Download or read book Implementation of an Evidence based Project to Improve Cervical Cancer Screening Compliance written by Lynn Richards-McDonald and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Keywords: Cervical cancer, screening, cervical cancer knowledge and awareness education, evidence-based practice, cervical cancer screening compliance

Download or read book Using Multi Modal Education in a Public Health System to Increase Rates of Cervical Cancer Screening written by Christina Nardi and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: While Papanicolaou (Pap) screening has been implemented since the 1950’s, and is linked to decreased rates of cervical cancer, national screening rates are still below the national target screening rate. In Contra Costa County (CCC), the current cervical cancer screening rate is 50.92% (Contra Costa Health Services [CCHS], 2016a). This is far below the national goal of 93% and the first benchmark of 54.33% needed in order to receive state funding under the California Department of Health Care Services (DHCS) Medi-Cal 2020 waiver. The Medi-Cal 2020 waiver has a 5-year Public Health Incentives and Redesign in Medi-Cal (PRIME) program requiring participating health systems to complete projects that improve population health, such as increasing cancer screening rates. CCHS needs to increase screening rates in order to receive funding from DHCS. In this paper, the author of this Doctor of Nursing Practice (DNP) project discusses the design and implementation of an evidence-based cervical cancer screening toolkit to increase cervical cancer screening rates. The toolkit includes PowerPoint about the PRIME program and cervical cancer screening guidelines for Public Health Clinic Services (PHCS) staff, a pocket reference for cervical cancer screening, and a patient handout. During the two months following implementation of the toolkit, cervical cancer screenings for the PHCS pilot group increased when compared to the same time the prior year. The toolkit helped educate providers and patients, meeting the goal of increasing staff and patient knowledge about cervical cancer screening. Overall, the toolkit is a cost effective way to assist the efforts to increase cervical cancer screening rates and obtain Medi-Cal funding.

Download or read book Fulfilling the Potential of Cancer Prevention and Early Detection written by National Research Council and published by National Academies Press. This book was released on 2003-05-07 with total page 564 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cancer ranks second only to heart disease as a leading cause of death in the United States, making it a tremendous burden in years of life lost, patient suffering, and economic costs. Fulfilling the Potential for Cancer Prevention and Early Detection reviews the proof that we can dramatically reduce cancer rates. The National Cancer Policy Board, part of the Institute of Medicine, outlines a national strategy to realize the promise of cancer prevention and early detection, including specific and wide-ranging recommendations. Offering a wealth of information and directly addressing major controversies, the book includes: A detailed look at how significantly cancer could be reduced through lifestyle changes, evaluating approaches used to alter eating, smoking, and exercise habits. An analysis of the intuitive notion that screening for cancer leads to improved health outcomes, including a discussion of screening methods, potential risks, and current recommendations. An examination of cancer prevention and control opportunities in primary health care delivery settings, including a review of interventions aimed at improving provider performance. Reviews of professional education and training programs, research trends and opportunities, and federal programs that support cancer prevention and early detection. This in-depth volume will be of interest to policy analysts, cancer and public health specialists, health care administrators and providers, researchers, insurers, medical journalists, and patient advocates.

Download or read book Comprehensive Cervical Cancer Control written by World Health Organization and published by World Health Organization. This book was released on 2006 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.

Download or read book Increasing Cervical Cancer Screening in a Rural Population Through a Multifaceted Educational Intervention written by Whitney Boss and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this quality improvement (QI) project was to design and implement a multicomponent evidence-based educational intervention for the patients and providers in a rural health clinic in Mid-Michigan with the goal of increasing the proportion of CCS performed and increasing the amount of CCS appointments being made in women ages 21-64.

Download or read book European Guidelines for Quality Assurance in Cervical Cancer Screening written by Marc Arbyn and published by . This book was released on 2008 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recoge: 1. Epidemiological guidelines for quality assurance in cervical cancer screening - 2. Methods for screening and diagnosis - 3. Laboratory guidelines and quality assurance practices for cytology - 4. Techniques and quality assurance guidelines for histopathology - 5. Management of abnormal cervical cytology - 6. Key performance indicators - 7. Annexes.

