COMMUNITY HEALTH AND POPULATION-FOCUSED NURSING PRACTICUM Competencies: 7019.1.1: Epidemiology – The graduate applies principles of epidemiology to the assessment of the healthcare needs of communities. 7019.1.2: Community Care and Collaboration – The graduate plans and coordinates community care in collaboration with community partners. 7019.1.3: Community Advocacy – The graduate develops culturally sensitive and relevant strategies to advocate for populations, based on knowledge of community health systems. 7019.1.4: Community Health Promotion – The graduate proposes health promotion initiatives and services to promote disease and injury prevention. 7019.1.5: Environmental Health – The graduate assesses the impact of the environment on the health of the community. 7019.1.6: Global Health – The graduate analyzes past and present initiatives meant to improve the health of the global community. 7019.1.8: Cultural Competency – The graduate analyzes social and cultural factors that affect the care of diverse populations. ________________________________________ Introduction: In this task, you will write a narrative description of your field project. The narrative should appropriately note in-text citations and references. You may attach, as appendices, any charts, tables, or other materials (labeled with the source identified per APA format). Use the headings in the requirements section below as the headings for your written paper. Please review the “California Student Preparation for Field Project/Clinical” attachment and the “How to Approach Possible Sites” attachment. Note: If you are a student who does not reside in the state of California, you were incorrectly enrolled in this performance assessment and should be enrolled in a different one. Please contact to rectify this error. Requirements: SUBJECT: CHILDHOOD OBESITY IN KERN COUNTY Write a narrative description of your field project by doing the following: A. Assessment 1. Describe the community where you performed your fieldwork by identifying each of the following items: • geographical area (e.g., county, city, town) • area size • population size • demographics • physical and social environment (use the windshield survey from task 1 of C228) See attached file PH2 2. Discuss the health concern you studied in your fieldwork. a. Provide background information in relation to Healthy People 2020 and local public health data that characterizes the health concern. b. Provide data from national, state, and/or local levels related to the health concern. 3. Describe the target population affected by the health concern you studied in your fieldwork, including each of the following components: • gender • age • demographics, including socioeconomic status and educational level a. Explain how the health concern is linked to a health inequity/health disparity for the population of interest. i. Provide specific data to support the health inequity/disparity conclusion. 4. Discuss the primary community resources and partners currently involved with the health concern. a. Describe how your fieldwork interviews support your chosen health concern, including a summary of the interviews. OBESITY IS A PROBLEM. TARGETING CHILDREN AND YOUTH MAY HELP TO CREATY HEALTHY HABITS IN NEXT GENERATION. PUBLIC HEALTH DEPARTMENT OF KERN COUNTY IS A LEADER AND INITIATOR OF OBESITY PREVENTIVE MEASURES THROUGH EDUCATION, COMMUNITY INVOLVEMENT, AND PROMOTION OF HEALTH EATING PRACTICE 5. Discuss aspects of the population health concern not being addressed despite the efforts of the partners involved. ALL PROGRAMS ARE TARGETING UNDESERVED AND LOW INCOME POPULATIONS. POPULATIONS INCLUDE MIDDLE CLASS/MID INCOME FAMILIES B. Outcomes Identification 1. Explain the desired outcome(s) or goal(s) for improvement related to the health concern. Create social and physical environments that promote good health. Promote healthy behaviors across all life stages. Note: This outcome or goal should be in alignment with Healthy People 2020 objective. C. Planning 1. Create a nursing action plan to address the identified population health concern. a. Recommend two population-focused specific objectives. Note: The recommended objectives should be measurable ones. b. Recommend two population-focused specific nursing interventions to improve the health concern. Note: Use the attached “Minnesota Intervention Wheel” as an aid in selecting the broad areas for nursing action. Select primary and secondary prevention activities only. For example, explain how you and other nurses might work with the community and your chosen target population of interest to improve the health concern. 2. Discuss potential public and private partnerships from your field experience that could be formed to implement your recommendations from parts C1a and C1b. PUBLIC HEALTH AGENCIES, DEPARTMENT OF EDUCATION, FARMERS MARKET, GROCERY STORES, CITY LEADERS, COMMUNITY, MEDIA 3. Create a specific timeline for your population-focused nursing interventions. D. Evaluation 1. Explain how you would evaluate the effectiveness of the nursing action plan created in part C. a. Identify the measurable tools necessary to perform the evaluation. E. Conclusion 1. Reflect on how your perspective of the community’s health and the national, state, and local efforts toward a healthier population has changed as a result of your fieldwork. INCREASED AWARENESS OF THE PROBLEM, LEARNED: AVAILABLE RESOURCES TO ADDRESS THE PROBLEM F. Supplemental Materials 1. Include a reference list in APA format that lists all sources used in your paper. Note: Corresponding in-text citations should be used throughout your paper as well. 2. Include appendices if necessary (e.g., charts, graphs, copies of any surveys, maps). 3. Submit a completed copy of the “Community Health Fieldwork Documentation Form” in which you describe your clinical activities in the community. Include the following in your form: a. the preceptor’s signature and acknowledgment b. the authorized WGU clinical instructor’s signature and acknowledgment c. your acknowledgment, printed name, handwritten signature, and state license number Note: Be sure to include the date, the location, a description of the experience, a brief list of people who were involved, and the amount of time spent for each event. This form should be included as an appendix. Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section. Note: When using sources to support ideas and elements in an assessment, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the assessment. Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from outside sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the APA Guidelines section.

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