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Author: Cynthia Chesy Publisher: ISBN: Category : Languages : en Pages :
Book Description
Statement of Problem: The current recommendations by the United States Preventive Services Task Force (USPSTF) regarding 'no cost sharing' genetic screening and chemo-preventive medications only for high risk women with breast cancer, in tandem with recommendations cover mammograms at 'no cost' sharing' biennially for low to moderate risk women 50 through 74, will contribute to another rise in breast cancer deaths among women. This problem is compounded by the non-uniformity by which primary care providers refer high risk women to a specialist for a more tailored assessment of personal risk factors/screening options, including the 'no cost sharing' preventative measures for high risk women that the USPSTF does endorse, namely genetic testing/counseling and risk-reducing medications for specific high risk women. The implementation of USPSTF guidelines will require the application of comprehensive, quantitative breast cancer risk assessments in primary care facilities across the country. However, the information about the feasibility and effect of individualized risk assessment in the primary care setting is limited (Anderson et al., 2015). Available evidence suggests this is not standard practice for U.S. primary care providers (Anderson et al., 2015). This study will help identify the key variables that contribute to the non-uniform referral pattern of high risk women for genetic testing and chemo-preventive medications in the U.S. This researcher will study the education of primary care providers and how this effects referrals for risk-reducing medications and/or genetic counseling services. The population of interest for this study will be a group of nurse practitioner students enrolled in an advanced practice care of women class at a local university in San Diego County. They will be provided with information regarding high-risk factors for breast cancer, and preventative 'no cost sharing' options that are offered under USPSTF guidelines. This researcher will look at the effects of a single session educational program on the students' knowledge of breast cancer risk factors and screening options for high risk women. Preventative methods targeted in this study will include genetic counseling and risk reducing medications. MRI for high-risk women and women with dense breasts will be presented as a screening option, but it will be made clear that this is not a 'no cost sharing' benefit. The educational intervention and survey tool will be modeled on the intervention and tool used in a 2015 study by Bryan et al., which assessed the impact of an educational intervention on provider knowledge, attitudes and comfort level regarding counseling about breast cancer screening. Bryan et al.'s educational intervention included a review of the risks and benefits of screening women ages 40-49, individual risk assessment, and counseling methods (Bryan, Estrada, Castiglioni, & Snyder, 2015).
Author: Cynthia Chesy Publisher: ISBN: Category : Languages : en Pages :
Book Description
Statement of Problem: The current recommendations by the United States Preventive Services Task Force (USPSTF) regarding 'no cost sharing' genetic screening and chemo-preventive medications only for high risk women with breast cancer, in tandem with recommendations cover mammograms at 'no cost' sharing' biennially for low to moderate risk women 50 through 74, will contribute to another rise in breast cancer deaths among women. This problem is compounded by the non-uniformity by which primary care providers refer high risk women to a specialist for a more tailored assessment of personal risk factors/screening options, including the 'no cost sharing' preventative measures for high risk women that the USPSTF does endorse, namely genetic testing/counseling and risk-reducing medications for specific high risk women. The implementation of USPSTF guidelines will require the application of comprehensive, quantitative breast cancer risk assessments in primary care facilities across the country. However, the information about the feasibility and effect of individualized risk assessment in the primary care setting is limited (Anderson et al., 2015). Available evidence suggests this is not standard practice for U.S. primary care providers (Anderson et al., 2015). This study will help identify the key variables that contribute to the non-uniform referral pattern of high risk women for genetic testing and chemo-preventive medications in the U.S. This researcher will study the education of primary care providers and how this effects referrals for risk-reducing medications and/or genetic counseling services. The population of interest for this study will be a group of nurse practitioner students enrolled in an advanced practice care of women class at a local university in San Diego County. They will be provided with information regarding high-risk factors for breast cancer, and preventative 'no cost sharing' options that are offered under USPSTF guidelines. This researcher will look at the effects of a single session educational program on the students' knowledge of breast cancer risk factors and screening options for high risk women. Preventative methods targeted in this study will include genetic counseling and risk reducing medications. MRI for high-risk women and women with dense breasts will be presented as a screening option, but it will be made clear that this is not a 'no cost sharing' benefit. The educational intervention and survey tool will be modeled on the intervention and tool used in a 2015 study by Bryan et al., which assessed the impact of an educational intervention on provider knowledge, attitudes and comfort level regarding counseling about breast cancer screening. Bryan et al.'s educational intervention included a review of the risks and benefits of screening women ages 40-49, individual risk assessment, and counseling methods (Bryan, Estrada, Castiglioni, & Snyder, 2015).