Download or read book Cervical Cancer Screening Education written by Ayano Itoh and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Cervical cancer is one of the most common cancers in the United States. A low education level and socioeconomic level are the commonality among women with cervical cancer. The disease affects Latina and African American women the most. Cervical cancer screening is one of the key preventive methods in decreasing cervical cancer rates as a cure rate is high with early detection. The project was conducted in an underserved community with a high population of African Americans and Latinos in Los Angeles, California. EBP Framework: An evidence-based practice model used for the project was "Model for Change to Evidence-Based Practice" by Rosswurm and Larrabee. The model guided the project to improve cervical cancer screening rates. Methods: The project objective included improving the number of cervical cancer screenings among wimen ages between 35 to 44-year-old. Rocky Mountain University of Health Professions approved the project through the Institutional Review Board and determined the project was not human subject research. A convenience sample of nurse practitioners (n=7) was selected and educated on cervical cancer screening and poster reminders within the clinic. The provider's confidence level and knowledge level were assessed using pre- and post- assessments for each. The outcomes were assessed using a chart review of four weeks during pre- and post-intervention. Findings/Results: The number of cervical cancer screenings, the providers' confidence levels, and knowledge levels were assessed during pre- and post-intervention phases. The outcomes suggested that the provider education and poster reminder with the use of the EBP model increased cervical cancer screening rates, the providers' confidence and knowledge levels. Conclusion/Recommendations: The project's outcomes suggested an increase in cervical cancer rates, the providers' knowledge and confidence level on cervical cancer, and the financial benefit of the increased cervical cancer screening rates. The clinic decided to continue using the poster reminders and possibly modify the poster to increase patients' awareness. The clinic is considered periodical provider education sessions.

Download or read book Implementation Science at a Glance written by National Cancer Institute (U.S.) and published by Government Printing Office. This book was released on 2019-04-01 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt: While many effective interventions can reduce cancer risk, incidence, and death, as well as enhance quality of life, they are of no benefit if they cannot be delivered to those in need. In the face of increasingly dynamic and resource-constrained conditions, implementation science plays a critical role in delivering cancer control practices. This 30-page workbook was written by members of the NCI (National Cancer Institute) implementation Science team and reviewed by nearly 100 public health practitioners and implementation science researchers. Through summaries of key theories, methods, and models, the guide shows how greater use of implementation science can support the effective adoption of evidence-based interventions. Case studies illustrate how practitioners are successfully applying implementation science in their cancer control programs

Download or read book Increasing Knowledge of Cervical Cancer Screening Through an Evidence based Education Project written by Nancy Joseph O'Neill and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Antibiotic misuse is a global issue. The purpose of this project was to educate providers and increase knowledge in barriers to proper antibiotic prescribing. The survey instrument used to assess provider knowledge on antibiotics was Antibiotic knowledge Attitude and Practices Survey (KAP). A retail clinic in New Jersey identified the problem of barriers to proper antibiotics prescribing. The target population was clinic providers. Clinic providers included all female nurse practitioners. Based on the problem, an extensive literature search showed that multifaceted interventions increased provider awareness to barriers to proper antibiotic prescribing. A pretest survey was implemented prior to the educational intervention to access prior knowledge. After the educational intervention, a posttest survey was completed to compare changes in knowledge. After seven weeks, a second posttest was performed to assess retention of knowledge. The project demonstrated that after educational intervention, participant's knowledge on barriers to proper antibiotic prescribing increased by 33.3%. The evidence-based practice change project demonstrated that education on barriers to proper antibiotic prescribing have to be offered to all providers to decrease the misuse of antibiotics. " -- Abstract.

Download or read book Advancing the Science of Implementation Across the Cancer Continuum written by David A. Chambers (DPhil) and published by . This book was released on 2018 with total page 441 pages. Available in PDF, EPUB and Kindle. Book excerpt: While many effective interventions have been developed with the potential to significantly reduce morbidity and mortality from cancer, they are of no benefit to the health of populations if they cannot be delivered. In response to this challenge, Advancing the Science of Implementation across the Cancer Continuum provides an overview of research that can improve the delivery of evidence-based interventions in cancer prevention, early detection, treatment, and survivorship. Chapters explore the field of implementation science and its application to practice, a broad synthesis of relevant research and case studies illustrating each cancer-focused topic area, and emerging issues at the intersection of research and practice in cancer. Both comprehensive and accessible, this book is an ideal resource for researchers, clinical and public health practitioners, medical and public health students, and health policymakers.

