Breast Cancer Early Screening In Childbearing Age Assignment
Breast Cancer Early Screening In Childbearing Age Assignment
Summary
Johnson et al. (2018) highlight that young women are at risk of breast cancer due to their lifestyle, familial predisposition of a history of carcinoma in the family, and hormonal factors. To help address the problem, the project manager, the DNP student for this case, designed a project to evaluate the effectiveness of a quality improvement initiative that sought to implement early screening for breast cancer and navigation for patients with suspected and confirmed cases. The initiative was a medical clinic’s new program to conduct early screening for breast cancer and navigation for patients with suspected and confirmed cases to appropriate care. The quality improvement initiative addressed breast cancer among women of childbearing age (24-45 years old) living in the under-resourced community in Houston, Texas. The practice problem addressed is the poor uptake of breast cancer screening services among women of childbearing age in Houston, Texas. Failure to adhere to early breast cancer (BCA) screening may lead to the unnoticed development of the disease, which could ultimately result in late diagnosis, poor prognosis, and mortality. Moreover, early breast cancer can profoundly impact the emotional health of mothers and their families. The practice-focused question explored what evidence supports the effectiveness of a new program developed by a medical clinic to promote early breast cancer screening and detection among childbearing women in the Houston area. Sources of evidence were drawn from a literature search conducted using PubMed, CINAHL, and EBSCOhost electronic databases and from deidentified evaluation data collected by the site during the implementation. The project findings can inform pragmatic decisions by the organization to promote early BCA screening and detection to improve childbearing women’s health outcomes and lives. Breast Cancer Early Screening In Childbearing Age Assignment
ORDER A PLAGIARISM-FREE PAPER HERE
Background
Breast cancer is the most common cancer diagnosed among women of childbearing age (Shah et al., 2019). The incidence rates of BCA in adolescents and young adults aged 15 to 39 are increasing in the United States (Cathcart-Rake et al., 2021). Despite the advances in the screening and treatment of breast cancers, most women in under-served populations have lower access to screening services to monitor their breast health (Trivedi et al., 2022). It is crucial to address the problem within the context of nursing practice because of the negative impact that the disease can have on the health and well-being of mothers and their children. Breast cancer can lead to mortality and the loss of reproductive capability.
There exists a gap in knowledge and practice among women because they do not engage in breast-cancer screening programs. Consequently, a gap exists in practice among the nurses and health care staff regarding screening and navigating patients to appropriate services. Information about the need for early breast cancer screening and compliance with screening schedules does not reach women living in Houston’s under-resourced population. Furthermore, community members have negative opinions regarding breast cancer screening; some consider that the fatalistic nature of BCA cannot be abated by early screening. The lack of educational programs in healthcare facilities in Houston means that the public does not get appropriate information about the ailment. Breast Cancer Early Screening In Childbearing Age Assignment
Gaps in practice exist because women do not leverage screening services due to factors such as the lack of awareness of the importance of breast cancer screening, a lack of access to screening services, or a fear of the side effects. Lack of screening can lead to increased breast cancer rates in women who would have never been diagnosed with the disease (Francies et al., 2020). Women of reproductive age living in under-resourced populations lack access to breast-screening services and may not afford the care. The project manager, the DNP student, designed a project to evaluate the effectiveness of implementing early screening for breast cancer and navigation for patients with suspected and confirmed cases to appropriate care. The project was implemented among women of childbearing age (24-45 years old) living in an under-resourced community in Houston, Texas.
Project Question and Project Purpose
This breast cancer screening program among women of childbearing age would involve methods such as clinical breast examinations and mammograms. If a woman is found to have breast cancer at an early stage, the chances of successfully treating the disease are much higher. The project question was: What evidence supports the effectiveness of a newly developed program designed to improve early screening of women of childbearing age for breast cancer, provision of information and education about the disease, and navigation to appropriate treatment to reduce the burden of breast cancer and improve the quality of life for women living with breast cancer in Houston, Texas? Breast Cancer Early Screening In Childbearing Age Assignment
ORDER HERE
The quality improvement initiative was to provide information and education about BCA, offer early screening services, and conduct early navigation to treatment services, which could be life-saving. The clinic aimed to develop an effective communication tool to facilitate knowledge sharing between women in Houston, Texas, and healthcare providers in the care facility. The overall aim of this initiative was to improve the quality of life; reduce the morbidity and mortality rates among women living with breast cancer in Houston, Texas. Early screening and detection for breast cancer would increase the chances of successfully treating the disease and improve the quality of life for breast cancer patients. The purpose of the project was to evaluate this new quality improvement initiative. The project would benefit individuals and organizations by determining the effectiveness of increasing early BCA screening, patient knowledge about breast cancer, self-breast examination and prevention among women of childbearing age.
