Description of the target population and geographic area

Healthy People 2020 Leading Health Indicator that will be addressed by the intervention

List, in order of priority, of three community health needs diagnoses and one community wellness diagnosis

1. Including the population of interest

2. Level of prevention v. Identification of the role of the community health nurse in the development of the intervention vi. From the Public Health Intervention Wheel (Nies & McEwen, page 14) that best describes the proposed intervention, 1. identify the category; 2. identify the level of practice; 3. identify whether it is for community, systems, or individual and/or family. vii. The priority health issue diagnosis supported by the assessment data, written in SMART format (Specific. measurable. attainable. relevant. and time-bound components)

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