Nursing Assignment on Collier County Data Assessment Project

Headings for paper

  • introduction – the identified need and a summary of relevant data that supports the need, its relevance to public health nursing practice as summarized from your data collected previously.
  • Proposed Interventiondescription of intervention – evidence/ research/ literature to support and at what level(s) of prevention is the intervention
  • Resources required – stakeholders and how to involve, financial costs estimated, other requirements like facilities, locations, persons, equipment

 

  • Implementation plan including time line
  • Specific Evaluation method(s) to assess effectiveness of the intervention
  • Reflection on your individual learning from completion of the project.  Include how this has or will impact your professional practice at this point in your career or in the future.
  • APA format is required – see grade rubric for reference type and number.

Collier County Heath disparity to focus is chronic disease CANCER with propose intervention is community education

My priority issue that I will propose an initiative for the staff level in collier county will be education on chronic disease as cancer to increase public awareness and understanding the determinates of health and disease with the goal to promote quality of life, healthy development and behaviors across all life stages. Eliminate disparities and improve the health of all groups with education.

Keep your suggested interventions to improve the health disparity within the scope of a community health nurse practice.

 

YOU MAY USE THE FOLLOWING DATA INFORMATION AND SOURCES OF EVIDENCE FOR THE DATA ASSESSMENT PAPER.

 

Resources used for my proposal paper.

Collier County. (2018). Pollution control: Live green, save blue. Collier County. Retrieved from www.colliercountyfl.gov/your-government/divisions-f-r/pollution-control

Collier County. (2018). Social services by collier county. Collier County. Retrieved from www.colliercountyfl.gov/your-government/divisions-a-e/community-and-human-services/social-services-program

Florida Health. (2014). Programs and services. Florida health: Collier County. Retrieved from http://collier.floridahealth.gov/programs-and-services/index.html

United States Census Bureau. (2017). Community facts. American fact finder. Retrieved from https://factfinder.census.gov/faces/nav/jsf/pages/community_facts.xhtml?src=bkmk

World Bank Group (US). (2018). Life expectancy at birth, total years. The World Bank. Retrieved from https://data.worldbank.org/indicator/SP.DYN.LE00.IN?locations=TZ

 

 

 

 

 

 

Part 1:  Population Data——Collier county/ Florida State

 

Population: Vital Statistics

  Community County   State  
  # % # % # %
Live Births     3182 No data found 223,601 No data found
General Deaths     3508 No data found 203353 No data found

Source of Evidence: https://www.flhealthcharts.com/FLQUERY/Death/DeathRate.aspx

 

Population Mortality: 5 leading causes of death

Cause Community County State
Heart diseases   760 456591
cancer   837 44266
Unintentional injury/accidents   248 12561
Chronic lower respiratory diseases   146 11970
stroke   312 11854

Source of Evidence:     https://www.flhealthcharts.com/FLQUERY/Death/DeathRate.aspx

 

Population Morbidity: Top 5 causes of morbidity

Cause Community County State
AIDS   No data found 2119
ARSENIC POISONING   No data found 21
CAMPYLOBACTERIOSIS   No data found 3262
CARBON MONOXIDE POISONING   No data found 224
CHLAMYDIA   No data found 94720

Source of Evidence: https://www.floridahealth.gov/diseases-and-conditions/disease-reporting-and-management/disease-reporting-and-surveillance/data-and-publications/_documents/2016-section1.pdf

 

Population Life Expectancy:

Cause Community County State
Male   81.3 76.9
Female   85.7 82
Overall   No data found 79.6

REFERENCE: https://data.worldbank.org/indicator/SP.DYN.LE00.MA.IN

https://www.healthdata.org/sites/default/files/files/county_profiles/US/2015/County_Report_Collier_County_Florida.pdf

 

Population: Physically and Mentally Unhealthy Days

  Community County State
Male   No data found No data found
Female   No data found No data found
Overall   7.3% 12.7%

Source of Evidence: http://collier.floridahealth.gov/programs-and-services/community-health-planning-and-statistics/public-health-information/_documents/communityhealthassessmentsum.pdf

 

Population: Race Distribution

  Community County State
White   189,782 15,722,428
Black/African American   30,818 3,408,734
Hispanic   92,765 4,962,084
Asian   24,663 No data found
Native American   1112 No data found
Other   4,588 No data found

REFERENCE: https://www.census.gov/quickfacts/fact/table/colliercountyflorida/PST045217

https://nchmd.org/docs/default-source/documents/annual-reports/health-needs-assessment/community-health-needs-assessment—full-document.pdf?sfvrsn=977bd475_4

 

Population Gender Distribution:

  Community County State
Female   163,026 10,343,928
Male   158,494 9,887,164
Not specified      

