The purpose of this direct care project is for learners to apply the nursing process to a community health problem determined by their observations and data collection of vulnerable populations in their community.
The purpose of this direct care project is for learners to apply the nursing process to a community health problem determined by their observations and data collected of vulnerable populations in their community.
This is Part 2 of 4 in the Direct Care Project. Direct Care
Project Overview
1. There are four parts to the Direct Care Project.
2. There will be graded Project Check-ins that correlate to each part.
3. The topic selected in Part 1 will be the same one used in Parts 2 through 4.
4. Review the table below for overview and due dates with each topic.
5. Carefully review the instructions, templates, tutorials, and rubrics for each part.
6. Contact your instructor with questions.
Substance Use •
o SBIRT: Planning the Presentation Instructions (Links to an external site.)
3. Download the template below and create a PowerPoint presentation for your selected group.
4. Create speaker notes for the PowerPoint presentation. These will assist you as you present and will be part of your assignment submission.
5. Utilize your own words and paraphrasing for all presentation content.
6. The presentation should be no fewer than 8 and no more than 15 slides. This does not include the introduction and reference slides.
7. Submit presentation in PDF for instructor approval. See Submitting PowerPoint Notes Pages in PDF format (Links to an external site.).
Best Practices
• Please use your browser’s File setting to save or print this page.
• Include your name and date on the title slide.
• Check for spelling and grammar errors prior to final submission.
• Use bullet points instead of long sentences or paragraphs
• Include graphics, photographs, colors, and themes.
• Use the rubric as a final check prior to submission to ensure all content is clearly addressed.
• Scholarly Sources and Citations
• Minimum of 3 references. See Presentation Instructions for references needed.
• Cite all resources in APA format on the slide where content occurs. Cite in lower corner/footer as prompted on template. • Reference slide is in template. Hanging indent is not required.
Direct Care Project Part 1
Substance Use Assessment and Diagnosis Template
Directions: Collect the data outlined in this template. Fill in the blanks in the tables provided. There are two parts – online data collection and a modified windshield survey data collection. You will then identify a nursing problem in a vulnerable population and write a nursing diagnosis. See the assignment directions for suggestions and best practices. For full credit, all information in a category must be completed. This will be the topic of your Assessment and Nursing Diagnosis Template and also Parts 2 through 4 of your course project.
Name:
Online Data Collection
- Community Information
| Your Community Data | |
| Name of city or town and state | Brooklyn, NY |
| Population | 2,504,700 |
| Nature of this community (rural, suburban, urban) | Urban |
| Describe your community in 2-3 sentences | Kings county is very diverse neighborhood. The community has a variety of different cultures that interact to create a perfect melting pot. |
- Community Demographics
- Go to https://www.census.gov/quickfacts/fact/table/US/PST045218
- The US data should automatically populate
- Input your zip code or county/township name
- Then input your state for comparison data
- Enter the data into the table below
- Compare the county, state, and US data
- Go to https://www.census.gov/quickfacts/fact/table/US/PST045218
- Community Epidemiological Data
- Click on your state
- Start with Overall Rankings in Health Outcomes
- Then choose your county
- Click on your state
**you will need to use the “+” to see all of the data**
| County Data | State Data | |
| Health Outcomes Percentile | 75-100% | N/A |
| Health Factors Percentile | 25-50% | N/A |
| Premature death | 5,100 | 5,400 |
| Low birth weight | 8% | 8% |
| Adult smoking | 15% | 13% |
| Adult obesity | 24% | 26% |
| Physical inactivity | 24% | 23% |
| Excessive drinking | 18% | 19% |
| Alcohol impaired deaths | 11% | 21% |
| STIs | 817.6 | 602.4 |
| Teen births | 16 | 14 |
| Drug overdose deaths | 13 | 19 |
| Uninsured | 8% | 6% |
| Unemployment | 4.1% | 4.0% |
| Children in poverty | 25% | 18% |
| Violent crime | 586 | 379 |
| Air pollution | 7.9 | 6.6 |
| Drinker water violations | n/a | n/a |
| Long commutes | 61% | 39% |
- Substance Use
- Go to:https://www.samhsa.gov/data/report/behavioral-health-barometer-state-barometers-volume-6?page=0
- Find your state and download the report.
- Review the report and document the following:
- Go to Substance Use, Misuse, and Use disorders section. This will be the area that discusses those 12 and older (near end of report).
