Campus Location

Dallas Campus (Online)

Date of Award


Document Type

DNP Project



Degree Name

Doctor of Nursing Practice

Committee Chair or Primary Advisor

Sandra Cleveland

Second Committee Member or Secondary Advisor

Catherine Garner


Abstract The environment and conditions in which people are born, live, learn, work, play, worship, and age are social determinants of health (SDOH). Specifically, SDOH are categorized into five domains: (a) economic stability, (b) education access and quality, (c) health care access and quality, (d) neighborhood and built environment, and (e) social and context communities. Inequities in these domains are associated with health disparities that lead to poorer health and quality of life. The aim of this quality improvement project was to implement the Protocol for Responding to and Assessing Patient Assets, Risks, and Experiences (PRAPARE) to screen patients’ SDOH (intervention) and evaluate the impact of such screening on referrals to community agencies to assist with identified needs (outcome). The PRAPARE screening tool was completed with each consenting patient, 18–65 years old. Prior to the intervention, no formal method of screening for SDOH was utilized. Pre- and postintervention data were collected on the number and type of patient referrals to community resources. Descriptive statistics revealed an increase in the mean number of referrals per patient after the SDOH screening (M = 3.18) compared to before (M = 1.5), suggesting that screening for SDOH better identified patients’ social needs and increased referrals to community resources to assist with those needs. Transportation, mental health, food, housing, and utilities were the primary needs identified. A linear regression was conducted to examine the relationship between SDOH screening and increased referrals. Results of the regression analysis were not statistically significant (R 2 = 0.04, F(1, 0) = 0.32, p = .60), indicating that SDOH screening was not a predictor of increased patient referrals to community resources.

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.



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