Windshield Survey Reflection Analysis
Windshield Survey Reflection
This paper is a depiction of my windshield survey completed on February 26, 2012 in Mesa, AZ; specifically the community dubbed ‘a street named desire’, it reveals my understanding while conducting this survey. Reflection Prior to beginning this assignment, I realized I must first learn the purpose of a windshield survey, and how it is carried out. I learned to look at my surroundings differently. “Assignment Workshop portfolio Rubric and Nursing Objectives” (n. d. , discloses “A windshield survey is “a composite of subjective and objective data that help define a community, its trends, stability and changes that will affect the health of the population” (Preparation). It involves surveillance of an assortment of public assets to determine the general condition of the community. The subjects observed are: housing and zoning, open spaces, boundaries, commons, transportation, service centers, stores and street people, signs of decay, race and ethnicity, religion and politics, health and morbidity, and media.
The term community took on a whole new meaning. Dictionary. com defines community as “a social group of any size whose members reside in a specific locality, share government, and often have a common cultural and historical heritage” (“community,” 2012). Community health is “the meeting of collective needs by identifying problems and managing behaviors within the community itself and between the community and larger society” (Stanhope & Lancaster, p. 347). Community as client “nursing focus is on the collective or common good of the population instead of on individual health” (p. 43). Ultimately, community health is the greatest amount of good for the greatest number of people. My client base became much larger. My outlook grew broader.
“Healthy People 2020″ (2012), states ” Injuries are the leading cause of death for Americans ages 1 to 44, and a leading cause of disability for all ages, regardless of sex, race/ethnicity, or socioeconomic status. ” (Injury and violence prevention). This fact is also expressed by the U. S. Department of Health and Human Services (n. d. , ” Ages 1-14: Injuries for Caucasians are 26% and 23% for Hispanics; Ages 15-24: 22% Caucasians and 16% Hispanics; and for Ages 25-44: 18% for Caucasians and 16% for Hispanics. (National leading causes of death). My community goal echoes that of Healthy People 2020, to reduce nonfatal unintentional injuries. One nursing role that will affect this health indicator is education and awareness. A reduction in injury may begin with swimming pool/water safety, stranger awareness, or car safety. Nursing Diagnosis #1 Risk for injury related to physical factor (pool) as evidenced by documented injury rates.
Client will show decrease in injury rate of five percent in the next year. Interventions: Teach parents the need for close supervision of all young children playing near water, including washing machines. Assess for the influence of cultural beliefs, norms, and values on the client’s perceptions of risk of injury (Ackley & Ladwig, 2011, p. 500). Nursing Diagnosis #2 Risk for trauma related to misuse of seat restraints and physical proximity to vehicle pathways. Client will explain actions that can prevent trauma. Encourage the use of proper car seats and safety belts.
Teach parents to restrict nighttime driving after 10 pm for young drivers (Ackley & Ladwig, 2011, p. 852). Nursing Diagnosis #3 Readiness for enhanced community coping related to programs available for recreation as evidenced by local and accessible community center. Client will maintain effective coping strategies for management of stress expressed by verbalization on each visit (weekly or monthly). Help the community to obtain funds for additional programs. Encourage positive attitudes toward the community through the media and other sources (Ackley & Ladwig, 2011, p. 278). According to U. S.
Department of Health and Human Services (2012), Phoenix, Arizona has the sixth highest Hispanic/Latino population in the United States (Hispanic/Latino profile). Approximately 76 percent speak a language other than English. In the quest to provide culturally competent care, it is crucial to provide literature in Spanish. This aids in closing the health care gap that many minorities experience. Many of the facilities in this community already provide these services in the form of consents, discharge instructions, and informational pamphlets. When partnered with community assets, such as hospitals, home health agencies, schools, and local usinesses, nursing knows no limits. Ackley, B. J. , & Ladwig, G. B. (2011).
Nursing Diagnosis Handbook: an evidenced-based guide to planning care (9th ed. ). St. Louis, MO: Mosby Elsevier. Assignment Workshop Portfolio Rubric and Nursing Objectives. (n. d. ). Retrieved from http://www. engl. niu. edu/wac/PortRub-SON-Obj. htm community. (2012). In Dictionary. com. Retrieved from http://dictionary. reference. com/browse/community Healthy People 2020. (2012). Retrieved from http://www. healthypeople. gov/2020/topicsobjectives2020/overview. aspx? topicId=24 Stanhope, M. , & Lancaster, J. 2008). Public Health Nursing- Population-Centered Health Care in the Community (7th ed. ).
Retrieved from The University of Phoenix eBook Collection database. U. S. Department of Health and Human Services. (n. d. ). Community health status indicators. Retrieved from http://www. communityhealth. hhs. gov/NationalLeadingCausesofDeath. aspx? GeogCD=04013&PeerStrat=1&state=Arizona&county=Maricopa U. S. Department of Helath and Human Services. (2012). The Office of Minority Health. Retrieved from http://www. minorityhealth. hhs. gov/templates/browse. aspx? lvl=2&lvlID=54