REFERENCE: https://www.floridahealth.gov/diseases-and-conditions/disease-reporting-and-management/disease-reporting-and-surveillance/data-and-publications/_documents/2016-fl-msr.pdf

https://www.census.gov/quickfacts/fact/table/colliercountyflorida/PST045217

 

https://suburbanstats.org/population/florida/how-many-people-live-in-collier-county

 

Determinants of Health

Part 2: Social Determinants

Housing  Conditions

Characterisitics Total units # Owner Occupied Renter Occupied Vacant Housing subsidies/ Homeless Provisions
Community          
County 197,298 96,159 37,020 64,119 545
State 8,989,580 4,998,979 2,421,823 1,568,778 33466

Source of Evidence: http://edr.state.fl.us/content/area-profiles/county/collier.pdf

https://www.nhipdata.org/local/upload/file/Florida%20Homeless%20Report%202016%20%2009_30_16%20-%20final%20report.pdf

 

Transportation:

Describe what resources for transportation are available in your community/ city/ county of assessment.  Considering the Seven As, are they adequate or inadequate?  Include public and private modes including volunteer services, road conditions, sidewalks, and those for special needs/ aging/ other issues.

 

There is public transportation by Collier Area Transit. I believe that it does not have easy access to all parts of the community due to the stops very far away and the people will have to walk to walk a lot the stops center. The cost of the CAT is around $1.50 per ride one way. Road conditions are excellent, sidewalks are appropriate for those with special needs.

 

Source of Evidence: https://www.colliercountyfl.gov/your-government/divisions-f-r/public-transit-neighborhood-enhancement/our-services/collier-area-transit-cat

 

Workplace: Who are the top employers in your community of assessment?

Employer Number of employees Do they have workplace health initiatives in place?
Professional & business services 3,257 unknown
Trades, transportation and utilities 2,333 unknown
Financial activities 1,903 unknown
construction 1,980 unknown

Source of Evidence:  http://edr.state.fl.us/content/area-profiles/county/collier.pdf

 

Recreational facilities:

Describe recreational facilities such as parks, playgrounds, swimming areas, amusement parks, athletic fields.  Are they adequate to provide the services to the community?

Collier County’s “after work environment” includes miles of beaches, acres of conservation land, biking paths, hiking trails, Naples Zoo, Children’s Museum of Naples, Artis—Naples and Naples Botanical Gardens. The average annual temperature is 74 degrees Fahrenheit. Collier County also has the lowest crime rate of all metropolitan counties in Florida.

 

Source of Evidence:  https://www.collieredo.org/data-resources/demographics-statistics/

 

 

Educational Facilities:

Type Public Private
Preschool   22 schools
Elementary 30 schools 27 schools
Middle/ Junior High 11 schools  
Senior High 9 schools 14 schools
College/ Universities 2 1
Other:    

Source of Evidence: https://www.collierschools.com/   https://www.privateschoolreview.com/florida/collier-county/high

https://www.naplesgov.com/community/page/schools-colleges-and-universities

 

Educational Levels Over 25 yrs. age:

  Community County State
Ninth grade or lower No data 10.6% 5.2%
High School Graduate OR HIGHER No data 86% 28.9%
Some College No data No data 20.1%
College Graduate (Assoc / Bacc) No data 34% 9.7% / 18.2%
Median # yrs. schooling completed No data No data No data

Source of Evidence: https://www.census.gov/quickfacts/fact/table/colliercountyflorida/PST045217

https://www.towncharts.com/Florida/Education/Collier-County-FL-Education-data.html

https://www.statista.com/statistics/306971/educational-attainment-florida/

 

Places of Worship:

Describe the variety of places of worship in your community of assessment.  Include any pertinent information related to services provided by the worship place to the community.

There are plenty of places of worship in collier county with different religious views including catholic, Baptist, Christian, Jewish, Methodist, Jehovah witness, and more.

 

Source of Evidence: https://nccs-stg.urban.org/sites/all/nccs-archive/html//PubApps/geoShowOrgs.php?id=c12021&code=c12021&v=cong&lev=

Social Services:

  Services provided Adequate/ Inadequate
Food banks yes Adequate
Homeless Shelters yes Adequate
Adult Day care yes Adequate
Child Care services yes Adequate
Social Service Agencies ( list) Marion E. Fether Clinic Adequate

Source of Evidence: https://www.colliercareclub.org/

https://www.foodpantries.org/ci/fl-naples

https://www.shelterlistings.org/county/fl-collier-county.html

https://www.colliercountyfl.gov/your-government/divisions-a-e/community-and-human-services/social-services-program

 

Other Social Determinants:

