1 Windshield Survey Mojica Abucejo Aspen University NU-610-817: Healthcare Policy and Finance Professor Todd Harlan February 27, 2021 2 Windshield Survey A windshield survey is a scientific and systematic tool that helps researchers conduct a study and observation while inside a moving vehicle, hence the name “windshield”. Similarly, this investigation helps surveyors understand the community's needs (Kusimo, 2019). As a nurse, this tool is very vital in discerning the health aspects of the community. Moreover, it is a great first step in assessing the strengths and limitations of services, infrastructures, and environmental factors that guide community nurses in applying professional interventions to communal issues (Gallagher & Stevens, 2015; Rabinowtiz, 2020). The windshield survey conducted in my community was very informative and helpful in determining elements that affect those who live in Laveen, Arizona. This paper will depict the data gathered and find its correlation to the residents' health status in the area. Moreover, factors such as transportations, social services, stores, religion, race, businesses, homelessness, housing, boundaries, and other health indicators will be examined. Finally, aspects of the community that are the biggest challenges and barriers in attaining good health care will be discussed. Data Collected Data collected in windshield surveys are pertinent not only to healthcare workers but also to government agencies that can help for the betterment of the community. More importantly, these surveys are done annually to keep the date updated. Moreover, nursing students that are tasked to do a windshield survey are given the oppurtunity to think as a community health nurse (CHN) while understanding the dynamic process of how physical, spiritual, mental, and social well-being are affected by determinants of health (Ho-Asjoe & Griffin, 2017). The following data were collected in three days’ worth of windshield survey. 3 Boundaries: The Laveen community borders are defined with several small bodies of water that are mostly dried up. Additionally, its roads go all the way to south 75th avenue and 25th avenue. Furthermore, a section of the South Mountain reserved is part of this growing community. Housing and Zoning: The Laveen area has seen quite a lot of housing developments over the past few years. Many houses are being built around schools and establishments, that many of the open spaces are being taken away. Most of the houses look to be modernized and are well kept. However, few are old and were from the first housing projects of the community. Additionally, the area has many houses primarily used for agriculture purposes with open designs, many of which are in the edge part of the border. Likewise, most of the houses near schools and private businesses are governed by homeowners' associations (HOAs), which provides a specification for their residence. Open Space: Many areas of the community were originally used for pastures and farming. However, many of these lands are now open areas. Moreover, a large industrial presence in the community is used for metals and iron recycling. Next to this industrial zone is a wide area of land that’s not being used and is barricaded for years now. Other open spaces are found around the community; most are used for open parks or miniparks that the residence use for walking their dogs and doing exercises. Commons: The park at Cesar Chavez is one of the biggest parks in the Laveen. The area is surrounded by a human-made lake that features a small islet in the middle. This area also has a 4 public library that provides free internet access to the public. Additionally, new areas are being built, such as skating parks, animal parks, and walking areas for the community. Subsequently, the hiking trails around the South Mountain reserve is one that many people go to for leisure and activities. Transportation: The new development of the 202 highways has made a significant impact on the transportation aspect of Laveen. The highway provided much-needed access to the Phoenix proper. The metropolitan buses also have multiple dropping areas that serve the community. Furthermore, many of the houses that were observed in the survey have their own personal vehicle for transportation. Social Services: In the survey, every major cross street had access to a pharmacy and clinics. Likewise, there are multiple access to parks and recreational areas. Similarly, there are plenty of urgent care and primary care practices that are available to the public. Moreover, bigger healthcare companies are starting to invest in the area, recent opening of a small clinic from Valleywise healthcare system is a promising development. Stores: The survey showed an uptick of new stores opening in the area. Unfortunately, stores are far from each other. There are small areas centralized for food, but Laveen lacks specialized stores for clothes, technology, and international items. Similarly, there not much variety in food stores and no luxury dining available in the community. What is abundant are small eateries that serve on the grab food for low prices. Subsequently, people who want to spend for fine dining travels outside the community, such as in Tempe or Scottsdale. 