Date of Award


Document Type


Degree Name

Doctor of Nursing Practice (DNP)

School Name

Donna and Allan Lansing School of Nursing and Health Sciences



Major Advisor

Heather Owens

Second Advisor

Kim Hawkins

Third Advisor

Carol Smith


Immigrants are a growing population in the United States and face stressors specific to immigration. Stress is associated with increased mental and physical health issues, so increased stress puts this population at risk for many health concerns. A review of literature showed that implementing community resource classes for immigrants may help decrease immigration-related stress. The purpose of this evidence-based project was to assess if implementation of community resource classes at a local day center for immigrants could help decrease immigration-related stress. The classes addressed issues such as limited English proficiency and lack of legal immigration status. The Stress of Immigration Survey (SOIS) was administered before and after implementation of the community resource classes. Participants ranked their stress (1-5, the higher scores indicate greater stress) on questions divided into subscales (limited English proficiency, lack of legal immigrant status, disadvantages in the workplace, yearning for family and home country, and cultural dissonance). Pre- and post-scores for each subscale of the survey were averaged and categorized as no stress or stress. The data was analyzed using a McNemar’s Test. No significant associations were found between attending classes and decreased levels of stress, however, there was a decrease in stress in all categories post-intervention compared to pre-intervention scores. These results suggest that implementation of community resource classes for immigrants has potential to decrease stress in an immigrant population.