Date of Conferral

12-4-2024

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Jody Minnick

Abstract

Colorectal cancer is one of the top three killers of adults globally. The age to be screened for colorectal cancer for average-risk individuals has been lowered from 50 to 45 years of age; however, for those with a familial history of colorectal cancer, or a personal medical history of other gastrointestinal diseases, the age to be screened has been lowered from 45 to 40 years of age or younger. A clinical practice guideline (CPG) that supports the screening, identification, and referral of patients at risk has the potential to improving colorectal cancer screening in at-risk patient populations. This was identified as a need and practice gap, and a DNP Project was created to complete this. The practice-focused question developed was, “Will an evidence-based clinical practice guideline that promotes proactive clinic and provider engagement in patient outreach and risk communication, to improve colorectal cancer screening rates among at-risk and of-age patient populations, be approved by a panel of experts using the Agree II Tool at an outpatient gastroenterology clinic?” The CPG was developed after an extensive review of literature using evidence-based per-reviewed journals and databases. An expert panel reviewed the CPG using the Agree II tool, and each offered an analysis pertaining to strengths, weaknesses, and recommendations of the guideline as well as an overall score. The consensus of the panel was to approve the CPG with an overall quality rating average for all reviewers totaling to 85.71%, accounting for a high-quality guideline, as it is above the threshold of 70%. The CPG has the potential to affect social change by providing a tool to increase screening, identification, and referrals for patients at risk for colorectal cancer.

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