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Reflective journal-self appraisal

Completed Posted by: srauf1975 Posted on: 25/08/2020 Deadline: More Than 3 days

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EPSLO 2: Integrate evidence, nursing theory, and knowledge from other disciplines to guide professional nursing practice.

In your Journal summarize personal and professional achievements and accomplishments that you have completed throughout the baccalaureate nursing program at EC that refer to EPSLO 2: Integrate evidence, nursing theory, and knowledge from other disciplines to guide professional nursing practice.

Attach a minimum of at least two examples of your work that supports EPSLO 2 noted above. Save your Journal entry as your Self-Appraisal for each module in your word document. The professor will request that you submit your journal entries for informal feedback at the end of each module. A Title page of this assignment with a summary of accomplishments (no more than 2 pages in length) is required with attached files as supportive evidence for each EPSLO. A minimum of one or two examples is required to support each EPSLO.

attached are two examples of my work that can be used to support project done in the community health nursing class.  Rubrics to guide you: 45.0 pts

Exemplary - (45-43 pts) Expertly analyzes how the EPSLO was achieved and supports claims for the EPSLO by including at least 2 relevant work examples (academic or professional) accomplished during the EC baccalaureate program.

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East Harlem Neighborhood

Introduction

East Harlem is also known as “El Barrio,” a neighborhood in the eastern side of the New York city.

The neighborhood is a home to many south American immigrants from Puerto Ricco.

The town is known for its mix of Latin American and Caribbean cultures.

The neighborhood is located in upper Manhattan encompassing the region North of the upper east side.

The region covers the 96th street up to 142nd Street east of the fifth avenue towards the East and Harlem rivers.

Overview of the neighborhood

The overview of the neighborhood shows the buildings in East Harlem and the extend of the land it covers from an aerial view.

culture

The buildings have paintings on the walls to show the culture of the individuals in the neighborhood and their passion for art.

History

The nature of the buildings and architecture in the different streets of Harlem. Shows that the neighborhood has a strong history as the structures are made of brown stone and not similar to the modern structures.

corner street activities

The corner street is one of the busy streets in the neighborhood with different shops for groceries and pizza joints, and dental clinic

Schools

The neighborhood is well served with schools ranging from elementary to high schools where the children go to learn.

Hospitals

The areas which comprises of the Latino and other minority groups has some health care centers despite being occupied by poor people.

Bodega/ mini market

This area comprises of different market stalls dealing in different products where the locals shop.

Churches

The area is also vast with different church buildings where the people go to worship.

Our lady queen of angels church

Neighborhood store customers are window shopping for some African traditional cloths.

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Running head: DATA AND ANALYSIS PAPER 1

DATA AND ANALYSIS PAPER 8

Part II: Data and analysis paper

Secondary Data Table Template

The data obtained on this table is to be used to assess community health needs and to identify health disparities within a community.

City/Town/Village Name: _EAST Harlem_______State: __New York___Zip Code: 10029_ Population: _125763___

Vital Statistics

County Statistics

State Statistics

Age Distribution

>5 yrs= 6% >18 yrs=16% 65+=13%

>5 yrs=6.5% >18 yrs=20.9% 65+ =14.1%

Race/Ethnicity

Hispano= 42.2%, black=26.3%, white=16.7%, Asian= 7.5% other races=2.6%

White= 42.7%. blacks= 24.3%, native Indians=0.6%, Asian= 13.9%, Hispanic= 29.1%

Births

2.2%

13.6 per 1000 people

Deaths

1.5%

Gender/Sex

Male=48.8%

male=47.3%

Female=51.2%

Female 52.7%

Add lines as needed

Health Behaviors

County Statistics

State Statistics

Example: Adult smoking

12%

14%

Adult Smoking

17%

14%

Physical inactivity

10%

13%

Excessive drinking

14%

10%

Alcohol-impaired driving deaths

2%

4.3%

Sexually transmitted infections

15%

10%

Teen births

10%

13.2%

Clinical Care (5)