  Services provided Adequate/ Inadequate
Libraries yes Adequate
Law Enforcement yes Adequate
Fire Services yes Adequate
Special Services (SWAT, Emergency response teams, bomb squads) yes Adequate
Neighborhood watches Yes Adequate
Radio Stations yes Adequate
TV Stations yes Adequate
Internet Providers Yes/ CenturyLink/ comcast Adequate

Source of Evidence: https://www.collierlibrary.org/

https://www.colliersheriff.org/

https://www.greaternaplesfire.org/

https://radio-locator.com/cgi-bin/locate?select=city&city=Naples&state=FL

https://nocable.org/availability-report/zip/34120-naples-fl

Family Income:

  Community County State
<$5000   No data  No data
$5000-9999   No data No data
$10000-14999   No data No data
$15000-24999   No data No data
$25000-49999   No data No data
$50000-74999   Under $50K is 39% No data
$75000-99999   $50K-$100K is 32% No data
Over $100000   $100K-$200K is 18% No data
  Medium household income is $61,228 Over $200K is 10%  

 

Source of Evidence: https://censusreporter.org/profiles/05000US12021-collier-county-fl/

 

 

 

Part 3: Physical Determinants of Health

Complete a windshield survey.  See directions in CANVAS.

  • The windshield survey reflects what the public health nurse can view from a car window while driving through a community and contains observations of various components in the community such as housing, open spaces, transportation, race, ethnicity, restaurants, and stores.
  • The built environment describes the man-made structures in the community including the kinds of stores, buildings, and sidewalks that facilitate healthy behaviors (or not). Describe your observations about this built environment and how it may be a determinant of health.
  • Include data on factors such as topography, climate, terrain, topographical features, geographical boundaries and man-made boundaries other factors in the community.

——— Homes age is about 20 years old to present. All houses well-kept with no yards overgrown. Buildings are mostly occupied and accessible to people with disabilities. No people on the trees seen. No one noted in the evening on the streets. Sidewalks not well lit at night in some areas. English and Spanish signs in business. There are informative traffic signs. There is public transportation by Collier Area Transit. I believe that it does not have easy access to all parts of the community due to the stops very far away and the people will have to walk to walk a lot the stop center. The cost of the CAT is around $1.50 per ride one way. I did not notice any vehicles energy efficient. Conditions of roads and sidewalks are excellent. No difference between areas. All parts of the community seem to be equally served with good roads. The traffic is heavy specially during school hours both commercial and industrial as well as private vehicles. Bicycle traffic was not noted but there are bike lanes available in the main streets. There is a lot of green spaces available in the community. The environment wasn’t neither smog or haze, it does not smell of smoke, garbage, chemicals, tec. The water on the ponds seem a little dark and full of water to the top due to the amount of rain lately. In this community seem to be a mixture of Hispanics, white Americans, black, Asian, and others. There is one hospital nearby located on a main street, easily accessible due to its location with all services necessary. There are 4 main hospital in collier county, easily accessible due to its location with all services necessary. Some area are more green empty spaces and there is not a variety of grocery stores and supermarkets. Most homes seemed new and in good conditions. The overall impression of the community is that is well kept and clean but not many public resources in terms of food, transportation, lightning, safety, and entertainment.

 

Physical Determinants: Environmental/Sanitation/Toxic Substances

  Description – city/ county or state level Adequate/ Inadequate
Water supply rivers, lakes, streams, ponds,

reservoirs, springs, and wells.

Adequate
Sewage supply yes Adequate
Solid waste disposal yes Adequate
Recycling yes Adequate
Air contaminants yes Adequate
Vector control (Deer, ticks, mosquitoes, rabid animals, rodents, and other animals yes Adequate

Source of Evidence:  https://www.colliercountyfl.gov/home/showdocument?id=80180

https://www.colliercountyfl.gov/your-government/divisions-s-z/solid-hazardous-waste-management/recycling

https://www.colliercountyfl.gov/your-government/divisions-f-r/pollution-control

Part 4: Health Services

In your assessment you are looking for a gap that the STAFF level community/ public health nurse could address through an initiative/ program within that scope of practice.  Building a new facility/ hospital or providing a mobile health van is beyond that scope of practice.

 

Acute Care:  Naples Community Hospital, Physicians Regional Hospital, and a variety of urgent care facilities

 

Home Care: Moorings park home health agency, Help at Home Homecare Florida, just like family home care, west coast home health care agency, Preferred care home health, Whitsyms nursing service, and more.

