| Course | NUR 547 Community, Global and Population Health |
|---|---|
| Module | Module 4 |
| Paper type | Global community assessment worksheet |
| Length | About 615 words, 5 pages |
| Format | APA 7 student paper |
| School | Arizona State University |
| Program | MS in Nursing |
| Updated | October 2026 |
Free sample paper for NUR 547 Module 4
Content Worksheet 2: Disease, Genes, Water and Rising Seas in South Tarawa
Student Name
Edson College of Nursing and Health Innovation, Arizona State University
NUR 547: Community, Global and Population Health
Instructor Name
Month Day, Year
Content Worksheet 2: Disease, Genes, Water and Rising Seas in South Tarawa
Epidemiology of the Priority Problems
Worksheet 1 identified tuberculosis and diabetes as leading problems. Kiribati's tuberculosis rate was near 945 new cases per 100,000 in 2024, and adult diabetes affected nearly one in four (World Bank, 2026). Incidence measures new cases in a period; prevalence measures existing cases at a point in time. Tuberculosis is best tracked by incidence because transmission is ongoing; diabetes by prevalence because it is chronic.
Using the epidemiologic triangle (Stanhope & Lancaster, 2020):
The table shows a link between the two problems: diabetes raises the risk of active tuberculosis, so the diabetes epidemic may help sustain tuberculosis transmission.
| Element | Tuberculosis | Type 2 diabetes |
|---|---|---|
| Agent | Mycobacterium tuberculosis | Not an infectious agent; excess energy intake and insulin resistance act as causes |
| Host | Undernutrition, diabetes, smoking, young or old age | Obesity, age, family history, possible genetic susceptibility |
| Environment | Crowded housing, delayed diagnosis, limited ventilation | Imported processed foods, little land for gardens, heat limiting outdoor activity |
Genomics
Genomic research in Pacific populations has raised questions about inherited contributions to obesity and diabetes. In Samoa, a genome-wide study found a variant in the CREBRF gene that is rare elsewhere but common in Samoans and strongly associated with higher body mass index (Minster et al., 2016). It is unknown whether similar variants are common in I-Kiribati people, and genetic susceptibility does not explain the rapid rise of diabetes, which tracks dietary change. For public health nursing, genomics matters mainly as context and caution: family history remains the most practical genomic tool, and genetic explanations should never be used to blame communities or excuse inaction on the food environment. Any genomic research should follow community consent and benefit-sharing.
Environmental Hazards
Water and sanitation are the most important environmental hazards. Safely managed water reaches roughly one person in seven and safely managed sanitation one in four (World Bank, 2026). On South Tarawa, the freshwater lens beneath the islets lies close to household sanitation, so contamination is common, contributing to diarrheal disease in children. Heat, indoor smoke from cooking fires in some homes, and solid waste on narrow islets are additional hazards. An environmental health assessment would include household water sources, sanitation type, cooking fuel and waste disposal.
Climate Change
Kiribati's atolls rise only a few meters above sea level. Sea-level rise, together with wave-driven flooding, threatens homes, roads, crops and freshwater supplies, and modeling suggests that many atoll islands could become uninhabitable by the mid-21st century (Storlazzi et al., 2018). Climate effects on health include saltwater intrusion into wells, loss of land for food, displacement, heat stress and possible changes in vector-borne disease. Climate change therefore acts as a multiplier for both priority problems: it worsens crowding, water insecurity and food insecurity.
Disaster Management
King tides and storm surges already flood parts of South Tarawa. Disaster management phases include prevention, preparedness, response and recovery (Stanhope & Lancaster, 2020). Preparedness needs include early warning through radio and churches, evacuation plans to higher ground or sturdy buildings, protection of the central hospital's water and power, stockpiles of tuberculosis and diabetes medicines, and plans to keep patients on observed therapy during displacement. Recovery must address water contamination after flooding. Because outer-island patients are referred to South Tarawa, the plan should also cover how referrals continue when boats and flights stop after a storm.
Priorities for the Plan of Care
Three priorities follow from this worksheet. First, tuberculosis control that addresses crowding and the diabetes link. Second, diabetes prevention focused on the food environment, not individual blame. Third, water and sanitation improvements built into climate adaptation and disaster planning. Worksheet 3 will turn these priorities into a plan of care.
