Population screening

The health screening project is an opportunity for adult/gerontological nurse practitioner students
to develop clinical skills in health promotion, prevention, risk reduction, and restorative care at
the advanced practice level. Students are to evaluate/screen a population of young, middle, and
or older clients to determine that population’s needs for health promotion, risk reduction, and/or
restorative health education. Students will design and implement plans for the clients to change
their health behaviors, and evaluate the outcomes.

1. Identify and define the characteristics of a target population that will benefit from a health
promotion screening and intervention. Consider the needs for health promotion, risk
reduction, restorative care for that particular population.

a. What is the rationale for screening this population? Address issues related to diversity, disparities, barriers, health literacy.

2. Determine specific health promotion goals, action, and targeted behavior change options and
outcomes for this population.

a. Some examples of health behavior concepts or attributes include – Self-care; Self-monitoring; Self-management; Adherence/Compliance (medication; dietary pattern; Physical activity pattern; etc); Smoking; Oral health practice; etc);
Engagement/Isolation; Health literacy/Safety (sexuality; injury; medication;
substance use; caregiving; cultural competency; teenage pregnancy; etc).

3. Locate an appropriate tool to appraise the populations’ health risk or status regarding the
health promoting action or behavior. Ensure that the tool meets guidelines for use in your
target population, and then screen the population using the tool.

a. Address any policy and regulatory issues and controversies that may impact the
choice of appraisal or outcomes.

4. Review (analyze) outcomes (data) of your pre-intervention screening (interviews, reports,
community work through).

5. Develop an appropriate action plan for the clients for health behavior change. Consider
clients’ strengths, competencies, and weaknesses. Use your resources (local, national,
professional) to select appropriate interventions

a. The health promotion action/intervention should be oriented to the population rather than an individual.
b. The plan may take the form of health education classes, exercise intervention, support groups, or using a health resource that meets expected evidence-based or practice guidelines.

6. Implement the plans with your clients.

a. Develop a plan for sustainability at the local, state and national levels

7. Report your project in a presentation-style format. Present a verbal PowerPoint summary (20
minutes or less) to the class and submit a summary report of the project to the instructor.
Project report must cover the following aspects:

a. Show a systematic process
b. Include background information about population and rationale for the identified
c. Provide a theoretical framework for the health behavior screening and intervention
using appropriate theory of health behavior/promotion. Define and Explain targeted
behavior change/action and how it is related to the health promotion theory for the
project and expected outcome supported by the theory.
d. Identify environmental, interpersonal, and other barriers toward health behavior for
your population. Address impact of applicable policy and regulatory issues and
e. Report follow up after period of intervention (if conducted).

Other considerations:
• Use of appropriate technology health promotion delivery
o Eg., Equipment, media, data; assessment; etc
• Use of Informatics to access health information
o Eg. Florida charts; health statistics; MUA’s/MUP’s; databases; etc
• Collaboration in planning and implementation
o Health care personnel or agency; agencies and agency leaders; communities, leaders; other stakeholders