A quality improvement project to improve screening mammograms among older hispanic women in a primary care clinic

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Perez_Rosa_Dissertation.pdf (726.52 KB)

Date

2022-07-13

Authors

Perez, Rosa I.

ORCID

https://orcid.org/0000-0003-1816-3150

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DOI

URI

https://hdl.handle.net/1969.6/94527

Abstract

Background: Breast cancer is a growing health care concern. Based on current incidence rates, 12.9% of women born in the United States today will develop breast cancer at some time during their lives (Howlader et al., 2020). Healthcare providers (HPS) play an important role in managing breast cancer screening mammograms in primary care. Purpose: To implement interventions guided by two evidence-based guidelines to improve health care providers’ (HCP) management of predominantly Hispanic female patients between the ages of 40 and 74. Methods: A pre and post design was used to implement an educational intervention, based on the U. S. Preventive Services Task Force (USPSTF) clinical guidelines, which recommended that older women, ages forty and over, make personal decisions with their health care providers about breast cancer screening frequency. Results: This Quality Improvement (QI) project’s findings reflect a 10% increase overall in a three-month period for mammogram completion rates (67%) compared to pre-intervention mammogram completion rate baseline data for 2019 (57%). Implications: This QI project demonstrated positive outcomes for increasing screening mammogram completion rates and potential early detection of breast cancer where treatment modalities may provide a higher survival rate where quality of life for patients and family members can be achieved with a greater chance for remission with early detection and treatment.

Description

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice in Nursing Practice from Texas A&M University-Corpus Christi in Corpus Christi, Texas.

Keywords

breast cancer, breast cancer screening, evidence-based breast cancer screening tools, Hispanic, primary care, screening mammogram

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This material is made available for use in research, teaching, and private study, pursuant to U.S. Copyright law. The user assumes full responsibility for any use of the materials, including but not limited to, infringement of copyright and publication rights of reproduced materials. Any materials used should be fully credited with its source. All rights are reserved and retained regardless of current or future development or laws that may apply to fair use standards. Permission for publication of this material, in part or in full, must be secured with the author and/or publisher., This material is made available for use in research, teaching, and private study, pursuant to U.S. Copyright law. The user assumes full responsibility for any use of the materials, including but not limited to, infringement of copyright and publication rights of reproduced materials. Any materials used should be fully credited with its source. All rights are reserved and retained regardless of current or future development or laws that may apply to fair use standards. Permission for publication of this material, in part or in full, must be secured with the author and/or publisher.

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