University of Phoenix
Healthy Communities: Theory and Practice
April 23, 2012
A Windshield Survey was completed for the city of Sandy Lake, a town in Northwestern PA with a population of approximately 13,000 people (Quick Facts Census website, 2012). The purpose of the survey is to identify Meadville’s community health needs. In addition to performing the survey, research was performed online to obtain supplemental demographic data. The research resulted in the following information about Meadville: * The ancestral lineage of the city is the Pennsylvania Dutch, who was descendants of Germany (City of Sandy Lake website, 2012). * The average household income is about $50,000 per year with 24% of the population with an income less than $15, 000 per year (CLR Search website, 2012). * The unemployment rate is 8% and more than 75% of the employment is white-collar jobs (CLR search website, 2012). * Annual average temperature is 49 degrees Fahrenheit with an average precipitation of 42 inches (CLR Search website, 2012). * The average age of residents is 39 years old (CLR Search website, 2012).
Prior to beginning the research, the following terms were defined: community, community health, and community as client. Understanding the meaning of these terms is an important part of assessing the health of a community.
A Community is a group of people bound by physical boundaries, meaning a geographical location, or by a shared set of values, beliefs, culture, interests, etc. An example of a community with a geographic boundary would be China Town in New York City or an Indian reservation in Arizona. An example of communities who share the same beliefs, culture, and lifestyle regardless of their location would be the Amish community. According to Stanhope and Lancaster (2008), Community Health is the "meeting of collective needs by identifying problems and managing behaviors within the community itself and between the community and the larger society" (p. 347). Community Health has three common characteristics: status, structure, and process. These three characteristics include but are not limited to: morbidity and mortality rates, life expectancy indexes, risk factor profiles, consumer satisfaction, mental health indexes, demographics, health services and resources available, collaboration and interaction within the parts of the community, and identifying the issues and needs within the community. Community as Client is defined as caring for an individual or an individual’s family, known as community-based nursing practice, or it may mean caring for a specific population within a community, known as population-centered practice. Visiting nurses are an example of community-based caregivers because they go into the client’s home to provide care. Occupational nurses are population-centered caregivers because they provide care for a population in a workplace setting. The common factor for both types of care is the community setting. After defining the above terms, the Windshield Survey was completed and six aspects of the community that affect health were identified. These aspects will be discussed as well as a Healthy People 2020 indicator related to my nursing specialty, which is cardiac nursing. Windshield Survey Results:
Housing andZoning| The houses within the city limits tend to be large, single family houses probably built in the early 1900s, most of them built with wood. Some of the houses have more than one address on the porches so they must have been divided into apartments at some point. Most of the houses are in close proximity of each other, probably less than 20-feet apart. Many of them are in need of repairs or updates with the paint peeling and the windows appearing to be the original ones. The houses on the north end of town have been more recently built and tend to be higher end single-family houses built with...