Review the Direct Care Project Overview above. Select the topic (Air Quality OR Substance Use) from the table. This will be the topic of your entire course project.

View the Direct Care Project Part 1 Tutorial (Links to an external site.).

Download the corresponding Assessment and Diagnosis template under Templates below. For example, if you have selected Air Quality as your topic, download the Air Quality Assessment and Diagnosis Template.

Collect the data outlined in the template.

There are two parts:

Online data collection

Gather data from the weblinks provided on the template.
Please note, if you live in Washington D.C. it may be listed as a state or county. You may list the Washington D.C. data as state and county, then compare it to the U.S. data.

Modified windshield survey data collection

Gather local community data by physically looking at your community.
If possible, plan on asking someone to drive during your survey so that you can take notes.
Your community should be the area where you live or the area surrounding your work. The community must include a residential area and be a large enough area to answer the survey questions. If you live in a large area, you may choose a suburb.


It is helpful to conduct this portion of the assessment at least two different times: during the day or evening, on a weekday, and/or on the weekend.
Identify a nursing problem (nursing diagnosis) based on data and observations
You must select a problem caused by your topic


the problem you identify will be utilized in Parts 2, 3, and 4 of the project.
Identify the vulnerable population that the problem affects. This will also determine who you will present to in Part 3.
Write the nursing diagnosis (See template and chapter 6 in Nies & McEwen textbook for more information)
Submit the template through the submit assignment button on this page.


Select and download from the links below the one that corresponds with the selected topic:

Air Quality Assessment and Diagnosis Template (Links to an external site.)

Substance Use Assessment and Diagnosis Template (Links to an external site.)

Best Practices

Please use your browser’s File setting to save or print this page.
Use the template provided. If the template is not used, a deduction will be applied. See the rubric below.
Download and save the template (with your name) to your computer. Type directly on the template.
Spell check for spelling and grammar errors prior to final submission.
Include your name and date on the template.
Use the rubric as a final check prior to submission to ensure all content is clearly addressed.
Scholarly Sources and Citations
Since sources are on the template, citations are not needed.

Academic Integrity

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Directions: Collect the data outlined in this template. Fill in the blanks in the tables provided. There are two parts – online data collection and a modified windshield survey data collection. You will then identify a nursing problem in a vulnerable population and write a nursing diagnosis. See the assignment directions and tutorial for suggestions and best practices. All information in a category must be completed. Air quality will be the topic of your Assessment and Nursing Diagnosis Template and also Parts 2 through 4 of your course project.


Name:                                                                         Date:

Online Data Collection

  1. Community Information
  Your Community Data
Name of city or town and state
Nature of this community (rural, suburban, urban)
Describe your community in 2-3 sentences


  1. Community Demographics
    1. Go to
      1. The US data should automatically populate
      2. Input your zip code or county/township name
  • Then input your state for comparison data
  1. Enter the data into the table below
  2. Compare the county, state, and US data


  County Data State Data U.S. Data
Population total
Male (subtract female % from 100)
Persons under 5
Persons over 65
Race and origin data
  County Data State Data U.S. Data
White alone
Black or African Americans alone
American Indian and Alaska Natives alone
Asian alone
Native Hawaiian and Other Pacific Islanders alone
Two or more races
Hispanic or Latino
White alone, not Hispanic or Latino
Significant population characteristics
  County Data State Data U.S. Data
Foreign born persons
Housing overview
  County Data State Data U.S. Data
Housing units
Owner-occupied housing unit rate
Median selected monthly owner costs with a mortgage
Median selected monthly owner costs without a mortgage
The median value of owner-occupied housing units
Median gross rent
Family and living arrangements
  County Data State Data U.S. Data
Persons per household
Living in the same house 1 year ago
Language other than English spoken at home
Computer and Internet Use
  County Data State Data U.S. Data
Households with a computer
Households with a broadband internet subscription
  County Data State Data U.S. Data
High school graduate or higher
Bachelor’s degree or higher
  County Data State Data U.S. Data
With a disability under the age of 65 years
Persons without health insurance under the age of 65 years
  County Data State Data U.S. Data
Civilian labor workforce ages 16+
Transportation-mean travel time to work (minutes)
Income and poverty
  County Data State Data U.S. Data
Median household income
Persons in poverty



  1. Community Epidemiological Data
    1. Go to:
    2. Click on your state
      1. Start with Overall Rankings in Health Outcomes
      2. Then choose your county


