Date of Conferral

2021

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Amy Wilson

Abstract

Colorectal cancer (CRC) is the second leading cause of cancer deaths in the United States for both men and women combined. CRC screening is an effective way to reduce mortality and morbidity related to the disease. Practitioners within primary care practices can play an essential role in encouraging people to be screened. Yet, CRC screening rates remain low in primary care practices. Evidence-based strategies are available to help practitioners improve CRC screening activities and improve screening rates. The lack of a clinical practice guideline (CPG) with strategies to help improve CRC screening interventions was identified as a practice gap for this project. The practice-focused question for this project aimed to address this gap: In a primary care practice, in which CRC screening rates are low amongst adults 50 to 75 years of age, evidence-based best practices contributed to a CPG for CRC screening in the primary care setting. The practice-, provider-, and patient-level (P3) model was utilized to guide the project. Evidence from literature and appraisals from a panel of physician and nurse stakeholders using the Appraisal of Guidelines for Research & Evaluation (AGREE) II tool was used to develop and appraise a CPG and practice workflow. The quality of the proposed CPG was validated using the AGREE II tool and receiving a 97.9% overall score and consensus from experts that it should be utilized in practice to guide CRC screening interventions. The CPG can be disseminated across health systems to help other practices implement evidence-based CRC screening guidelines that will enhance screening rates resulting in positive social change for patients and communities and improved public health. This can support Walden University's mission of positive social change.

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