Campus Location

Dallas Campus (Online)

Date of Award


Document Type

DNP Project



Degree Name

Doctor of Nursing Practice

Committee Chair or Primary Advisor

Dr. Donna Atobajeun

Second Committee Member or Secondary Advisor

Dr. Danielle Sarik

Third Committee Member or Committee Reader

Dr. Tricia Bernecker


A productive workforce and retention of employees is an essential part of a company’s reputation and elevation of the company to be the best to the workforce. Healthy and present employees are a key to this productive workforce. Transient workers in the pipeline construction are away from their families and loved ones and can struggle to stay healthy and find quality healthcare while working long hours multiple days a week. Employers on these job sites can help their employees by providing onsite healthcare. The research shows there is a lack of healthcare providers available, especially in more rural areas. The main purpose of the study is to identify if there was a decrease in sick days when an onsite provider is available to employees and if having an onsite health clinic is used by the employee and if they think it is beneficial. The primary data were collected at the project site during the construction of the pipeline. Data were collected using total daily working hours and sick hours during the periods of February 2019 to July 2019 when there was no nurse practitioner and September 2019 to February 2020 with a nurse practitioner available to employees. During the timeframe February 2019 to July 2019 there were a total of 152 days worked, 855,753 work hours, 20,749 sick hours, and 0.0242 sick hours per total work hours. During the period September 2019 to February 2020 when a NP was available onsite, there were a total of 138 days, 618,629 work hours, 10,010 sick hours, and 0.0162 sick hours per total hours. The cost impact this placed on the company is $590,389.80. The cost of the NP for the 6-month period was estimated by the construction company to be $309,465.00. This cost of the NP added to the sick day cost total from September 2019 to February 2020 totaled $899,854.80. Subtracting this cost from the total sick day cost without a NP ($1,223,776.02) totals a benefit to the company of $323,921.22. The anonymous questionnaire had 10 returns with most employees agreeing the onsite healthcare is used and beneficial to the employees. v Several had used the services, and several had never used the service but would if they felt they needed it. One specifically said they used the service for their diabetic management. The findings from this project showed that the sick days are reduced when an NP is available onsite, and companies can benefit despite the cost of the clinic. Additionally, creating more awareness of the services to the employees is important to create more volume in the clinic. Keywords: nonoccupational health care, occupational injury care, onsite care, transient employ, workplace clinic

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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