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Promotion of Colorectal Cancer Screening Completion Through Training of Patient Navigators

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Title:Promotion of Colorectal Cancer Screening Completion Through Training of Patient Navigators
Authors:Konishi, Minami
Contributors:Tse, Alice M. (advisor)
Nursing (department)
Keywords:Health sciences
colorectal cancer
motivational interviewing
show 4 morepatient navigation
patient outreach
preventive care
show less
Date Issued:2020
Publisher:University of Hawai'i at Manoa
Abstract:BACKGROUND: Colorectal cancer (CRC) is the second leading cause of cancer death (National Cancer Institute [NIH], 2019), responsible for an estimated 53,200 deaths in 2020 in the U.S. (American Cancer Society [ACS], 2020). Despite numerous benefits of routine screenings for CRC, completion rates nationally remain low. Increasing CRC screening rates to diagnose the disease in early stages and to reduce the mortality rates is a major public health priority. Patient navigation (PN) is an emerging intervention that has been found to be highly effective in increasing CRC screening participation. Although beneficial, PN programs are resource intensive, thus training of existing clinical staff to be navigators may be more practical and feasible for some primary care clinics. PURPOSE: The purpose of this evidence-based practice (EBP) and quality-improvement project was to increase clinical staff members’ knowledge and confidence levels by providing them a PN training session focused on CRC screening and motivational interviewing. RESULTS: Participants’ perspectives toward understanding of CRC (p = 0.01) and motivational interviewing (p = 0.000001), and confidence levels in patient counseling and education (p = 0.001) significantly increased after the training session. The knowledge assessed by multiple-choice questions mostly increased as well; however, the difference between pre- and post-tests were not statistically significant. A majority of the participants reported the highest scores for project evaluation questions. DISCUSSIONS/CONCLUSIONS: This project successfully increased familiarity with the topics and confidence levels towards patient education and counseling for clinical staff members at a primary-care setting. The training session was well-received. The findings implied that clinical staff can play role as patient navigators and support the effort to increase CRC screening rates in today’s busy primary-care setting where providers often have limited time to address the topic during regular patient encounters.
Pages/Duration:46 pages
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.
Appears in Collections: D.N.P. - Nursing Practice

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