Download or read book Implementation Research in Health written by David H. Peters and published by World Health Organization. This book was released on 2013 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt: Interest in implementation research is growing, largely in recognition of the contribution it can make to maximizing the beneficial impact of health interventions. As a relatively new and, until recently, rather neglected field within the health sector, implementation research is something of an unknown quantity for many. There is therefore a need for greater clarity about what exactly implementation research is, and what it can offer. This Guide is designed to provide that clarity. Intended to support those conducting implementation research, those with responsibility for implementing programs, and those who have an interest in both, the Guide provides an introduction to basic implementation research concepts and language, briefly outlines what it involves, and describes the many opportunities that it presents. The main aim of the Guide is to boost implementation research capacity as well as demand for implementation research that is aligned with need, and that is of particular relevance to health systems in low- and middle-income countries (LMICs). Research on implementation requires the engagement of diverse stakeholders and multiple disciplines in order to address the complex implementation challenges they face. For this reason, the Guide is intended for a variety of actors who contribute to and/or are impacted by implementation research. This includes the decision-makers responsible for designing policies and managing programs whose decisions shape implementation and scale-up processes, as well as the practitioners and front-line workers who ultimately implement these decisions along with researchers from different disciplines who bring expertise in systematically collecting and analyzing information to inform implementation questions. The opening chapters (1-4) make the case for why implementation research is important to decision-making. They offer a workable definition of implementation research and illustrate the relevance of research to problems that are often considered to be simply administrative and provide examples of how such problems can be framed as implementation research questions. The early chapters also deal with the conduct of implementation research, emphasizing the importance of collaboration and discussing the role of implementers in the planning and designing of studies, the collection and analysis of data, as well as in the dissemination and use of results. The second half of the Guide (5-7) detail the various methods and study designs that can be used to carry out implementation research, and, using examples, illustrates the application of quantitative, qualitative, and mixed-method designs to answer complex questions related to implementation and scale-up. It offers guidance on conceptualizing an implementation research study from the identification of the problem, development of research questions, identification of implementation outcomes and variables, as well as the selection of the study design and methods while also addressing important questions of rigor.

Download or read book Dissemination and Implementation Research in Health written by Ross C. Brownson and published by Oxford University Press. This book was released on 2018 with total page 545 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive work in D&I research -- now completely updated and expanded The application of scientific research to the creation of evidence-based policies is a science unto itself -- and one that is never easy. Dissemination and implementation research (D&I) is the study of how scientific advances can be implemented into everyday life, and understanding how it works has never been more important for students and professionals across the scientific, academic, and governmental communities. Dissemination and Implementation Research in Health is a practical guide to making research more consequential, a collection assembled and written by today's leading D&I researchers. Readers of this book are taught to: � Evaluate the evidence base in an effective intervention � Choose a strategy that produces the greatest impact � Design an appropriate and effectual study � Track essential outcomes � Account for the barriers to uptake in communities, social service agencies, and health care facilities The challenges to moving research into practice are universal, and they're complicated by the current landscape's reliance on partnerships and multi-center research. In this light, Dissemination and Implementation Research in Health is nothing less than a roadmap to effecting change in the sciences. It will have broad utility to researchers and practitioners in epidemiology, biostatistics, behavioral science, economics, medicine, social work, psychology, and anthropology -- both today and in our slightly better future.

