| Principal Investigator: | Lisa R. Spruce, MSN, ARNP |
| Co-Principal Investigator/Collaborator: | Julie Sanford |
| Organization: | University of South Alabama |
Abstract
Problem
Colorectal Cancer Screening (CRC) rates are low and research has shown the recommendation of screening in the primary care setting has not been widely adopted. The purpose of the Doctorate of Nursing Practice (DNP) Project is to implement and evaluate new strategies to increase CRC screening.
Evidence
A comprehensive review of the evidence reveals that practice interventions are successful at increasing rates of CRC screening. A team approach that includes staff utilization is very effective to increase population screening. Utilizing a systematic approach to change primary care is supported by the evidence.
Strategy
A toolkit, based on the model recommended by the American Cancer Society, was designed to emphasize a patient centered team approach to improve CRC screening in primary care. The toolkit includes new evidence and strategies that are useful for CRC screening.
Practice Change
A new model will be presented and will include a team approach to the identification of eligible patients, the education of patients, and recommendations for appropriate follow-up.
Evaluation
The short term evaluation of this project will be to determine how many primary care providers utilized the toolkit. Outcomes will include patient satisfaction, increased risk assessment, and the adoption of preventive health measures.
Results
The Nevada Cancer Council has designed several programs that have targeted 4 areas of improvement related to CRC screening.
Recommendations
A state wide approach is essential to impact the incidence of colorectal cancer. Targeting the practice process and not the individual provider is the best approach for change. CRC screening has to be a complete process not just a recommendation.
Lessons Learned
Complete buy in from stakeholders is essential. Project funding can be difficult; identifying sources early is important.
This project is supported in part by funds from the Division of Nursing, Bureau of Health Professions, Health Resources and Services Administration, Department of Health and Human Services under grant number D09HP07971.