The following 10 leading health indicators have been identified based on public health priori- ties: physical activity, overweight and obesity, tobacco use, substance abuse, responsible sexual behavior, mental health, injury and violence, environmental quality, immunization, and access to health care. These indicators can be measured and monitored to motivate action. Nursing Roles A well-planned, systematic approach that targets a specific population is key to successful health promotion services. A systematic approach to using the nursing process in the context of health promotion framework follows: Assessment Assessment, the gathering of facts and information, is the first step in developing goals and planning an effective program. This phase involves assessing corporate culture, management support, and employee needs and interests in order to identify health risks, establish priorities, and determine what services and interventions are appropriate. In conducting an assessment, there are several methods to consider, based on company struc- ture and communication processes. E-mail, the Internet, and company intranet capabilities have opened new avenues for assessing corporate needs and delivering health information. Tailor the assessment process to suit company needs. ● Establish a committee of management and employee representatives who are interested in health promotion activities. ● Assess the general demographics of the workforce and current health behavior status or per- ceptions of health activities. This can be accomplished through focus groups, needs assess- ment surveys, and health risk appraisals. Observing company culture (work behaviors, food selections, smoking breaks, use of stairs, etc.) also is helpful. ● Identify level of management interest in health promotion activities and services that are ben- eficial. Brief one-on-one interviews usually elicit the best responses. ● Examine health care costs review insurance claims and list the major health risks or liabilities. ● Determine the rate of and major reasons for absenteeism. Also assess company policy regard- ing employee absenteeism, information the department manager and employee supervisor receive regarding absenteeism, and whether any annual goals are established to reduce absenteeism. ● Review current policies, practices, and norms impacting health and safety, including food choices available in vending machines or cafeteria foods served at company-sponsored meetings and activities flextime options perceived job-stress levels. ● Determine resources available to address major health risks. Barriers should also be identified such as space limitations, attitude, budget, and work schedules. Planning Once information is gathered, health promotion programs can be planned that are acceptable to management, fit within the corporate culture, meet employee needs and interests, and can reduce health risks, thereby improving the company’s bottom line. ● Establish goals and objectives that are realistic, measurable, and based on analysis data from the assessment. Include a mission statement that parallels or includes direct quotations from the company’s mission statement. ● Design programs and services based on available resources and identified health risks and interests. ● Plan the budget to address staffing, equipment, marketing, space, and evaluation. ● Establish a marketing plan based on formal and informal channels of communication within the company that may include e-mail, posters, meeting announcements, newsletters, and handouts. ● Determine method of evaluation, including cost-benefit analysis and what data are to be col- lected and maintained. 254