Date of Award
Doctor of Nursing Practice (DNP)
Robin Kirschner, EdD, DNP, RN, NEA-BC, CNL, CNE
Tiffaney S. Randolph DNP, APRN, ACNP-BC
Practice Problem: Cervical cancer screening with Pap is the recommended standard practice for women aged 21 to 65. The project aimed to increase low cervical cancer screening rates at a primary care clinic.
PICOT: The PICOT question that guided this project was: (P) In women 21 to 65 years old in the primary care setting (I), does proactive pre-scheduling of cervical cancer screenings (C) compared to current standard practice (O) affect cervical cancer screening rates (T) over eight weeks?
Evidence: The evidence strongly supported improving cervical cancer screening among the targeted population. Studies showed that Pap smear screening reduced the incidence and mortality of cervical cancer.
Intervention: Evidence-based intervention of screening eligible patients during triage included proactively offering a Pap, scheduling future Pap appointments, and providing gynecology referrals per patients’ preference to women 21 to 65 who needed screening.
Outcome: The intervention of a proactive screening approach demonstrated a clinically significant increase in cervical cancer screening rates at the practice site.
Conclusion: A structured system of identifying patients in need of cervical cancer screening and implementing a proactive scheduling system improves patient compliance with cervical cancer screenings.
Young, E. (2023). Improving Cervical Cancer Screening Rates in the Primary Care Setting. [Doctoral project, University of St Augustine for Health Sciences]. SOAR @ USA: Student Scholarly Projects Collection. https://doi.org/10.46409/sr.AFZF6499
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