Evidence Supporting the Change
The breast cancer screening program aims at implementing a change among the women population by offering thorough education about breast cancer and facilitating screening according to the WHO guidelines. Other evidence backing the implementation of screening programs among women in underserved communities were studies published within the last five years, written in English, and drawn from PubMed, CINAHL, and EBSCOhost electronic databases.
Evidence from studies revealed that the implementation of educational sessions and the availability of communication tools between women and healthcare professionals enhance the uptake of breast cancer screening services (Agide et al., 2021)Breast Cancer Early Screening In Childbearing Age Assignment. Through a systematic review of the literature addressing the uptake of screening servicing, Agide et al. (2018) found that the most effective educational methods for creating awareness and increasing the uptake of screening services were the demonstration of breast self-examination, distribution of pamphlets on BCA screening, teaching about mammography and use of posters. The systematic review by Agide et al. (2018) belongs to the Level 1 rating of evidence, the highest level (Source of the evidence rating scale). The study adds significant knowledge about the educational programs in increasing awareness and presentation for BCA screening.
A cross-sectional study conducted by Bhandari et al. (2021) revealed the need for improving people’s knowledge and attitudes, which subsequently increased women’s uptake of screening services. The authors revealed that improved knowledge and attitudes among women increase the uptake of BCA screening services. Henderson et al. (2021) highlighted the adoption of integrated early breast cancer screening among women in underserved communities and navigation programs to increase early screening and enhance early management.
Project Development
The outcome variables of the project included increased awareness of breast cancer and its risk factors among the target population, increased uptake of breast cancer screening among the target population, the incidence of BCA in Houston, and increased knowledge and understanding of breast cancer management among the target population. An analysis of deidentified data obtained from the project site about the women’s perceptions about the program’s effect was used to determine whether the project helped improve the awareness of the importance of breast cancer screening, early breast cancer screening and early detection to improve the quality of life for women with breast cancer. Breast Cancer Early Screening In Childbearing Age Assignment
The methods used by the site to deidentify data before and post-implementation of the quality initiative included the use of a data anonymization tool to remove any personal identifiers from the data. Another way was to use a masking technique, which obscured the identities of individuals in the data set while still allowing for analysis. De-identification included the removal of all direct identifiers from the data. This included names, addresses, birthdates, social security numbers, and other identifying information. Next, indirect identifiers were removed, meaning any information that could be used to link the data to a particular person, such as patient demographics or medical histories. Finally, any identifying information that was not directly or indirectly related to the data was removed. Such information included patient age, race, sex, and insurance information. Once the data had been deidentified, it was used in the project without fear of exposing personal information.
The data analysis methods included a review of qualitative data using thematic analysis to identify the themes that emerged from the data to identify participants’ perceptions about the breast screening program. Deidentified data from surveys gathered among participants about their experiences with the breast cancer screening services and educational program was analyzed to assess participant satisfaction, attitudes toward the program, and knowledge about breast cancer screening services. Focus groups with women who have had a breast cancer diagnosis will be used to gather insights about the challenges and successes of implementing a breast cancer screening service and educational program. Additionally, focus groups could be used to identify any gaps in information or education needed to support women during breast cancer screening. Interviews with key players in the breast cancer screening service and the educational program would be conducted to get a more detailed data view of the program. Data from interviews would be used to determine how well the program reaches its target audience, what barriers prevent women from accessing the service, and how best to improve the program Breast Cancer Early Screening In Childbearing Age Assignment.
Results
Post-Implementation Results
The evaluation of qualitative deidentified program evaluation data through thematic analysis identified five distinct themes that emerged from the data. One of the themes was positive experiences, whereby the participants had positive experiences with the program, including feeling that the program was helpful. Another theme was adaptability, noted when participants expressed that they could adapt the program to their needs and found it easy to adopt the recommendations regarding breast cancer screening. Engagement was the third theme identified from the thematic analysis. Participants engaged in the program felt that it benefited their overall health. The theme of community was evident as participants felt a sense of community within the program and appreciated the opportunity to network with others with their peers in promoting their health and especially learning to adhere to screening guidelines. The fifth theme was professional development, which was identified by nursing staff who participated in providing the screening, educational, and navigation services. Nurses felt that the program helped them to develop their professional skills Breast Cancer Early Screening In Childbearing Age Assignment.
Impact on the Organization
The findings of this evaluation can impact the organization by informing decisions about the program and providing evidence about the effectiveness of breast cancer screening interventions. The organization understands that implementing future programs aiming at increasing BCA screening within the same or different communities will likely improve the uptake of the services and quality of life for women.
