Date of Conferral



Doctor of Nursing Practice (DNP)




Corrine Wheeler


African American women living in rural Ohio have a history of low mammogram

screening rates and a high incidence of breast cancer identification in the late stage of the

disease, leading to mortality rates exceeding those of Caucasian women. The purpose of

this doctoral project was to establish a breast health educational program for health

providers in a local mammography center that did not provide such a program

specifically targeted for African American women. Three theoretical frameworks, the

health belief model, Knowles's learning theory, and the PEN-3 model, guided the

development of a staff education program based on cultural appropriateness. The

practice-focused question was whether or not the educational program would enable

health care providers and staff to use an evidence-based approach to promote the message

of breast cancer prevention in a population at high risk for breast cancer. A radiology

specialist, nurse navigator and radiology supervisor reviewed the educational plan and the

Komen Toolkit materials and graded the program as strongly supporting a cultural

competency program. The education and experience of the three panel experts in

mammography enabled them to serve as evaluators for this research project. The strategy

to use faith-based leaders' as representatives of the African American patient population

collaborating with providers supported cultural competency in health care.

Mammography centers and faith-based organizations benefit from this project because of

its focus on culture at the center of its development. Cultural competency supports

positive social change in health care for an at-risk population.