Master's Theses or Doctor of Nursing Practice

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Department

Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Abstract

Healthcare disparities are a growing problem in America. The differences in healthcare outcomes for people of different racial and socio-economic statuses are significant. They cannot be overlooked as they affect other areas of healthcare, including satisfaction with healthcare, healthcare quality, cost of healthcare, and even life expectancies. The main drivers behind these disparities are non-health-related factors that are known to influence health outcomes. These factors include employment, housing, utilities, transportation, and food security, to name a few. These factors are social or socio-economic determinants of health (SDOH). This quality improvement project aims to screen individuals for socio-economic conditions that put them at risk for worsened health outcomes. This project was conducted in an outpatient clinic setting for 10 weeks. The Protocol for Responding to and Assessing Patient’s Assets, Risks, and Experiences (PRAPARE) questionnaires were given to respondents 18 and older. 235 respondents completed the questionnaires. One thousand and four hundred SDOH risk factors were identified among the respondents. The mean is 93.33, the median is 70, and the mode is 8. All the individual SDOH risk factors screened for were present among the respondents. The findings of this quality improvement project suggest there are individuals in this community with socio-economic statuses that put them at risk for adverse health outcomes.

Keywords

Nursing, SDOH, PRAPARE, social needs screening, housing, employment, health outcomes

Advisor

Christina Lawver

Date of Award

Spring 2025

Document Type

DNP Project

Rights

© The Author

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