NR 442 Assignment: Community Windshield Survey Form

This assignment is 8 hours of MANDATORY scheduled clinical hours. No points are awarded but participation in Windshield Survey and completion of this assignment are mandatory and considered into the overall clinical experience and are “pass/fail”. Each team member must submit this form individually—not as a group.

Introduction of Community (P/F):

Identify the city and state of your community and briefly describe the community you will be using for this assignment. It should be the area where you live or the area surrounding your work setting but must include a residential area. Demographic data not needed.

Windshield Survey (P/F):

a. Vitality: Use a majority of the questions from Box 6-2 in your text to describe your observations about the community vitality.

b. Indicators of social and economic conditions: Use a majority of the questions from Box 6-2 in your text to describe your observations about the social and economic conditions.

c. Health Resources: Use a majority of the questions from Box 6-2 in your text to describe your observations about the health resources.

d. Environmental conditions related to health: Use a majority of the questions from Box 6-2 in your text to describe your observations about the environmental conditions.

e. Social functioning: Use a majority of the questions from Box 6-2 in your text to describe your observations about the social functioning.

f. Attitude toward healthcare: Use a majority of the questions from Box 6-2 in your text to describe your observations about the attitudes toward healthcare.

Vulnerable population (P/F):

Describe a vulnerable population or aggregate that you identified during your survey. What did you observe about this group such as their appearance and actions?

Conclusion (P/F):

Provide a summary of your findings. Describe several potential community health problems for the vulnerable population that you identified.

References: References are not required for this survey:

References in APA format. If you include any references here, you must also include an in-text citation (author, year) in the body of the form.