Download or read book Evaluation of a Cervical Cancer Surveillance Program at a Community Health Center written by NaQuita J. Manning and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Cervical cancer is reportedly the easiest gynecologic cancer to prevent, and measures that have the most impact are regular screening and timely follow-up. Although the Papanicolaou (Pap) test used to screen for cervical cancer has been recognized as one of the most valuable clinical preventive service for women, variation in screening and tracking remain a barrier for some women achieving optimal health. Missed opportunities for care in the form of inadequate follow-up is a patient safety and quality of care issue that can be appropriately addressed through implementation of a tool to be used as a component of a cervical cancer surveillance program. Purpose: The purpose of this quality improvement (QI) project was to develop an evidence-based, tracking tool for cervical cytology screening to facilitate surveillance measures in a community health center. Theoretical Framework: The theoretical framework applied was Donebedian's quality of care framework that incorporates the Structure-Process-Outcome model. Methods: The study was conducted in five phases over a period of 14 months. After permission was granted to implement the study, the tracking tool was developed with input from the mentor. The final two phases consisted of training, implementation, and evaluation of tool's effectiveness towards improving practice. A survey questionnaire measuring the staff's opinion of the tool was administered and verbal feedback regarding perception of the tool's capability to impact clinical practice was collected. Results: Informal surveys were performed by asking stakeholders to share their attitudes and opinions of the surveillance tool. Conclusion: Consistent evidence-based practice among those charged with providing care is paramount to helping patients achieve their best outcome. Surveillance is an internal process and improving surveillance is pivotal to the goal of optimizing outcomes. The findings of the QI project indicate that through the provision of this evidence-based practice, clinical resource, quality of care will be improved. Additionally, the surveillance tool will be incorporated into clinical practice and used as the official method for tracking abnormal cervical cancer screenings, scheduling follow up care, and tracking patients until resolution of cervical pathology.

Download or read book Compliance of American Cancer Society ACS and American College of Obstetric and Gynecology ACOG Guidelines for Cervical Cancer Screening written by Rosa Hill and published by . This book was released on 2008 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cervical cancer was once the leading cause of death for women in the United States according to Centers for Disease Control and Prevention (CDC, 2006). During the past four decades, incidence and mortality have declined significantly, primarily because of the utilization of the Papanicolaou (Pap) test to detect cervical abnormalities. Evidence-based research led to clinical practice guidelines established by the ACS and ACOG in 2003 for screening of cervical cancer. This study utilized a retrospective chart review to describe adherence by nurse practitioners and physicians to cervical cancer screening guidelines as established in 2003 by the ACS and ACOG. Two hundred patient charts stratified by practitioner type were audited using convenience sampling. One hundred seventy three (86.5%; 95% CI = 80.3% to 90.7%) documented education related to prevention of HPV infection, 131 (65.5%) documented education related to safe sex practices, and 154 (76.7%) documented recommendation for an annual Pap smear. There were no significant differences between the two types of providers in their documentation. The results indicated the need for improvement in documentation.

Download or read book The Application of Message Framing to Improve Human Papillomavirus Vaccine Adherence written by Wendy Lloyd Tymoczko and published by . This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The purpose of this evidence-based practice project was to apply the specific approach of health message framing to educate parents of female children ages 9-17 years and adult females ages 18-26 years to promote behavior change for obtaining the Human Papillomavirus (HPV) vaccine series of three injections. The high risk strains of the HPV (primarily HPV-6, HPV-11, HPV-16, and HPV-18) are the cause of 99% of cervical cancer in females. Although the HPV vaccine has been available since 2005, the statistics for vaccine adherence is only 39.1%. A major barrier to vaccine compliance is accurate knowledge about the human papillomavirus and HPV vaccine and finding an optimal approach to improve adherence. This project utilized a framed health message to educate parents of female children ages 9-17 years and adult females ages 18-26 about the HPV and vaccine at the Allegheny County Health Department Immunization Clinic. A question about intent to vaccinate and a follow up telephone call at four weeks was completed to assess for vaccine adherence. Thirteen of 20 (65%) participants obtained the HPV vaccine #1 after reading the framed message on the HPV and vaccine. This was significant compared to the national average of 39.1% using the two sided z test for proportions: z=2.37, p-value=0.018, 95% CI with correction for small sample size (43%, 82%). Message framing for education of patients is an effective strategy that is relatively new to nursing. However, previous research affords empirical support for the association between message frames and their influence on health behavior and decision making. It is essential that medical providers learn this strategy for education about the HPV vaccine to prevent cervical cancer. Keywords: adherence, cervical cancer, framed health message, health message framing, human papillomavirus, HPV vaccine. " -- Abstract.