Limitations of the Project and How They Impacted Results
The project is limited by the available data and its narrow focus; hence it does not explore additional data that may show other potential benefits of the program, such as participant satisfaction or program sustainability. The project was only a short-term evaluation, which limited the ability to make definitive conclusions about the program’s effects. Despite these limitations, the evaluation provides valuable information that will help improve the program. Overall, this evaluation has provided valuable information that will help improve the program.
Why The Project is Important beyond the Local Site
The benefits noted in evaluating this early breast cancer screening project among women of childbearing age and the educational program are essential to disseminate beyond the local implementation site. The need to implement the interventions in other populations is because of the positive outcomes of this recent project. Breast cancer screening among women of childbearing age, educational programs, and navigation of conformed cases to appropriate treatment is expected to be a significant global project (Simon et al., 2020). In the light of its benefits when implemented in a socially and economically disadvantaged region, the extension of the project to similar populations can help improve their knowledge, attitude, and practices related to BCA screening. Breast cancer is a leading cause of death from cancerous diseases among women worldwide; hence the implementation of the project in populations beyond the local site will increase early diagnosis and improve treatment outcomes. Overall, the breast screening project can help save lives and improve the quality of life for women in other regions beyond the local site Breast Cancer Early Screening In Childbearing Age Assignment.
Conclusion
In summary, the organization conducting breast cancer screening projects can benefit by improving its disease detection rates. BCA screening project has a positive impact on the organization by helping improve the knowledge of its clients and care providers regarding breast cancer screening. Further projects and studies should consider the financial implications of the project and determine its cost-effectiveness. Also, studies should consider the feasibility of providing low-cost BCA screening and diagnosis services. Future projects should address the economic implications of the project and encourage women to be open and honest about self-breast examination results to prevent inaccurate information during reviews or repeat visits.
The potential implications of the Early Breast Cancer Screening Project for nursing practice include the need to involve nurses in patient education regarding the importance of early detection and screening for breast cancer. Nurses need to be familiar with the different screening tests and their benefits and limitations to offer appropriate information and services to the target population. Also, nurses require knowledge and expertise to provide effective patient care related to early detection and screening for breast cancer. The project implies that nurses may need to be prepared to navigate patients to appropriate services or provide support and resources to patients undergoing screening or treatment for breast cancer. Nurses can help mothers maintain their quality of life during cancer treatment and recovery by providing support and information.
Early breast cancer screening has the potential to save lives by detecting cancer early when it is most treatable. It also can reduce disparities in breast cancer outcomes by making screening more available to women from all socioeconomic backgrounds. Furthermore, early breast cancer screening can help address equity issues by ensuring that all women have an equal opportunity to benefit from the disease-prevention benefits of early screening. Finally, early breast cancer screening can help promote inclusion by providing women with access to vital health information and services Breast Cancer Early Screening In Childbearing Age Assignment.
References
Agide, F. D., Sadeghi, R., Garmaroudi, G., & Tigabu, B. M. (2018). A Systematic Review of Health Promotion Interventions to Increase Breast Cancer Screening Uptake: From the Last 12 Years. European journal of public health, 28(6), 1149-1155. https://doi.org/10.1093/eurpub/ckx231
Bhandari, D., Shibanuma, A., Kiriya, J., Hirachan, S., Ong, K., & Jimba, M. (2021). Factors Associated with Breast Cancer Screening Intention in Kathmandu Valley, Nepal. PloS one, 16(1), e0245856. https://doi.org/10.1371/journal.pone.0245856
Cathcart-Rake, E. J., Ruddy, K. J., Bleyer, A., & Johnson, R. H. (2021). Breast cancer in adolescent and young adult women under the age of 40 years. JCO oncology practice, 17(6), 305-313. https://ascopubs.org/doi/full/10.1200/op.20.00793
Doede, A. L., Mitchell, E. M., Wilson, D., Panagides, R., & Oriá, M. (2018). Knowledge, Beliefs, and Attitudes about Breast Cancer Screening in Latin America and the Caribbean: An In-Depth Narrative Review. Journal of global oncology, 4, 1–25. https://doi.org/10.1200/JGO.18.00053
