Texas A&M University-Corpus Christi, Corpus Christi, Texas
Texas A&M University-Corpus Christi, Corpus Christi, Texas.
J Dr Nurs Pract. 2020 Mar 1;13(1):71-78. doi: 10.1891/2380-9418.JDNP-D-19-00004. Epub 2020 Jan 27.
Low-income women of predominantly Hispanic ethnicity between the ages of 50-74 who receive primary care services in a South Texas region experienced a 12% disparity gap for women completing a screening mammogram in the last 2 years when compared to Hispanic women nationally.
The purpose of this quality improvement (QI) initiative is to design and implement interdisciplinary evidence-based interventions to improve the screening mammogram completion rates in a primary care clinical setting.
Following a systematic review and selection of two evidence-based breast cancer risk screening tools, a pre-post intervention was conducted. The Knowledge-to-Action (KTA) framework was used to train staff and providers to implement the screening tools. The Breast Cancer Risk Assessment Tool (BCRAT) and the National Health Interview Survey (NHIS) provided triggers for initiating a screening mammogram.
Evidence-based screenings triggered mammogram initiation resulting in a 7.21% improvement in screening mammogram completion rates over a 3-month time period.
CONCLUSION/IMPLICATIONS FOR NURSING: The outcomes discussed in this report provide guidance for new policy considerations and clinical protocol initiatives along with processes to improve mammogram completion rates.
在德克萨斯州南部地区，主要为西班牙裔的 50-74 岁的低收入女性接受初级保健服务，与全国西班牙裔女性相比，过去两年完成筛查性乳房 X 光检查的女性比例存在 12%的差距。
本质量改进（QI）计划的目的是设计和实施跨学科的基于证据的干预措施，以提高初级保健临床环境中的筛查性乳房 X 光检查完成率。
在进行系统审查并选择两种基于证据的乳腺癌风险筛查工具后，进行了干预前后的研究。知识转化（KTA）框架用于培训员工和提供者以实施筛查工具。乳腺癌风险评估工具（BCRAT）和全国健康访谈调查（NHIS）提供了启动筛查性乳房 X 光检查的触发因素。
基于证据的筛查促使进行乳房 X 光检查，在 3 个月的时间内，筛查性乳房 X 光检查完成率提高了 7.21%。
结论/对护理的意义：本报告中讨论的结果为新的政策考虑和临床方案计划提供了指导，以及提高乳房 X 光检查完成率的流程。