References
Minster, R. L., Hawley, N. L., Su, C.-T., Sun, G., Kershaw, E. E., Cheng, H., Buhule, O. D., Lin, J., Reupena, M. S., Viali, S., Tuitele, J., Naseri, T., Urban, Z., Deka, R., Weeks, D. E., & McGarvey, S. T. (2016). A thrifty variant in CREBRF strongly influences body mass index in Samoans. Nature Genetics, 48(9), 1049-1054. https://doi.org/10.1038/ng.3620
Stanhope, M., & Lancaster, J. (2020). Public health nursing: Population-centered health care in the community (10th ed.). Elsevier.
Storlazzi, C. D., Gingerich, S. B., van Dongeren, A., Cheriton, O. M., Swarzenski, P. W., Quataert, E., Voss, C. I., Field, D. W., Annamalai, H., Piniak, G. A., & McCall, R. (2018). Most atolls will be uninhabitable by the mid-21st century because of sea-level rise exacerbating wave-driven flooding. Science Advances, 4(4), eaap9741. https://doi.org/10.1126/sciadv.aap9741
World Bank. (2026). World development indicators: Kiribati [Data set]. Retrieved October 4, 2026, from https://data.worldbank.org/country/kiribati
What the NUR 547 Module 4 instructions ask for
The posted syllabus has students keep working on Content Worksheet 2 during Module 3 and submit it in Module 4, whose topics are genomics, epidemiology, environmental hazards, climate change and disaster management, with Stanhope and Lancaster chapters on genomics in public health nursing, epidemiology and environmental health. The worksheet is the second building block of the Global Community Project, which assesses population-level determinants and leads to a plan of care. Expect the template to ask for each of those topics applied to your community, with data and sources. The worksheet template in Canvas sets the order and length. Faculty comments on Worksheet 1 are worth addressing first, since this worksheet builds directly on the community description and priority problems. Start Worksheet 3 notes as you finish this one.
How the NUR 547 Module 4 example is put together
Each of the module's five topics has its own section, applied to the same community and the two priority problems from Worksheet 1. The epidemiology section explains incidence and prevalence and uses a triangle table to compare the problems, revealing a link between them. The genomics section uses a Pacific study carefully and names ethical cautions. Environmental, climate and disaster sections move from current hazards to future threats to preparedness. A closing section sets priorities for the next worksheet. Data are reused from Worksheet 1 with the same sources and years, which keeps the project consistent across worksheets and makes numbers easy to verify. A table keeps the triangle comparison compact.
Where the marks sit in the NUR 547 Module 4 rubric
Faculty score this worksheet on completeness, accurate use of epidemiologic and environmental concepts, credible and current data, thoughtful application of genomics, attention to climate and disaster issues, and clear writing. Faculty look for analysis that links topics together, such as climate change worsening water and food insecurity. Careful, ethical use of genomic research shows maturity. Priorities that lead clearly into the plan of care show that the project is building logically. Worksheets that explain how one determinant multiplies others, as climate change does here, show the systems thinking population health requires. Ethical cautions about genomics also earn credit. Data with years and sources earn credit.
NUR 547 Module 4 help from the desk
The most common weakness is treating each topic as a separate essay. Link them to your priority problems. Another is overstating genetic explanations for disease in a population; emphasize environment and use genomic findings cautiously. Define epidemiologic terms correctly. Use current data with years. Make disaster planning specific to your community's hazards. For help with the second worksheet, send the template and your first worksheet to the desk. Keep every figure tied to a source and year, and note when national data stand in for your community. Describe disaster plans that fit local hazards. Avoid long definitions; apply each concept.
Write yours, or have the desk draft it
This paper is an original model document written by our desk, not a submitted student paper and not an official Arizona State University document. Read it for the moves, then write your own to the instructions in your classroom. If you want one built to your exact prompt and rubric, the first custom sample is free and arrives in 24 to 48 hours.
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NUR 547 Module 4 questions, answered
Where can I find a free NUR 547 Module 4 sample paper?
Content Worksheet 2 is above in full: South Tarawa analyzed through epidemiology, genomics, environmental hazards, climate change and disaster management, with priorities for the plan of care and references.
What topics does NUR 547 Content Worksheet 2 cover?
The syllabus pairs it with Module 4: genomics, epidemiology, environmental hazards, climate change and disaster management.
What is the epidemiologic triangle?
It explains disease as the product of agent, host and environment acting on one another.
How should genomics be used in a community assessment?
As context with caution: family history is the most practical tool, and genetic findings should not distract from environmental causes or stigmatize communities.
When is NUR 547 Content Worksheet 2 due?
The syllabus places its submission in Module 4, during Week 4.