Abstract

Breast cancer is a commonly diagnosed cancer in women. Early recognition and identification of those at risk for germline mutations have been difficult at the project site due to patients' lack of knowledge of their family cancer history, which is critical to improving access to the hereditary cancer program. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of Kiran et al.'s family cancer history nursing telephone prompt impacted screening and referral rates to the provincial hereditary cancer program among adult patients recently diagnosed with breast cancer at an urban outpatient cancer clinic located in Canada. Rosenstock's health belief model and Graham et al.'s knowledge-to-action model were the theoretical underpinnings of this project. The total sample size was 44, n = 31 in the comparative group and n = 13 in the implementation group. Data were extrapolated from the facility's electronic health record. A Fisher's exact test showed no statistically significant improvement in screening, OR = 0.35, p = .654 and referral rates OR = 2.36, p = .529. Despite the lack of statistical significance, screening and referral rates did increase by 12% and 60% respectively, indicating clinical significance. Therefore, recommendations are to continue to use this intervention for all newly diagnosed breast cancer patients with the intention to expand to all cancer patients to reanalyze the data and significance of the project.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28775490; ProQuest document ID: 2598654484. The author still retains copyright.

Author Details

Lisa J. Henczel, DNP, MSN, BSN, NP(F)-Oncology

Sigma Membership

Nu Upsilon

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Quantitative Research

Keywords:

Family Cancer History, Genetic Testing, Health Belief Models

Advisor

Ginger King

Second Advisor

Jennifer A. Krist

Degree

DNP

Degree Grantor

Grand Canyon University

Degree Year

2021

Rights Holder

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All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2023-04-14

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