Download or read book A Multi level Approach to Understanding Pap Smear Compliance Across Community Health Centers in Florida written by Nicole Jill Cook and published by . This book was released on 2008 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Community Health Centers (CHCs) are the nation2s primary care safety-net for vulnerable populations, including racial/ethnic minorities, migrant workers and the uninsured. Women from these populations contribute disproportionately to cervical cancer morbidity and mortality, largely due to underutilization of Pap smear screening. The purpose of this cross-sectional study was to identify factors that may be related to Pap smear screening compliance among a large cohort of women seen at 10 Community Health Centers in Florida. Building upon an ecologic framework, this research went beyond patient-level risk factors, which are generally well-known, and explored provider and organizational variables that may also be associated with Pap smear screening compliance in this population. Ten CHCs in Florida met study inclusion criteria of having at least four complete years of claims and patient registration data stored in an Electronic Health Record (HER) data system maintained at HCN. EHR data were merged with provider gender obtained from a credentialing database and with data from a short organizational survey administered to the Medical Directors of the CHCs. Descriptive statistics, chi-squared analysis, and multiple logistic regression were used to examine Pap smear screening rates for women (n=71,234) in relation to a variety of patient, provider and organizational variables. Younger, Hispanic and insured women were most likely to have had a screening in the past three years compared to older, white non- Hispanic and uninsured women. Among providers, patients who received care from female providers generally had higher Pap smear compliance rates, but these findings differed by patient insurance and race/ethnicity group. Organizational factors that appeared to be associated with higher Pap compliance rates included diffusion of an EHR system, implementation of 3Care Model Principals4, and having recently implemented a Pap smear screening process improvement project. Results demonstrated that multi-level factors, operating on the patient, provider and organizational levels, contribute to Pap smear compliance among women seen at CHCs. Results suggested that improving screening compliance within this population of women requires interventions that are ecologic in scope, incorporate targeted education to high-risk women and providers, and include organizational strategies that can optimize care delivery at point-of-care.

Download or read book Advancing the Science of Cancer in Latinos written by Amelie G. Ramirez and published by Springer Nature. This book was released on 2019-11-21 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book gives an overview of the sessions, panel discussions, and outcomes of the Advancing the Science of Cancer in Latinos conference, held in February 2018 in San Antonio, Texas, USA, and hosted by the Mays Cancer Center and the Institute for Health Promotion Research at UT Health San Antonio. Latinos – the largest, youngest, and fastest-growing minority group in the United States – are expected to face a 142% rise in cancer cases in coming years. Although there has been substantial advancement in cancer prevention, screening, diagnosis, and treatment over the past few decades, addressing Latino cancer health disparities has not nearly kept pace with progress. The diverse and dynamic group of speakers and panelists brought together at the Advancing the Science of Cancer in Latinos conference provided in-depth insights as well as progress and actionable goals for Latino-focused basic science research, clinical best practices, community interventions, and what can be done by way of prevention, screening, diagnosis, and treatment of cancer in Latinos. These insights have been translated into the chapters included in this compendium; the chapters summarize the presentations and include current knowledge in the specific topic areas, identified gaps, and top priority areas for future cancer research in Latinos. Topics included among the chapters: Colorectal cancer disparities in Latinos: Genes vs. Environment Breast cancer risk and mortality in women of Latin American origin Differential cancer risk in Latinos: The role of diet Overcoming barriers for Latinos on cancer clinical trials Es tiempo: Engaging Latinas in cervical cancer research Emerging policies in U.S. health care Advancing the Science of Cancer in Latinos proves to be an indispensable resource offering key insights into actionable targets for basic science research, suggestions for clinical best practices and community interventions, and novel strategies and advocacy opportunities to reduce health disparities in Latino communities. It will find an engaged audience among researchers, academics, physicians and other healthcare professionals, patient advocates, students, and others with an interest in the broad field of Latino cancer.