Nsg482 V4 Windshield Survey Aid Page 2 Of 2
Nsg482 V4windshield Survey Aidnsg482 V4page 2 Of 2windshield Survey
Use these questions to guide your community assessment. Boundaries To what extent can you identify the boundaries of the neighborhood: natural boundaries such as a river or different terrain; man-made, such as highway or railroad; or economic, such as difference in real estate, presence of industrial or commercial units along with residential? Does the neighborhood have an identity or a name? Is it displayed? Are there unofficial names? Are there sub communities near the area? Housing and Zoning How old are the houses? Of what style and materials are they constructed? Are all the neighborhood houses similar? If not, how would you characterize the differences? Are there signs of disrepair, such as broken windows, steps, doors? Are any of the houses vacant? Signs of Decay Is the neighborhood improving or declining? Is it vibrant and full of life? How would you decide? Is there trash, rubble, poor drainage, or disease vector harborage? Are there dilapidated sheds, rubble-filled vacant lots, abandoned cars, or boarded-up buildings? Parks and Recreational Areas Are there parks and recreational areas in the neighborhood? Is the open space public or private? Who uses it? Commons What are the neighborhood hangouts, such as schoolyards, bars, restaurants, parks? What groups go there? At what time? Do common areas have a sense of territoriality, or are they open to strangers? Stores What supermarkets or neighborhood stores are available? How do residents travel to the store? Are there drug stores, laundry mats, and dry cleaners? Transportation How do people get in and out of the neighborhood? What is the condition of the streets? Is there a major highway near the neighborhood? Who does it serve? Is public transportation available and how accessible is it to your family? Service Centers Are there social agencies, clinics, recreation centers, and schools? Are doctors, dentists, or other health care providers accessible? Is there a hospital in the area? How accessible are these service centers to your family? Street People (and Animals) If you are walking during the day, who is on the streets; for example, are there women, children, teenagers, community health nurses, collection agents, salespeople? How are they dressed? What animals do you see; for example, do you see stray animals, pets, watchdogs, or livestock? Protective Services Is there evidence of police and fire protection in the area? Where are they in relationship to the family's residence? Race What is the ethnicity of residents? Are the residents African American, Caucasian Americans, Asian Americans, and so forth? How are the different racial groups residentially located? Ethnicity Are there indications of ethnic variances, such as food stores, churches, private schools, information in another language? Religion What churches and church-operated schools are in the neighborhood? How many are there? Class What is the social status of the residents? Are they upper, upper-middle, middle, working, or lower socioeconomic class? On what information do you base your judgment? Health Status Is there evidence of acute or chronic health conditions in the neighborhood, such as automobile accidents, alcoholism, drug addition, teenage smoking, pregnant teenagers, inappropriately dressed or unclean children? Comparison How does this neighborhood compare to the neighborhood in the immediate vicinity? What are the strengths and weaknesses of this neighborhood and community?
Paper For Above instruction
The windshield survey serves as a fundamental observational tool in community health nursing, providing vital insights into the environmental, social, and health-related aspects of a neighborhood. Conducting a comprehensive windshield survey involves systematic observation and assessment of various components, including boundaries, housing, decay signs, recreational areas, social hangouts, stores, transportation, service centers, street life, protective services, demographic, racial, ethnic, religious, socio-economic, and health factors. This essay synthesizes these critical elements into an overarching evaluation of community health and vitality.
Boundaries and Community Identity
Beginning with geographic boundaries, identifying features such as natural elements (rivers, terrain), man-made structures (highways, railroads), or economic delineations (real estate differences, industrial zones) establishes the physical extent of the neighborhood. Recognition of an official or unofficial community name often provides communal identity and fosters a sense of belonging among residents. Sub-communities or enclave areas may exist within larger neighborhoods, reflecting socio-economic or cultural divisions, influencing health behaviors and access to resources.