Francies, F. Z., Hull, R., Khanyile, R., & Dlamini, Z. (2020). Breast cancer in low-middle income countries: abnormality in splicing and lack of targeted treatment options. American journal of cancer research, 10(5), 1568–159. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7269781/
Henderson, V., Tossas‐Milligan, K., Martinez, E., Williams, B., Torres, P., Mannan, N., & Watson, K. S. (2020). Implementation of an Integrated Framework For a Breast Cancer Screening and Navigation Program For Women From Under-Resourced Communities. Cancer, 126, 2481-2493. https://acsjournals.onlinelibrary.wiley.com/doi/10.1002/cncr.32843
Johnson, R. H., Anders, C. K., Litton, J. K., Ruddy, K. J., & Bleyer, A. (2018). Breast Cancer in Adolescents and Young Adults. Pediatric blood & cancer, 65(12), e27397. doi: 10.1002/pbc.27397
Kayaalp M. (2018). Modes of De-identification. AMIA … Annual Symposium proceedings. AMIA Symposium, 2017, 1044–1050. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977668/
Shah, N. M., Scott, D. M., Kandagatla, P., Moravek, M. B., Cobain, E. F., Burness, M. L., & Jeruss, J. S. (2019). Young women with breast cancer: fertility preservation options and management of pregnancy-associated breast cancer. Annals of surgical oncology, 26(5), 1214-1224. https://doi.org/10.1245%2Fs10434-019-07156-7
Simon, M. A., Trosman, J. R., Rapkin, B., Rittner, S. S., Adetoro, E., Kirschner, M. C., … & Weldon, C. B. (2020). Systematic patient navigation strategies to scale breast cancer disparity reduction by improved cancer prevention and care delivery processes. JCO Oncology Practice, 16(12), e1462-e1470. https://doi.org/10.1200%2FJOP.19.00314
Trivedi, U., Omofoye, T. S., Marquez, C., Sullivan, C. R., Benson, D. M., & Whitman, G. J. (2022). Mobile Mammography Services and Underserved Women. Diagnostics, 12(4), 902. https://doi.org/10.3390/diagnostics12040902 Breast Cancer Early Screening In Childbearing Age Assignment
MY TOPIC IS Breast Cancer Early Screening In Childbearing Age, Women Between Ages 24-45 Years Old, Living In The Underserved Community In Houston Texas
Executive Summary: Quality Improvement Initiative
Student Name
Executive Summary Submitted in Partial Fulfillment
of the Requirements for the Degree of
Doctor of Nursing Practice
Walden University
Month 202X [replace with month of final submission for CAO approval] Breast Cancer Early Screening In Childbearing Age Assignment
ORDER TODAY
Summary
The Summary section must be no longer than one page, double spaced. The full Executive Summary document should be no longer than 10 pages, double spaced. Throughout the narrative, use American Psychological Association (APA) format when it is necessary to cite sources, following the guidelines in Chapter 8 of the Publication Manual of the American Psychological Association (7th ed.) and/or the APA citations webpage on the Walden Doctoral Capstone Form and Style website.
In this section, indicate the type of project. Describe the practice problem and why it is important to address within the context of nursing practice. Summarize the practice-focused question(s) and the purpose for the doctoral project. Concisely describe the sources of evidence and how these sources were obtained. Describe the analytical strategies used in the doctoral project. Concisely summarize the findings and implications. Concisely identify major products, conclusions, and/or recommendations as appropriate. Summarize potential implications for nursing practice and for positive social change, diversity, equity, and inclusion.
Background
Describe elements in the background that connect to the reason for the practice change or gap in practice. Discuss the project question and project purpose. Identify evidence that supports the project change or gap in practice. Briefly summarize the evidence supporting the change. Indicate the strength of the evidence. Breast Cancer Early Screening In Childbearing Age Assignment
Project Development
Discuss outcome variable(s) for the evaluation. Discuss the method of obtaining deidentified data. Include the time prior to the implementation of the evaluation and the time post evaluation. Discuss the method of data analysis used in the evaluation.
Results
State the postimplementation results. Discuss the impact on the organization. State limitations and how they impacted results. Discuss why the project is important beyond the local site.
Conclusions
Summarize the impact to the organization. Identify further recommendations that might be considered. Discuss potential implications for nursing practice and for positive social change, diversity, equity, and inclusion.
References
For all references, follow the formats shown in Chapter 10 of the Publication Manual of the American Psychological Association (7th ed.). You can also consult the Common Reference List Examples webpage on the Walden Doctoral Capstone Form and Style website for helpful guidance. All references must have a ½†hanging indent, as shown in the first example below.
Author, A. A., Author, B. B., & Author, C. C. (2020). Title of article. Title of Periodical, xx(x), xxx–xxx. https://doi.org/xxxxxx
Author, D. (2021). Title of book. Publisher. https://doi.org/xxxxx
Author, E. (2021, August 1). Title of webpage. Name of website. https://URL
Organization A. (2022). Title of webpage. https://URL Breast Cancer Early Screening In Childbearing Age Assignment