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Increasing colorectal cancer screening referrals in an urban clinic
Descriptive
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Title
Increasing colorectal cancer screening referrals in an urban clinic
Name
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Palatty
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Juli
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Juli Palatty
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author
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Reyes
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Darcel M
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Darcel M Reyes
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Advisory Committee
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chair
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Kordie
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Dennis Yeboah
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Dennis Yeboah Kordie
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Advisory Committee
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outside member
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Rutgers University
Role
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degree grantor
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School of Nursing - RBHS
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school
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theses
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2020
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2020-05
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English
Abstract
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Purpose of Project: The primary goal of this QI project was to increase referral rates at an urban health clinic by implementing an educational session for staff and the use of a pre-visit checklist to aid the staff in identifying patients who met CRC screening criteria.
Methodology: This QI project used a retrospective and prospective chart review to measure the effectiveness of the CRC educational intervention and pre-visit checklist on CRC referrals. In addition, a pre and post questionnaire was administered to the participants immediately before and one month after the implementation of the CRC education and pre-visit checklist. The pre and post questionnaire measured the attitudes of the providers and clinical staff towards CRC screening.
Results: As a result of the educational interventional there was an improvement in staffs’ attitudes towards CRC screening. Additionally, there was a 13% increase in CRC referrals given by the clinic one-month post-intervention. However, the use of the pre-visit checklist did not show to be effective due to interruption in the usual workflow.
Implications for Practice: The use of MAs to assist the PCPs could increase a practice's ability to provide patients with the education and assistance they need to complete their preventative screening. Providing MAs with education regarding CRC and involving them in screening may increase patient awareness of CRC screening and prevent a missed screening encounter.
Methodology: This QI project used a retrospective and prospective chart review to measure the effectiveness of the CRC educational intervention and pre-visit checklist on CRC referrals. In addition, a pre and post questionnaire was administered to the participants immediately before and one month after the implementation of the CRC education and pre-visit checklist. The pre and post questionnaire measured the attitudes of the providers and clinical staff towards CRC screening.
Results: As a result of the educational interventional there was an improvement in staffs’ attitudes towards CRC screening. Additionally, there was a 13% increase in CRC referrals given by the clinic one-month post-intervention. However, the use of the pre-visit checklist did not show to be effective due to interruption in the usual workflow.
Implications for Practice: The use of MAs to assist the PCPs could increase a practice's ability to provide patients with the education and assistance they need to complete their preventative screening. Providing MAs with education regarding CRC and involving them in screening may increase patient awareness of CRC screening and prevent a missed screening encounter.
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Rutgers University Electronic Theses and Dissertations
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ETD_10928
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1 online resource (91 pages) : illustrations
Note
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DNP
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Includes bibliographical references
Subject
(authority = LCSH)
Topic
Colon (Anatomy) -- Cancer
Subject
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Topic
Rectum -- Cancer
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Topic
Adult-Gerontology Primary Care Nurse Practitioner
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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doi:10.7282/t3-4gcg-c327
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ETD doctoral
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Rights
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The author owns the copyright to this work.
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Name
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Palatty
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Juli
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Permission or license
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2020-05-02 00:55:36
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Juli Palatty
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Rutgers University. School of Nursing - RBHS
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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2020-05-31
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2022-05-31
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Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2022.
Copyright
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Copyright protected
Availability
Status
Open
Reason
Permission or license
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