Priority Community Problem Statements and Comprehensive SWOT Summary
Instructions: With consideration for windshield, health profile, and demographic assessment findings, summarize census tract strengths, weaknesses, opportunities and threats (SWOT) in a table, narrative, or both, and propose two community diagnoses (problem statements).
APA format: 1-2 pages; paragraphs double-spaced
Level 1 APA heading for SWOT information/table. Summarize census tract strengths, weaknesses, opportunities and threats (SWOT) in a table.
Level 1 APA heading for the community diagnosis section of the community paper; level 2 APA headings for Diagnosis 1 and Diagnosis 2.
Begin the community diagnosis section of the community paper by stating application of SWOT and Muecke’s frameworks. Correctly cite Muecke’s article in text and the References section.
Document census tract SWOT summary followed by two priority community diagnoses that include what, who, why, and how dimensions (MAKE SURE IT IS A PROBLEM THAT CAN BE ADDRESSED BY COMMUNITY NURSING):
Risk of____________, among_______________, due to __ (can address lack of or need for community nursing intervention to reduce risk)_________, as evidenced by_____(MUST INCLUDE MEASUREABLE INDICATOR SUCH AS INCIDENCE RATE OR PREVALENCE PROPORTION). https://www.youtube.com/watch?v=1jzZe3ORdd8
The due to factor should relate to the need for a community nursing intervention that can reduce the risk and will provide the basis for a nursing project proposal.
The as evidenced by factor should be a measurable indicator that can be influenced by the community nursing intervention and could be used to evaluate the effectiveness of a proposed nursing project.
Categories of measurable indicators include but are not limited to preventable infection rates, chronic illness prevalence, physical injury rates, undesired condition (i.e., teen pregnancy) rates. Specific indicators may include but not be limited to Healthy People objectives and Healthcare Effectiveness Data Information Set (HEDIS) measures.
Write a brief summary about why SWOT analyses and community diagnoses are critical to community nursing process (i.e., planning, intervention, evaluation) and the next steps (i.e. project proposal).
Information and Resources:
Muecke’s article
Minnesota Wheel of Public Health Interventions https://www.health.state.mn.us/communities/practice/research/phncouncil/docs/PHInterventionsHandout.pdf
APA manual
Community paper grading rubric in course outline
Below is a sample for a guideline on the flow for part 5 of this paper. Do not copy the information though as it needs to be original thought but may use as a guide in development for the section.
SWOT Analysis and Community Problem Statements
Muecke (1984) describes goals of community health nursing in terms of primary prevention to decrease disease and threats to health. A community health nurse performs comprehensive windshield, health profile and demographic assessments to identify challenges the community’s members face that poses a threat to their health as a whole.
Data of interest includes but is not limited to disease and injury rates that require members to seek health care. Sources of data include hospitals, primary care clinics, 911 system, and the health department. The strengths, weaknesses, opportunities, and threats (SWOT) framework will be applied to analyze opportunities for improvements and Muecke’s framework will be used to specifically state two high-priority community problems.
SWOT Analysis
SWOT analysis for Census Tract _______ contains four categories: 1) strengths, 2) weakness, 3) opportunities, and 4) threats. Internal factors include strengths and weaknesses of the community, while opportunities and threats are factors from outside of the community. Strengths within the community should be built upon and enhanced, whereas weaknesses will require resolutions to reduce disease and illnesses. Opportunities provided externally will allow for community expansion, while threats from external sources should be reduced and avoided.
Strengths Weakness
Housing with central AC and modern plumbing
Smooth paved sidewalks and safe bike lanes
Recreational facilities to promote exercise
Public transportation
HEB and Wiatrec’s Meat Market
Different health specialty resources
Multiple different churches provide spiritual support
Higher education attainment Old aged homes built before 1978
Limited health insurance acceptance
No parks
Smoking pregnant women
High percentage of people without health coverage
Poverty
Educational system
Increased unemployment
Opportunities Threats
Employment opportunities
Primary, secondary and tertiary prevention
Prevention education
Various health services
Women’s services and prenatal care education Inability to access resources
Inadequate prenatal care
Reasonable salary employment
Education
Diagnosis 1
Increased risk of infant mortality and morbidity among children born to women with inadequate prenatal care related to inability to access resources and insufficient education regarding the importance of early prenatal care as evidenced by the increased number of women not receiving any prenatal care from 8.3% to 10.2% in Bexar County and 4% to 4.7% in the state of Texas (Texas Health Data, 2012 & 2015), a decrease in the percent of high school graduates or higher from 88.9% in Census Tract ______ to 82.5% (U.S. Census Bureau, 2015 & 2018), and the upward trending rates of families below poverty level of 9.9% to 11.6% (U.S. Census Bureau, 2015 & 2018).
Diagnosis 2
Increased risk for heart diseases among adults 65 years and older related to comorbidities, lack of health maintenance, and poor diet consumption demonstrated by the rise of heart diseases from 21.8% to 24% in the county and 22.4% to 22.8% in the state (Texas Health Data, 2012 & 2015), increase of Kidney Disease from 2% to 2.1% in the state (Texas Health Data, 2012 & 2015), the unchanged proportion of Diabetes (Texas Health Data, 2012 & 2015), the substantial availability of fast-food, inability to access healthcare from lack of funds due to the high numbers of families living below poverty of 123 in Census Tract _______ and 54,320 families in Bexar County (U.S. Census Bureau, 2015 & 2018), and the increased rate of those with education less than 9th grade in Census Tract ______ by 2.9% (U.S. Census Bureau, 2015 & 2018).
SWOT Analysis and Community Problem Statement Summary
The ability to identify the strengths, weaknesses, opportunities, and threats in a community through data collection from the Windshield Assessment, Texas Health Data, and the United States Census Bureau would assist the community health nurse to identify opportunities for improvement that will increase the overall health of the population.
Two priority nursing diagnosis have been determined using Muecke’s framework. These diagnoses include information relating to the potential risks, the population that is at risk, factors that contribute or relate to the risks, and measurable evidence related to the risk (Muecke, 1984).
Now that assessments and diagnosis have been completed, the nursing process will be applied to create a plan for action including a goal, related interventions and outcome measures.