5 Street People and Animals: On a daily basis, the people in the streets are mostly blue-collar workers trying to get a ride on the bus or get their groceries. Since the survey area was closely done in the central of the city, there were a ton of students from the nearby schools in the area. Furthermore, when this survey was done, there was no sign of animals loitering around the public areas. However, as someone who lives in the community, there are some incidents where stray dogs and animals were seen near houses. These incidents are especially concentrated near the South Mountain reservations. Race and Ethnicity: The community is comprised with a diverse race and ethnicity. In driving around the city, African American, Hispanic American, and White American were observed to be the most out and about in the neighborhood. Although by experience, I do know that there is a large community of Asian and Native American in the area here too. Religion: In searching the community, multiple churches were observed and were open for worship. There is a Baptist, a Jesus Christ of Latter-day Saints, multiple Catholic, and Iglesia De Cristo church. However, I know there is a lack of a other religion is an issue that many resident has voiced out in previous years. Health indicators: There are many healthcare clinics around the Laveen proper, but not many mental health and substance abuse facilities. Furthermore, there are few specialized healthcare offices in the area. It lacks orthopedic, women's health, pain clinics, and ambulatory surgical centers. Much urgent care has been built recently, which is a good indicator of how much the population has 6 grown through the years. There is a police station at the border's edge but not close to the main Laveen village. There are only a few fire departments in the area, even though the house they serve has increased since they were established. Politics: This aspect of the survey was hard to discern. There are multiple posters in the major cross streets, but there is no indication of any political headquarters in the area. Moreover, there are no billboards in the area that has a political theme. As for other political presence indicators in the area, most ballots in the past election were done in the churches and schools in the community. Media: As mentioned above, there is a public library that is utilized by the masses. In the survey, many people were in the public area and are reading books. The church and schools around the area also let the public borrow multimedia products such as movies and music CDs. Business and Industry: The area is near the new highway and paved the way for many new businesses, from small retail to big chain restaurants. There are some new manufacturers but are limited to small offices. However, the healthcare industry is booming in the area, with four clinics opened up in the last year, and many more are being built for this year. However, there is no big company in the area, but it could change from future projects planned near highway 202. Similarly, many of the people are workers in nearby cities such as Tempe and Phoenix. Personal Opinion In conducting the windshield survey, I find that there are many lacking services in my community. For instance, there is no movie theater nearby nor a place to have fine dining with 7 family. More importantly, there is no large-scale hospital that can manage major surgeries or critical health needs. Likewise, there are no colleges or universities nearby, although there are plenty of high schools in the area. It would be beneficial if these services were provided in my area. It would look more like a booming town than an industrialized area with lower housing prices due to its location. The most interesting aspect of the survey would be the current climate of the crimes around the area. In my windshield survey alone, I saw four cops arresting multiple teenagers in the streets. Smart home devices such as the Ring and Arlo cameras have a sharing forum for any crimes in the area. I must say, the numbers of reported crime activities in a 50 miles radius in our community have risen for the past year. These problems would be alleviated if there were more police stations in the area. Another safety feature that needs to be implemented is the use of a neighborhood watch or community patrol. Results of Findings Windshield surveys are a good framework for formulating interventions in the issues that communities face. Moreover, the assessment serves as a preliminary guide for community health nurses in assessing the residents' needs. For instance, a study done to help rural areas and pediatric care in different communities has shown that windshield surveys were vital in assessing the issues at hand (Brock et al., 2020; McGuirt et al., 2015). In our community, what surprised me is the lack of support for the promotion of safety. Many of the current issues in the Laveen is centered on its problematic security and widespread crimes. In the urgent care close to my home, multiple incidents have happened, from shooting to bomb threats; they have it all. These issues are vital to people's safety and must be addressed. 8 The emotional stress that these events can bring to the residence is crucial to their overall mental health. Description of the Neighborhood According to Porter et al. (2020), the use of windshield surveys can help determine modifiable factors and their detractors to give individuals, groups, and communities a higher chance to achieve better health status. In my time spent conducting the survey, I only witnessed a few people using the parks and recreational areas. However, the current pandemic might have something to do with this assessment. Nonetheless, the survey elements such as high crime rate, low number of healthcare facilities, deficiency in emergency establishments, and low variety of food places can affect an individual's overall life experience. Therefore, the community of Laveen needs multiple improvements on its infrastructures and available services to help its residents achieve a better quality of life. Conclusion A windshield survey is a great tool for nursing students like me to understand the factors affecting the health status of a community. Applying it to my own neighborhood provided me with insight into how the current issues affect the residents of Laveen. Subsequently, I now have great awareness of how to use these assessments tools in the future when I become a nurse. More significantly, doing the survey has made me appreciate the things in my neighborhood that help its resident live a better life. Finally, pinpointing the issues that are plaguing the community in a systematic and scientific method nurtures critical thinking, a crucial skill that a future nurse like me will be needing. 9 References Brock, K. E., Allen, K. 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