Complete as above for

  • Primary care— multiples
  • Mental Health Care— David Lawrence center, the Willough of Naples, Naples community hospital,
  • Long term care—multiples
  • Rehabilitation services—multiples
  • Assistive living–multiples
  • Occupational Health— multiples
  • Dental Care— multiples
  • Palliative Care—Avow and Vitas

Sources of evidence: http://collier.floridahealth.gov/programs-and-services/clinical-and-nutrition-services/dental-clinic/index.html

https://davidlawrencecenter.org/

https://avowcares.org/palliative-care/

https://www.vitas.com/fl/naples-hospice

https://www.colliercountyfl.gov/your-government/divisions-a-e/community-and-human-services/housing-programs/rehabilitation

 

Part 5: Policy Making

The community /public health nurse needs to assess the policies that influence the health of the

community, system, and population under study. Examples include policies on seat belt use, helmet use, phone use and texting while driving, and child car seats. Each of these policies has had a positive influence on the health and wellbeing of individuals and the population at large, resulting in a decrease in disabilities and injuries.

The community /public health nurse needs knowledge about how his or her community functions with regard to the political infrastructure and assess this infrastructure to be familiar with how it works: who are the formal and informal political leaders? How can they be reached? What initiatives have they supported in the past? What are the laws that affect the population and community with regard to the public’s health? Are these laws upheld? Are there issues that have not been addressed, and, if so, what can be done to address these issues?

The data collected in this section include the organizational structure of the community, a description of the political issues in the community, and an identification of some of the public health laws that affect the community and its members’ health. As the community /public health nurse conducts this portion of the assessment, it is important to explore what the local newspapers report, to meet with the local government, and to check out the school boards or any of the governing bodies in that area. Meet the candidates if it is an election year and listen to what the community is saying. Check websites, social networking sites, and local blogs. Using the Internet, here and throughout the assessment process, assists the community /public health nurse in obtaining the necessary data and learning about your community.

Assess the structure of the governing bodies in your community.  What are the top 3 political issues in your community at this time?  What actions have been taken?  Are there specific policies/ laws/ regulations regarding the issues?

Are there specific policies related to health issues- i.e. seat belt laws, motorcycle/ bicycle regulations, texting / phones in car usage/ tobacco/ smoking regulations?

 

There are health policies in collier county with no health issues found.

Sources of evidence: http://collier.floridahealth.gov/programs-and-services/wellness-programs/healthy-communities/

 

Part 6: Health Disparities

According to Healthy People 2020 a health outcome is seen in a greater or lesser extent between populations, there is disparity. Race or ethnicity, sex, sexual identity, age, disability, socioeconomic status, and geographic location all contribute to an individual’s ability to achieve good health. Frequently, community/ public health nurses see disparities as he or she observes within the community and analyzes the data gathered. This foundational health measure much of the information

needed is gathered throughout the previous parts of the Community of Assessment. Summarize your finding in a narrative form.

———– Collier county need an increase in public awareness and understanding the determinates of health and disease with the goal to promote quality of life, healthy development and behaviors across all life stages. Eliminate disparities and improve the health of all groups.

 

Part 7: Prioritizing Health Issues (in order of Priority)

In determining the priority health issues, the community/ public health nurse, using a population-based focus, collaborates with other public health practitioners, key informants in the community, and any organization or agency that may have a voice with regard to the population and public health issue. In population-based care, partnerships form the necessary bonds that make sustainable change for health in particular targeted populations. Those involved in the partnership work together to form a common

understanding of the issue. All involved, including the population of interest residing in the community, agree on the priority issue identified. This is essential for a positive outcome. Once the priority is noted, then the partnership will confer with the Healthy People 2020 topic areas and corresponding objectives (U.S. DHHS, 2010).

Top 5 Priorities:

ISSUE Targeted Population Short term Goal(s) Long term Goal(s)
Chronic diseases unspecified unknown unknown
Mental health unspecified unknown unknown
Access to care unspecified unknown unknown
Alcohol and drug abuse unspecified unknown unknown
obesity unspecified unknown unknown
       

Source of evidence: http://collier.floridahealth.gov/programs-and-services/community-health-planning-and-statistics/public-health-information/_documents/communityhealthimprovement.pdf

 

Decide on your priority issue that you will propose an initiative/ program for at the level of the STAFF nurse in your community.   Describe briefly (will be expanded upon in your final assessment paper).

You can use the information in Table 35-1 in Lundy & Janes, 2016) to frame your identified gap and the basic information that will be expanded in the final assessment paper.

 

My priority issue that I will propose an initiative for the staff level in collier county will be education on chronic diseases such as heart disease, diabetes, and cancer to increase in public awareness and understanding the determinates of health and disease with the goal to promote quality of life, healthy development and behaviors across all life stages. Eliminate disparities and improve the health of all groups.

 

Source of evidence: http://collier.floridahealth.gov/programs-and-services/community-health-planning-and-statistics/public-health-information/_documents/communityhealthassessmentsum.pdf