Author: Patrick Kimuyu Publisher: GRIN Verlag ISBN: 3668608555 Category : Medical Languages : en Pages : 29
Book Description
Seminar paper from the year 2017 in the subject Medicine - Epidemiology, grade: 1, Egerton University, language: English, abstract: A condition that affects women throughout all communities, breast cancer is a form of malignancy that affects the cells of the breast tissue. When diagnosed, this condition can result in aggressive treatment modalities including chemotherapy and breast mastectomy. In effort to decrease the diagnosis of breast cancer in women, adequate preventative methods are needed to assist the female population in decreasing the likelihood of disease. This paper offers women and Advanced Practice Nurses an educational program grounded in review of evidence-based research and guidelines that will assist in providing female patients with screening methods to detect breast cancer and modifiable risk factors that will assist in decreasing the likelihood of disease. A form of malignancy that affects the cells of the breast, breast cancer is diagnosed in one of eight women during their lifetime. Breast cancer is a serious condition that reaches the lives of all members of the female population as up to 85% of women with newly diagnosed breast cancer do not have a family history of the condition. Women of all ages and ethnicities are being diagnosed with breast cancer with many of them unaware and uneducated concerning the prevention methods and lifestyle modifications that assist in decreasing the chance of developing the condition. Nurse practitioners play a crucial role in breast cancer prevention in women. As Advanced Practice Nurses continue to become an increased and strong presence in primary care provision for the population, they are able to provide teaching and education to women regarding their health and wellness and the prevention of breast cancer. The purpose of this paper is to provide an educational program for breast cancer prevention in women grounded in evidence-based research and guidelines concerning women’s health. This educational program will assist practitioners in educating the target population of women in identifying, understanding and practicing the necessary interventions for breast cancer prevention. By utilizing this educational tool, Advanced Practices Nurses will be able to ensure successful breast cancer prevention in their female patients. Effective breast cancer prevention will be achieved by educating and encouraging women to complete important screenings such as BRCA testing and mammography, addressing modifiable risk factors such as obesity, alcohol and tobacco use and implementing interventions such as exercise and healthy eating.
Author: Susan R. Carlson Publisher: ISBN: Category : Breast Languages : en Pages : 167
Book Description
The use of mammography for the early identification of breast cancer when tumors are small and potentially curable has been well documented. Unfortunately, the rates at which women comply with their health care providers' recommendation for screening mammography remain low. Many reasons have been identified for the failure to adhere with this recommendation; pain with procedure, cost, lack of physician recommendation, perceived radiation exposure, and fear of results have been cited. The purpose of this study was to identify the effect of a specific intervention by a nurse practitioner on adherence with screening mammography in a healthy population of women ages 40 and older in North East Texas. Additionally, using Bandura's Social Learning Theory, the relationship between adherence with screening mammography and perceived self-efficacy were identified, as well as mammography adherence and attitude toward heath care approaches. The total sample for this study was 39 women in North East Texas of whom 20 participants were in the control group, 19 in the experimental group. The total sample adherence with mammogram was 56.4%, control group 43.6%, and 68% for the experimental group. Study findings identified a positive relationship between health motivation and intent to follow through with their health care providers' recommendation for a mammogram. Results also identified a positive relationship between intent to have a screening mammogram and self-efficacy. Women who identified intent to have their mammogram, and then did so, had a positive health locus of control. These findings suggest further research is needed to identify how to encourage women to follow through with their health care providers' recommendation for screening mammogram. Additional research to validate the findings of this study include identifying what type of specific intervention would best increase patient adherence with mammography, and further exploration of the role of the nurse practitioner encouraging adherence with screening mammography. Further research that tests specific interventions by nurse practitioners in practice is still needed, as very little research has been done in this area.