- Find the following percentages:
- Go to:https://www.samhsa.gov/data/report/behavioral-health-barometer-state-barometers-volume-6?page=0
| State Average | Regional Average | National Average | |
| Tobacco use | 23.5% | 23.2% | 26.8% |
| Marijuana | 16.2% | 15.0% | 16.2% |
| Marijuana use disorder | 1.8% | 1.6% | 1.6% |
| Heroin use | 0.20% | 0.31% | 0.30% |
| Misuse of prescription pain reliever | 2.8% | 2.9% | 3.7% |
| Opioid use disorder | 0.5% | 0.6% | 0.7% |
| Illicit drug use disorder | 2.8% | 2.7% | 2.9% |
| Alcohol use disorder | 5.2% | 4.9% | 5.3% |
| Substance use disorder | 7.1% | 6.8% | 7.4% |
Windshield Survey
It is recommended that you have someone drive you around your community at least 2 times, ideally at different times of day and weekend vs. weekday.
| Look at the people in your community. Did you observe: | No | Yes | If Yes, provide number or state “many” “some” or “few” |
| *pregnant women | x | some | |
| *pregnant adolescents | x | few | |
| *infants (under the age of 1 year old) | x | many | |
| *young children (1-5 years old) | x | many | |
| *school-age children (6-18 years old) | x | many | |
| adults (18 – 60 years old) | x | many | |
| *older adults (over the age of 60 years old) | x | many | |
| people exercising | x | few | |
| people driving | x | many | |
| people walking | x | many | |
| people biking | x | few | |
| people congregating in groups on the street | x | many | |
| *people that had hygiene issues or were unkempt | x | some | |
| people that were appropriately dressed | x | many | |
| people that were physically fit | x | some | |
| people that were obese | x | many | |
| *people that were undernourished, thin | x | few | |
| people that appear healthy | x | many | |
| *people that have obvious physical disabilities, such as those using walkers or wheelchairs | x | some | |
| *people with apparent mental/emotional disabilities | x | some | |
| *people who appeared homeless or unemployed | x | some |
*Represents vulnerable populations
| Social and Economic Conditions Did you observe: | No | Yes | If Yes, provide number or state “many” “some” or “few” |
| x | few | ||
| x | few | ||
| x | few | ||
| (subway, train, buses, taxis, etc) | x | many | |
| x | some | ||
| x | few | ||
| x | many | ||
| x | few | ||
| x | many | ||
| x | many | ||
| x | |||
| x | many |
| Health Resources Did you observe: | No | Yes | If Yes, provide number or state “many” “some” or “few” |
| hospitals | x | many | |
| community clinics | x | many | |
| family planning clinics | x | few | |
| generalist doctors | x | many | |
| dentist offices | x | few | |
| pharmacies | x | many | |
| urgent care clinics | x | few | |
| skilled nursing facilities | x | few | |
| mental health or counselling clinics | x | few | |
| homeless or abuse shelters | x | few | |
| public health department office | x | few | |
| substance abuse treatment center | x | few | |
| alternative medicine practices, botanicals, or herbal medicine shops | few |
| Answer the following question: |
| If some of the above health resources were not observed, approximately how far away would a person need to travel to find these resources? |
| Environmental Conditions Did you observe: | No | Yes | If Yes, provide number or state “many” “some” or “few” |
| evidence of anything that might make you suspicious of ground, water, or air pollutants | x | few | |
| poor road conditions with potholes, or poor drainage | x | few | |
| adequate traffic lights, signs, sidewalks, and curbs | x | many | |
| railroad crossings fitted with warnings and barriers | x | ||
| streets and parking lots well lit | x | many | |
| handicapped access to buildings, sidewalks, and streets | x | few | |
| recreational facilities, playgrounds, and/or facilities like the YMCA | x | few | |
| children playing in the streets, alleys, yards, or parks | x | few | |
| evidence of nuisances such as ants, flies, mosquitoes, or rodents, or stray animals observed | x | many |
Problem
Identify a nursing problem based on your data and observations. The problem must be related to substance use. Example: Alcohol use
Problem Identification: _____Illicit Drug Usage (Marijuana)___________
Vulnerable Population
Identify the vulnerable population that is most impacted by this problem. Example: Adolescents
Vulnerable Population Identification: __Young adults_______________
Diagnosis
Write a nursing diagnosis based on your problem from above. Fill in the blanks below.
Example: Increased risk for alcohol use among adolescents related to lack of sufficient knowledge about the long and short-term impacts demonstrated in increased county data compared to state/national averages.
