Date of Award

Fall 2021

Degree Type


Degree Name

Doctor of Nursing Practice (DNP)


Leadership and Advanced Nursing Practice

Committee Chair

Dr. LaWanda Baskin

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Dr. Carolyn Coleman

Committee Member 2 School

Leadership and Advanced Nursing Practice

Committee Member 3

Dr. Cathy Hughes


A lack of protocol for screening of social determinants of health (SDH), specifically for pediatric patients, despite national endorsement, is setting a basis for increased rates of negative health outcomes that can follow individuals into adulthood. The PRAPARE tool, or the Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences, is a guided national effort to assist healthcare centers in the collection of the necessary social data required to care for patients and act upon their social determinants of health (The National Association of Community Health Centers [NACHC], 2019). This project acted to identify if the early assessment of multiple SDH, utilizing the PRAPARE survey tool, during inpatient admission, operated as a safety net to yield early identification, intervention, and connection with appropriate resources over the course of 50 admissions.

The survey process was completed within the time course of 30 days and consisted of 50 participants with 49 out of 50 surveys completed. The surveys were then analyzed utilizing the Risk Tally Score methodology to categorize participants based on their social risks/needs as low-risk, moderate-risk, or high-risk. Post-assessment data was compared to pre-assessment data, consisting of a retrospective chart review to identify the number of participants who would have prompted a social work/coordinated care consult prior to PRAPARE survey use, to identify if there was an increased rate of identified socially at-risk individuals. The results of the intervention, implementation of PRAPARE, show that overall the utilization of the SDH screening protocol did provide for an increased rate of identified individuals.