Date of Conferral

2020

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Dr. Carolyn Sipes

Abstract

The United States Preventive Services Task Force (USPSTF) makes recommendations on preventive health screenings based on the level of evidence. Colorectal Cancer is the third most commonly diagnosed cancer. The practice problem for this DNP QI project, is that providers are not following the USPSTF Guidelines on colorectal cancer screening with the FQHC scores below the HRSA expectation of 80% showing only a 43% screening compliance rate for patients age 50 -75 years. The purpose of this DNP QI project was to evaluate the effectiveness of the existing QI initiative for provider colorectal screening of patients age 50-75 years, then provide recommendations to address the gap in practice based on the results. The project’s theoretical framework was based on the Model for Improvement and the Donabedian Model. Eleven providers were evaluated pre/post education to determine the impact interventions. A quantitative approach was used to conduct a retrospective review of de-identified data from a FQHC to evaluate the impact pre/post education interventions. The data were analyzed for six months before and after the education for proper ordering and electronic charting and the quick reference cards were issued to the providers. The goal was to determine whether an improvement in colorectal cancer screening performance occurred, therefore increasing early detection, and decreasing mortality from colorectal cancer. The data indicated that four of the 11 providers showed improvement post-education. The positive social change this project hopes to address is recommending interventions that increased colorectal cancer screening and decreasing deaths from colorectal cancer.

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