*See chapter 6 in the Nies and McEwen (2019) textbook for more examples of composing a community health nursing diagnosis.
Nursing Diagnosis:
Increased risk of Marijuana used among young adults who work civilian labor workforce related to lack of higher education in addition to low paying jobs as demonstrated by lower higher education rates and below state/ U.S household income.
References
Substance Abuse and Mental Health Services Administration (SAMHSA). (2020). Behavioral health barometer, volume 6. https://www.samhsa.gov/data/report/behavioral-health-barometer-state-barometers-volume-6?page=0
County Health Rankings and Roadmaps. (2018). Explore rankings. http://www.countyhealthrankings.org/
U.S. Census Bureau. (2018). State and county QuickFacts. https://www.census.gov/quickfacts/
Direct Care Project Part 2
Screening, BriefIntervention, and Referral to Treatment (SBIRT): Planning the Presentation Instructions
Directions: Create a PowerPoint presentation teaching about the use of Screening, Brief Intervention, and Referral to Treatment (SBIRT). See the assignment directions and tutorial for suggestions and best practices. Review the week’s readings prior to starting on your presentation, understand SBIRT, and its use related to the problem you identified in Part 1: Assessment and Diagnosis assignment.
- Identify at least 3 practicing registered nurses who will volunteer for a session to learn about the SBIRT process that is used to identify, reduce, and prevent problematic use, abuse, and dependence on alcohol and illicit drugs.
- You can present to all at the same time or individually. Set a date and time(s) for your presentation during Saturday of Week 5 and Saturday of Week 6to allow ample time to complete the Week 6 Part 4 Evaluation assignment.
- Review local data related to the specific problem or addiction identified in the Community Health Assessment and Diagnosis assignment. Maintain privacy and only include data that is available to the public. Include citation(s) on the slide when resources are used. Include all resources used on reference slide.
- Download the PowerPoint Presentation Template PowerPoint.(Once your presentation is complete, follow the job aid located in the Canvas Week 4 module Part 2 directions on how to convert the PowerPoint to PDF format with speaker notes displayed).
- Create a PowerPoint presentation with speaker notes (8-15 slides not including introduction or references) for fellow healthcare professionals that includes:
- Community description
- Basic demographic data (i.e. population, size, education, poverty levels, etc.)
- Relevant epidemiological data from Community Assessment and Diagnosis assignment.
- Problem description
- Comprehensive overview of the substance and problem
- Overview of the problem and relevant data
- Give an overview of contributing factors specific to your community (supported by data/ scholarly evidence) (i.e. target marketing, lack of employment opportunities, few treatment providers, lack of transportation, availability, etc.)
- Comprehensive overview of the substance and problem
- SBIRT description
- Elements
- Description of SBIRT abbreviation and process
- Include an overview of each part of SBIRT
- Identify the steps that are used with each part
- Description of SBIRT abbreviation and process
- Use
- How SBIRT is used specific to identified problem
- i.e. how to incorporate into an assessment
- How SBIRT is used specific to identified problem
- Example
- How to use SBIRT in nursing practice with vulnerable populations
- This may include a role play, script for a nurse to use in their assessment, example of an existing tool, etc.
- How to use SBIRT in nursing practice with vulnerable populations
- Outcomes
- How SBIRT impacts the problem?
- i.e. enhances awareness, motivates change, health improvement, cost reduction, etc.
- How SBIRT impacts the problem?
- Elements
- Community Resource
- Describe one community resource that may assist with the substance use concern.
- (For example, a local substance abuse clinic).
- Include how to reach this resource
- Phone, referral form, etc.
- Assess 4 A’s: affordability, accessibility, acceptability, availability for each resource (see the Week 4 lesson)
- Describe one community resource that may assist with the substance use concern.
- Implications for practice
- Provide a comprehensive overview of the impact of substance useto the audience.What does this data mean to them?How does the data impact them as healthcare professionals?
- How could the implementation of SBIRT intervention into their practice impact patienthealth outcomes?
- Use at least one scholarly reference as support
- Conclusion
- Includes brief overview of:
1. Community demographic and epidemiological data;
2. Problem;
3. SBIRT description;
4. Resources;
5. Implications for practice;
6. Importance to improving population health outcomes
- Includes brief overview of:
- Q&A slide
- Give your audience an opportunity to ask questions they may have.
- Reference slide
- Minimum of 3 references. Should include references for SBIRT overview, community data, and at least one scholarly source. Utilize more references as needed.
- See rubric, submission details, and best practices in Canvas.
Rubric
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