Synthesis Paper Wake County, North Carolina

Phase One: Define the Community
1. Name of Community: Wake County, North Carolina
2. Location, boundaries, size in miles/acres, physical environment including any environmental
hazards

Phase Two: Assessment
The goal of assessment is to collect data and usable information about the community residents. Data
gathering involves compiling information that already exists. Data can be collected from a variety of valid and professional sources.
Include the following:
1. Biophysical aspects including population (number of residents), age, gender, race/ethical
composition
2. Psychosocial and cultural aspects including socioeconomic status, number and level of
educational facilities, average or prevailing education level, major occupations,
unemployment rate, religious facilities/churches, cultural considerations
3. Behavioral aspects including recreation and exercise facilities, substance use and abuse,
sexual activity (teenage pregnancy, STD’s, HIV)
4. Health care services available in the community including the levels of care provided (primary,
secondary, tertiary) and factors such as adequacy, affordability, accessibility, and
acceptability/use
5. Overall health status of the community and any vulnerable groups. Using mortality and
morbidity rates identify the leading causes of death (top 3), prevalence of chronic illness (top
3). Compare with the mortality and morbidity rates of the state and nation.

Phase Three: Data Interpretation
Data are analyzed and synthesized to search for significant themes and trends.
1. Identify 1 area of strength in the community and provide rationale for your decision.
2. Identify 1 health need in the community (based on Healthy People 2020) that can be addressed: Substance abuse
by the community health nurse and provide rationale for your decision.

Phase Four: Community Health Nursing Program
Develop an original evidence-based nursing program to address the identified community health need
1. Describe the program including the major purpose of the program
2. Identify one specific program objective to help meet purpose of program (include action verb,
single purpose, single result, time frame)
3. Discuss activity(s) needed to meet program objective
4. Describe resources needed including personnel/staff, equipment, supplies, facilities
5. Explain collaboration/teamwork needed with other healthcare disciplines and/or community organizations