Date of Graduation

Spring 5-17-2018

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




Family Nurse Practitioner

First Advisor

Dr. Prabjot (Jodie) Sandhu

Second Advisor

Dr. Melanie Keiffer

Third Advisor

Dr. Karen Van Leuven


Objectives: The purpose of this DNP project was to increase the knowledge of environmental health risk factors in the Philippines among nurses and doctors located within that healthcare system. The overall goal was to educate providers on local environmental health risks, provide training for the use of a screening tool (Tagalog Environmental Health and Safety Assessment Tool [TEHSAT]), and provide resources aimed at increasing screening of at risk populations and provide opportunities for education and health promotion.

Methods: This project included a two-part educational training session. The first part included a preliminary presentation on environmental health and the use of the screening toolkit. The second part was developing practice proficiency with the TEHSAT. Following the educational intervention, the DNP author provided on-site resources to BSN and MAN level nursing students required to implement the toolkit into clinical practice.

Results: The results of the educational project revealed positive findings, in which 79% of the nursing students were able to increase their knowledge pertaining to environmental health risks after the educational sessions. Additionally, more than 50% of the nursing students felt readily equipped to screen patients for environmental health risk in clinical practice.

Conclusion: After an education workshop had been conducted in a semi-rural city of a developing country, the results assert increased knowledge attainment with regard to environmental health. Advanced practice nursing students were able to use and reference the toolkit by conducting screening of and providing education to patients in their workplaces. Overall, both undergraduate and graduate students found the educational session and the toolkit to be beneficial. All of them are likely to use and refer to the toolkit throughout their nursing careers. As a secondary outcome, the dean of the college of nursing has expressed interest in continuing this project as part of the curriculum in the Fall of 2018.