What is a community assessment? *** A comprehensive approach that emphasizes the community as a
client, with the goal of providing benefit to the people of the area as a whole, rather than to individuals
How do nurses use community assessment? *** Using the nursing process, nurses can determine health
needs within the community and assist in developing and implementing strategies to meet those needs.
Nurses conduct an assessment to identify the community's needs or strengths.
Community assessment components: people *** 1. Demographic: distribution, mobility, census data,
density
2. Biological factors: health/disease status, genetics, race, age, gender, cause of death
3. Social factors: activities, martial status, education, recreation, income, industry, crime rates,
occupation ("AMERIC-O")
4. Cultural factors: ethnohistory, ethnic groups, hierarchy & roles, language, religion and spirituality,
values, customs, norms
Community assessment components: place or environment *** Physical factors: Geography, terrain,
type of community, location of health services, housing, animal control, grocery stores, business and
industry
Environmental factors: Geography, topography(terrain), climate, flora, fauna, toxic substances, vectors,
pollutants
Community assessment components: Social systems *** · Health systems
· Economic systems/factors
· Education systems
, · Religious systems
· Recreation systems
· Political systems
· Transportation systems
etc..
Informant Interviews *** Direct discussion with community members or key informants for the purpose
of obtaining information on local issues, strengths of the community, and concerns from their
viewpoint.
Strengths & Limitations to Informant Interviews: *** Strength: minimal cost, participants serving as
future supporters, personal interaction can elicit more detailed responses, offers insight into
beliefs/attitudes
Limitation: built in bias, meeting time & place
What does a community forum assessment consist of? *** Open public meeting (town halls)
· Strength: the opportunity for community input, minimal costs
· Weakness: difficulty finding a convenient time & place, potential drift from the issue (rabbit hole),
challenge to get adequate participation, less-vocal people won't speak
What does secondary data consist of? *** · Existing data (death, birth stats, health records, prior health
surveys, census data, mortality, morbidity data)
· Strength: ability to trend health issues, database of concerns/needs of population
· Limitation: can be time-consuming, data may not represent current situation
What must the nurse do when using secondary data as an assessment tool? *** ALWAYS evaluate the
reliability obtained from the web