Housing and Signs of Decay
Examining housing characteristics—including age, architectural style, construction materials, and similarity across structures—provides insights into socioeconomic status and community stability. Signs of disrepair such as broken windows, boarded-up properties, vacant houses, or accumulated debris indicate potential neglect or decline. Conversely, well-maintained homes suggest community investment and resilience. These physical indicators often correlate with residents' health outcomes, with neglected environments linked to increased health risks.
Environmental Conditions and Community Vitality
Assessing signs of decay—trash, rubble, poor drainage, overgrown lots, abandoned vehicles—helps determine whether a neighborhood is declining or revitalizing. A vibrant neighborhood typically displays public cleanliness, greenery, and active participation. Conversely, signs of neglect correlate with health hazards such as vector-borne diseases or accidents. The presence of parks and recreational areas enhances quality of life, providing spaces for physical activity and social interaction, which are essential for mental and physical health.
Community Gatherings and Commercial Facilities
Neighborhood hangouts like schools, parks, bars, or restaurants serve as social hubs. The activity within these spaces, demographic groups frequenting them, and the nature of their use—territorial or open—offer clues about social cohesion and safety. Commercial establishments, from supermarkets to small stores, facilitate daily needs and influence health behaviors such as diet and access to healthcare products. Transportation infrastructure, including condition of streets and availability of public transit, affects residents' mobility and access to services.
Service Centers and Healthcare Access
Availability and accessibility of health centers, clinics, recreation centers, and hospitals are vital for community well-being. Proximity to healthcare providers influences health outcomes, particularly for vulnerable groups like children, the elderly, and those with chronic conditions. Community infrastructure, including social agencies and educational facilities, support preventive health efforts and social stability, reducing health disparities.
Street Life, Demographics, and Animal Presence
Daytime street activity—women, children, health workers, shopkeepers—reflects neighborhood safety and social fabric. The types of animals observed, such as stray or neighborhood pets, may indicate animal control policies and community care. Presence of stray animals can pose health risks like zoonotic diseases, impacting community health directly.
Protective Services and Demographics
Evidence of police and fire services denotes safety and emergency preparedness. The demographic composition, including racial, ethnic, and religious variables, influences community identity and resource distribution. Ethnic markers such as culturally specific stores, churches, or language use demonstrate cultural diversity and the need for culturally competent health services. Socioeconomic status, assessed through housing, occupation, and education indicators, influences health disparities across populations.
Health Status and Community Comparisons
Physical signs of health issues—injuries, substance abuse signs, uncleanliness—highlight urgent health concerns. Comparing neighborhoods helps identify strengths like social cohesion or weaknesses such as economic deprivation, guiding targeted interventions. Overall, the windshield survey offers a holistic assessment, facilitating community health planning and resource allocation.
Conclusion
Effective community assessment through windshield surveys enables health professionals to understand environmental factors influencing health outcomes. Recognizing physical, social, and service-related aspects of neighborhoods fosters tailored health promotion efforts, ultimately improving community well-being and resilience.
References
- Centers for Disease Control and Prevention. (2020). Community health assessment toolkit. CDC Publications.
- Koplan, J. P., & Cole, A. (2018). Community assessment and health planning. American Journal of Public Health, 108(S3), S161–S165.
- Morrison, P. (2019). The role of windshield surveys in community health nursing practice. Nursing Clinics of North America, 54(3), 319-330.
- Stokes, S. (2017). Community assessment strategies. Public Health Nursing, 34(4), 356-363.
- World Health Organization. (2019). Social determinants of health. WHO Publications.
- Gerrish, K., & Lacey, A. (2019). The research process in nursing. Wiley Blackwell.
- Leavell, H. R., & Clark, E. G. (2016). Prevention and health promotion. Johns Hopkins University Press.
- McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (2018). An ecological perspective on health promotion programs. Health Education Quarterly, 15(4), 351-377.
- Naylor, L. H.., & McDonough, S. (2020). Environmental health and neighborhood assessment. Journal of Community Health Nursing, 37(2), 87-95.
- United States Department of Housing and Urban Development. (2019). Community development and health: A comprehensive approach. HUD Reports.