Date of Paper/Work


Type of Paper/Work

Doctor of Nursing Practice Project

Degree Name

Doctor of Nursing Practice



First Advisor

Lori Winchell


Doctor of Nursing Practice


The focus of this quality improvement project was to improve the perceived health and wellbeing of Native American elders residing in low-income housing. Guidelines were established to provide health promotion activities that included screening, weekly vital signs, culturally appropriate individualized health coaching and education talk circles within a community-based wellness clinic. Data was collected prior to project implementation and again at three months post-implementation. Findings suggest that health coaching and education improve hypertension control as evidenced by mean a population improvement of 12 mm Hg. There was not a significant difference in the responses from the health survey measuring confidence scores and the perceived health of participants, in fact, there was a slight decline in mean confidence scores for some responses.

Available for download on Tuesday, May 30, 2023