Date of Conferral



Doctor of Nursing Practice (DNP)




Mattie Burton


Despite American College of Radiology guidelines for breast cancer screening, the Appalachian Kentucky population has an increasing number of advanced stage breast cancer diagnoses related to a delay in mammogram screening initiation. A potential contributing factor for the delay in screenings is a lack of culturally competent care to support the need for early detection of breast cancer in the identified population. The purpose of this staff education project was to improve the knowledge base and skill set of health care employees concerning the most advantageous practice to increase cultural competence in the health care setting. A practice-focused question related to cultural competence through staff education as well as current research served as the foundation for this evidence-based project. Leininger's cultural care theory, Knowles's adult learning theory, and Kirkpatrick's 4 levels of training evaluation provided guidance for the project. Using the cultural competency checklist of 20 questions, the pre- and posttest responses of participants (n = 14) in the employee orientation setting were assessed to determine the outcomes of the staff education project. Statistical analyses were performed using a 2-sample proportion hypothesis test for each result, positive and negative responses, and a mean hypothesis test on weighted responses. In each statistical analysis, a significance level of .05 (5%) was reported. As a result of the statistical outcomes, permanent implementation of a staff education program to increase cultural competence, create social change through cultural awareness, and aid in decreasing advanced stage breast cancer diagnoses in the Appalachian Kentucky population was recommended.

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