Date of Conferral

1-28-2026

Date of Award

January 2026

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Corinne Romano

Abstract

This doctoral project is an evidence‑based practice initiative to develop a mobile lung cancer screening program that expands early detection services in rural Arkansas. The practice problem involves low screening rates, high mortality, and access barriers that delay diagnosis for high‑risk individuals, making this work essential to nursing roles in prevention, coordination, education, and population health. The practice focused question examined whether creating a Mobile Lung Cancer Screening Unit proposal will support timely referrals and treatment. The purpose of the project was to design a feasible, evidence informed model aligned with organizational capacity and equitable access goals. Analytical strategies included a targeted evidence review of 12 articles, assessment of organizational readiness, workflow and resource evaluation, and development of a logic model to guide planning. Findings showed that a mobile screening program is feasible, aligned with organizational strengths, and responsive to community needs, resulting in a business plan, logic model, and implementation framework. The project concludes that the program can enhance early detection, reduce preventable deaths, and expand access for underserved rural populations, recommending phased implementation, targeted outreach, standardized workflows, and ongoing evaluation. Implications include strengthened nursing roles in prevention and navigation, along with broader social change through improved access and reduced rural disparities. The work also advances equity and inclusion by extending evidence‑based screening to underserved communities and supporting community well‑being.

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