Author: Publisher: ISBN: Category : Languages : en Pages : 27
Book Description
The goals of this study are: (1) to examine the impact of a psychoeducational intervention on the intermediate outcome variables of knowledge of breast cancer and risk factors, breast cancer beliefs, cancer attitudes, and coping skills in women at increased risk for breast cancer; (2) to examine the impact of a psychoeducational intervention on the endpoint variables of quality of life and adherence to screening in women at increased risk for breast cancer; and (3) to explore the mechanisms by which the psychological intervention may improve quality of life and increase adherence to breast cancer screening in women at increased risk for breast cancer. The design is a randomized two group design in which women are assigned to either the experimental or control group. The intervention (experimental) components include; social support enhancement, education, cognitive restructuring, and problem-solving. A total of 360 are expected to participate in this study over a four year period of time. To date 183 women have agreed to participate in the study and 148 have completed Time 1 assessments, 93 have completed Time 2 assessments; 171 women have completed Time 3 assessments, and 60 women have completed Time 4 assessments. Anecdotal reports from women in the experimental arm indicate that they find the intervention helpful in terms of empowerment through knowledge and in decreasing their anxiety about breast cancer.
Author: Lucy Duong Publisher: ISBN: Category : Education Languages : en Pages : 0
Book Description
Background: The breast has different parts where cancer can start, including lobules (lobular cancers), ducts (ductal cancers), nipples (Paget disease of the breast), and blood/lymph vessels (angiosarcoma). Female patients who do not get breast cancer screening have an elevated likelihood of missing breast cancer in the early stages, which ultimately causes poor outcomes. Breast cancer remains one of the most widespread cancers in women. On the national, state, and local levels, women have continued to experience high breast cancer rates. There were 2.3 million women diagnosed with breast cancer and 685,000 deaths occurred in 2020. In California, over 200,000 women suffer from breast cancer. The project site in Garden Grove serves many female patients aged 59 to 74; however, breast cancer screening education is lacking. EBP Framework: Hildegard Peplau’s Theory of Interpersonal Relations (1952) and the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model (2012) served as the framework for this quality improvement project. Methods: This project’s main objective was to assess the efficacy of an educational intervention focused on breast cancer screening among providers at a single-family clinic. Once IRB approval was acquired, a provider in-service occurred. Project participants comprised a sample of (n=3) providers working at the clinic. A pre-data collection and post-data collection design were used to measure the project outcomes. Findings/Results: This project measured the provider’ knowledge and awareness in providing breast cancer screening education for female patients aged 50 to 74 before and after an educational intervention. The project results suggested that an educational intervention directed at escalating healthcare provider’s knowledge and awareness of using evidence-based tools for breast cancer screening had a significant impact. Conclusion/Recommendations: Implementing an educational intervention escalates providers’ knowledge and awareness in providing breast cancer screening education for female patients aged 50 to 74; therefore, it can be inferred that supplied with evidence-based breast cancer information, providers will produce advantageous changes in patients. These changes can identify cancer early, thus providing increased treatment options and potentially reducing morbidity. It is proposed that clinics serving female patients aged 50 to 74 implement continuous provider education related to breast cancer screening.
Author: Fathia Mersal Publisher: LAP Lambert Academic Publishing ISBN: 9783659114809 Category : Languages : en Pages : 172
Book Description
Breast cancer is one of the most commonly diagnosed cancers in women; Worksites are potentially cost-effective and convenient for breast cancer screening education due to their ability to educate several women at one time. The study aims at exploring the impact of nursing intervention leading to health decisions for Breast cancer is one of the most commonly diagnosed cancers in women; Worksites are potentially cost-effective and convenient for breast cancer screening education due to their ability to educate several women at one time. The study aims at exploring the impact of nursing intervention leading to health decisions for breast cancer screening among working women. The study was conducted in three types of industry :firstly; pharmaceutical industries, secondly; food processing industries, thirdly; textile industries. The subject of the study included 520 working women.
Author: Ronda Hughes Publisher: Department of Health and Human Services ISBN: Category : Medical Languages : en Pages : 592
Book Description
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Author: Cynthia Chesy
Author: Cynthia Chesy
Author: Patrick Kimuyu
Author: Susan R. Carlson
Author: Patricia Eleanor Smith
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Author: Lucy Duong
Author: Fathia Mersal
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Author: 
Author: Ronda Hughes