Please use this identifier to cite or link to this item: http://hdl.handle.net/10125/63234

Improving Care Management for Kapi`olani Women's Center BIRADS 3 Patients

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Item Summary

dc.contributor.advisor Wada, Randal
dc.contributor.author Hamano, Kelsey
dc.date.accessioned 2019-07-02T18:00:12Z
dc.date.available 2019-07-02T18:00:12Z
dc.date.issued 2019
dc.identifier.uri http://hdl.handle.net/10125/63234
dc.subject Nursing
dc.subject BIRADS 3
dc.subject Motivational Interviewing
dc.subject No Show
dc.subject Patient Navigation
dc.subject Scheduling and Reminder System
dc.subject Timely Follow Up
dc.title Improving Care Management for Kapi`olani Women's Center BIRADS 3 Patients
dc.type Thesis
dc.contributor.department Nursing Practice
dc.description.degree D.N.P.
local.identifier.alturi http://dissertations.umi.com/hawii:10191
dcterms.abstract Breast cancer is a common cancer among women. Appropriate screening and monitoring are necessary for early detection and treatment to improve survival rates. Due to barriers to care, many women do not follow up with their screening in a timely manner. As the Kapi`olani Women’s Center (KWC) had inconsistent follow up and no facility established guidelines for pre-scheduling and educating patients with Breast Imaging Reporting and Data System (BIRADS) category 3 results, this quality improvement project was developed to improve care management for KWC BIRADS 3 patients through patient navigation, utilizing an evidence-based scheduling and reminder system, and motivational interviewing techniques. Barriers to care were also identified and addressed. Findings indicated potential positive impacts in increasing timely follow up and decreasing no show occurrences as two post-intervention months had significant findings and achieved intermediate outcomes; however, extension of implementation timeline, designation of staff responsibilities, and facility infrastructure adjustments were advised.
dcterms.description D.N.P. Thesis. Ph.D. Thesis. University of Hawaiʻi at Mānoa 2019
dcterms.extent 47 pages
dcterms.language eng
dcterms.publisher University of Hawai'i at Manoa
dcterms.rights All UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
dcterms.type Text
Appears in Collections: D.N.P. - Nursing Practice


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