project management in general, providing numerous examples in which honesty leads to better outcomes.

   

  Somani, S. (2008, August). On deadline. PM Network, 22(8),  26.

  Retrieved from the Walden Library databases.

   

  In this article, the author discusses the importance of adhering to set timelines in project management.

   

  Wing, K. T. (2010). The discipline of finishing. Strategic Finance, 92(1), 17–18.

  Retrieved from the Walden Library databases.

   

  This article provides guidelines for successfully completing projects. The author examines topics such as schedule conflicts, ineffective time management, and self-imposed discipline.

   

  Office Online (2014). Link tasks in a project. Retrieved from https://support.office.com/en-us/article/Link-tasks-in-a-project-31b918ce-4b71-475c-9d6b-0ee501b4be57?ui=en-US&rs=en-US&ad=US

   

  In this article, the author describes the different types of task dependencies and offers suggestions for choosing the correct dependency type.

   

   

  Heather. (2008, July 28). Back to basics: Understanding task dependencies [Blog post]. Retrieved from http://blogs.msdn.com/b/project/archive/2008/07/29/back-to-basics-understanding-task-dependencies.aspx

   

  This article reviews the four types of dependencies available in Microsoft Project. The author provides guidelines for when each dependency type is appropriate.

   

   

  Document: Individual Project Overview (PDF)

   

  This document provides an overview of the Individual Project you will work on throughout this course.

   

  Required Media

   

  Laureate Education (Producer). (2013d). Planning, part II: Scheduling project activities and resources[Video file]. Retrieved from https://class.waldenu.edu

   

  Note: The approximate length of this media piece is 19 minutes.

   

  In this presentation, the participants discuss the scheduling of project activities and resources and the software tools that can be used to do so. They also explain what is meant in project management by “the critical path.”

   

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Description

ASSIGNMENT COVER SHEET

 

 

Course name:	Introduction to Anatomy and Physiology
Course number:	BIOL102-CRN-20879
Assignment title or task: (You can write a question)	Paper Assignment Q) Choose any system of the human body and prepare a response to the following questions in 1-2 pages: 1.     Introduction (Explain the system with the components) 2.     Body (Explain how the system relates to achieve homeostasis in human body) 3.     Conclusion (Choose any disease common in KSA and explain how and which part of the system is affected) 4.     References (APA format)
Student name:
Student ID:
Submission date:

 

 

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