County

State

Example: Uninsured

10%

12%

Uninsured

42%

10%

Example: Primary Care Physicians

680:1

1,200:1

Primary care physicians

600:1

450:1

Dentists

570:1

650:1

Mental health providers

820:1

500:1

Preventable hospital stays

3%

10%

Diabetic monitoring

4.5%

12%

Mammography screening

4%

10%

Social & Economic Factors

County

State

High school graduation

17.5%

25%

Some college

6.6%

6.1%

Unemployment

50%

35%

Children in poverty

40%

35%

Income inequality

Male: 70 %, female 30 %

Children in single-parent households

25%

12%

Social associations

Low

medium

Violent crime

20%

7.5%

Injury deaths

75

200

Physical Environment

County

State

Air pollution - particulate matter

High rate

Low rate

Drinking water violations

30%

8%

Severe housing problems

high

low

Driving alone to work

8.3%

28%

Long commute - driving alone

4.3%

15%

Data

According to research done on healthy people 2020, it was considered that approximately 33% of the people in the United States identified themselves as belonging to an ethnic minority group in 2008. Also, about 70.5 million people lived in rural areas. In New York County (Manhattan), the current population is estimated to be 1.6 million people, according to the 2019 census (United States Census Bureau. 2020). In this population, the number of African Americans alone accounts for 17.9%, while Hispanic and Latino account for 25.9% (United States Census Bureau. 2020). This population is considered to occupy the low-class neighborhoods of East Harlem. In terms of housing units, there are around 893000 housing units where the owners hold only 24% of the units (United States Census Bureau. 2020). The family and living arrangements in the county are varied where the average persons living in a housing unit is 2.07. In the county, the education level for most of the individuals in high school bachelor's degree. In matters of health, the number of individuals with disabilities who are under the age of 65 years is 6.1%, while individuals without health insurance with over 25 years are 6.1% (United States Census Bureau. 2020). Economically, individuals who are in civilian labor force account for 67% with age's a16 years and above.

Analysis

According to the above data, it is considered that life in New York County is excellent and high. This situation is associated with the data provided about the various aspects of being addressed in the data ranging from population size, level of education, employment, housing, and health care. What differs in the data is that the figures address the general picture of the country but does not address life in the different neighborhoods within the county. This situation gives a broad view of the entire county without necessarily pointing out the various challenges affecting poor communities, which are occupied by low-class individuals who are from minority groups in the United States. East Harlem neighborhood, for example, provides a different picture from the census report as it is the home for people with Latino, Hispania, and African American backgrounds, and their level of life in the locality is very low (United States Census Bureau. 2020). The neighborhood is comprised of a large number of unemployed people, large families occupy different rental apartments, and they face difficulties in accessing health care services. Such aspects are considered to lead to the development of social problems such as crime and drug abuse. The poor environment that the people are living in is perceived to lead to the development of different health problems, and this gives an insight into the health disparities associated with different neighborhoods. The level of education is considered to influence the living standards of the individuals living in a given locality and also their access to various social services such as medical care.

Summary

The census gives a general picture of the living standards of a given locality. The living standards of the people living in a given area are determined by their incomes, housing, level of education, and their ability to access health care (Healthy People. 2020). Poor neighborhoods are associated with low literacy levels, unemployment, and poor housing. A poor environment is associated with the poor health of the people and low life expectancy. Poverty leads to the development of various social problems as people do not have activities to keep them busy (Healthy People. 2020). This aspect indicates why areas such as the East Harlem neighborhood are associated with elements such as crime and drug abuse.

Conclusion

In conclusion, the various social problems in East Harlem are associated with the lack of unemployment opportunities in the area. Also, this accounts for the increased number of inhabitants in the locality as the housing is cheaper, and large families live together. Due to the increased level of illiteracy among the minority groups, that is why the area is associated only with large numbers of Latinos, Hispania, and blacks as most of them are poor. Due to this reason, the region faces social problems such as drug abuse and crime since there are no job opportunities in the area (Healthy People. 2020). Therefore, the people are unable to acquire health insurance making them not to visit the various health centers in the area, making the individuals face numerous health challenges. This aspect is associated with increased medical campaigns in the area to fight the multiple illnesses in the area (Healthy People. 2020).

References

United States Census Bureau. (2020). U.S. Census Bureau QuickFacts: New York County (Manhattan Borough), New York; United States. Retrieved 30 May 2020, from https://www.census.gov/quickfacts/fact/table/newyorkcountymanhattanboroughnewyork, US/PST045219

Healthy People.(2020). Social Determinants | Healthy People 2020. Retrieved 30 May 2020, from https://www.healthypeople.gov/2020/leading-health-indicators/2020-lhi- topics/social-determinants

Country health rankings. (2020). Explore Health Rankings | Measures & Data Sources. Retrieved 30 May 2020, from https://www.countyhealthrankings.org/explore-health- rankings/measures-data-sources

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