Community Nursing


IronBridge’s Windshield Survey

Awindshield survey refers to an assessment of a community, which iscarried out by traveling around the community in question by use ofpublic transportation while making crucial observations about thatcommunity and its major dynamics. The expected results should give abasic description of the community in question, its members andhealth. All the data collected will assist in the identification ofthe strengths and weaknesses of the healthcare. As observed, thegroup that carried out Windshield Survey of Iron Bridge gave thefollowing information, which could help the surveyors to come up withbasic assumptions about the community and identify its needs.

Tobegin with, while driving across the high bridge area, it is hard toavoid several middle-aged, disheveled adults gathered in a cornersmoking. It is evident these adults are from multiple ethnicity. Allof them are holding brown polythene bags with liquor bottles tickingout. It tells a lot about health awareness in Iron Bridge. There area number of retail shops, and at the corner is a liquor store, whichis a popular spot for these adults. Iron Bridge has a school with aplayground and the basketball court is located near a housing project(Nies &amp McEwen, 2015). The two serves as parking in the area.

TheIron Bridge community has economic boundaries characterized by anumber of stores. The market supply groceries to the community. Thereis a mall, Concord Mills, which contain newer high incomedevelopmental stores with majority containing groceries. It appearedthat here, the communities prefer traditionally associated foodstuffs, evidenced by fresh produce. While negotiating a corner, thereis a medium-sized sign with the inscriptions “21stStreet Baptist Church”. Communities around Iron Bridge appear tooffer their volunteer services in church. The Iron bridge communityis well-attended, which tells a lot about the welfare of thecommunity and its healthcare concern (Nies &amp McEwen, 2015). Whatis of great concern in Iron Bridge community is the unavailability ofenough health care for the residents. Iron Bridge only has onemedical care, which is barely enough to cover the medical needs ofthe residents. I noted there is no dentist for the whole of IronBridge. The nearest health center is ten miles way. The communityalso has large population of elderly people that are in dire need ofhealthcare and transport services.

PrinceGeorge’s Demographic Data

Mycounty, Prince George, Maryland, has a total population of 904,430 bythe end of 2014. Changes in population between 2010, which was863,519, and 2014, are characterized by an increase of 6.7%. PrinceGeorge has population above the age of 65 represent 10.8% of theentire population (USCB, 2015). This shows that the majority of thepopulation is below the age of 25 years, in the county, 25 years andabove represent 85.5% of the entire population. Females represent51.9% with males occupying the rest. Prince George is comprised ofdifferent languages, including Native Americans (23%), AmericanIndians (1%), Spanish, African Americans (65.1%), Latinos (5%), andothers (USCB, 2015). Levels of poverty are directly proportional tothe rates of employment in Prince George County. Housing is also anissue in the county with those having lived in the same house forover a year is 84.9%. House ownership rate is also minimal with 5% ofthe total representing the owners. Education is on the rise withthose in high school and undergraduate levels representing 65% of thetotal population.

PrinceGeorge’s Epidemiological Data

Interms of health outcomes, Prince George County is ranked no. 28overall. There are several health priorities as far asepidemiological data for this county is concerned. The first one isthe quality of life, with premature deaths recorded to be over 6,000annually (CHRR, 2015). Health concerns have continuously degraded thequality of life in Prince Gorge County. A look at the health factorsthat characterizes the county shows discouraging statistics. Thecounty is known for adult smoking (25%), adult obesity (36%),physical inactivity (26%), excessive drinking of alcohol (18%),sexual transmitted diseases (1%), and teen births (1%) (CHRR, 2015).Health concerns are also boosted with the level of clinical care inthe county, social, and economic factors.

Additionally, physical environment also contributes to healthconcerns, with air pollution and drinking of dirty water taking thefront seat with 12.2% and 8% respectively. Others include problemswith housing, drinking at work, and long distance travel. 13% of theentire Prince George County is uninsured, which is one of the mostserious concerns to the future of health standards. Injury deaths andviolent crime have also contributed to social concerns in the county.Economic factors are represented by unemployment (6.2%) and incomeinequality having (3.3%) (CHRR, 2015). All these factors have draggedthe county behind in terms of health.


County Health Ranking &amp Roadmaps (2015). Building a Culture ofHealth, County by County: Prince George (PG), Maryland. A RobertWood Johnson Foundation Program. Retrieved from

Nies, M. A., &amp McEwen, M. (2015). Community/Public healthnursing: Promoting the health of populations (6th ed.). St.Louis, MO: Saunders/Elsevier.

United States Consensus Bureau (2015). State and CountyQuickfacts: Prince George’s County. US: Maryland. Retrievedfrom