**you will need to use the “+” to see all of the data**


  County Data State Data
Health Outcomes Percentile N/A
Health Factors Percentile N/A
Premature death
Low birth weight
Adult smoking
Adult obesity
Physical inactivity
Excessive drinking
Alcohol-impaired deaths
Teen births
Drug overdose deaths
Children in poverty
Violent crime
Air pollution
Drinking water violations
Long commutes


  1. Respiratory Conditions
    1. Go to
      1. Input your state
      2. Then identify your county

**Please note these are estimated amounts of total diseases. Communities with a higher population will likely have more cases. Be sure it is clear in your presentation that these totals are estimates.**

  County Data State Data
Pediatric asthma
Adult asthma
Chronic lung disease
Lung cancer


Windshield Survey

It is recommended that you have someone drive you around your community at least 2 times, ideally at different times of day and on weekends vs. weekdays.

Look at the people in your community.


Did you observe:

No Yes If Yes, provide a number of states “many” “some” or “few”
·         *pregnant women
·         *pregnant adolescents
·         *infants (under the age of 1 year old)
·         *young children (1-5 years old)
·         *school-age children (6-18 years old)
·         adults (18 – 60 years old)
·         *older adults (over the age of 60 years old)
·         people exercising
·         people driving
·         people walking
·         people biking
·         people congregating in groups on the street
·         *people that had hygiene issues or were unkempt
·         people that were appropriately dressed
·         people that were physically fit
·         people that were obese
·         *people that were undernourished, thin
·         people that appear healthy
·         *people that have obvious physical disabilities, such as those using walkers or wheelchairs
·         *people with apparent mental/emotional disabilities
·         *people who appeared homeless or unemployed

 *Represents vulnerable populations


Social and Economic Conditions


Did you observe:

No Yes If Yes, provide a number or state “many” “some” or “few”
·         housing that was run down or dilapidated
·         areas undergoing renewal
·         public housing
·         public transit (subway, train, buses, taxis, etc.)
·         transportation to health care resources
·         landfills
·         restaurants
·         any political signs
·         any evidence of health education on billboards, advertisements, or signs
·         any efforts to improve the neighborhood’s health such as advertisements for health-related events, health fairs, clinics, or lectures
·         any group efforts in the neighborhood to improve the living conditions or the neighborhood
·         churches, synagogues, mosques, and other places of worship



Health Resources


Did you observe:

No Yes If Yes, provide a number of states “many” “some” or “few”
·         hospitals
·         community clinics
·         family planning clinics
·         generalist doctors
·         dentist offices
·         pharmacies
·         urgent care clinics
·         skilled nursing facilities
·         mental health or counseling clinics
·         homeless or abuse shelters
·         public health department office
·         substance abuse treatment center
·         alternative medicine practices, botanicals, or herbal medicine shops

Answer the following question:



If some of the above health resources were not observed, approximately how far away would a person need to travel to find these resources?





Environmental Conditions


Did you observe:

No Yes If Yes, provide a number or state “many” “some” or “few”
·         evidence of anything that might make you suspicious of ground, water, or air pollutants
·         poor road conditions with potholes, or poor drainage
·         adequate traffic lights, signs, sidewalks, and curbs
·         railroad crossings fitted with warnings and barriers
·         streets and parking lots well lit
·         handicapped access to buildings, sidewalks, and streets
·         recreational facilities, playgrounds, and/or facilities like the YMCA
·         children playing in the streets, alleys, yards, or parks
·         evidence of nuisances such as ants, flies, mosquitoes, rodents, or stray animals observed






Identify a nursing problem based on your data and observations. The problem must be related to air quality. Example: Childhood asthma



Problem Identification: _________________


Vulnerable Population

Identify the vulnerable population that is most impacted by this problem. Example: Children

Vulnerable Population Identification: _________________



Write a nursing diagnosis based on your problem from above. Fill in the blanks below.

Example: Increased risk of asthma among children related to local air pollution demonstrated in county childhood asthma rates.

*See chapter 6 in the Nies and McEwen (2019) textbook for more examples of composing a community health nursing diagnosis.

Nursing Diagnosis: Increased risk of____________(problem from above) among ____________ (vulnerable population from above) related to ___________(etiological statement) as demonstrated in _______(health indicators/community data from above)


If you need a similar but plagiarism-free “air quality assessment and diagnosis template”, then feel free to contact us!