Document Type

Dissertation

Degree

Doctor of Nursing Practice

Major

Nursing

Date of Defense

10-7-2021

Graduate Advisor

Dr. Vanessa Loyd

Co-Advisor

Dr. Alicia Hutchings

Committee

Dr. Vanessa Loyd

Dr. Alicia Hutchings

Natasha Shelton

Abstract

Abstract

Problem: Breast cancer is a life-threatening condition, in which the prognosis could potentially worsen with a delay in the detection and commencement of treatment. Scheduling patients for mammograms continues to allow for long wait times that exist in screening mammography. Lower rates of participation in scheduled screening mammograms contributes to the increased rate of advanced breast cancer diagnosis that exit in African American women and threatens their health outcomes. The purpose of this project was to implement walk-in mammography to increase participation for early breast cancer detection.

Methods: An observational descriptive design with a retrospective chart review. A PDSA cycle was used in the implementation of walk-in mammography for this quality improvement project.

Result: A total N=228 mammograms (walk-ins and scheduled screenings) was completed in April, May, and June 2021.There were 8.8% (n=20) positive cases, 1.7% (n=4) were in advanced (III and IV) stage. A significant positive correlation was observed between stages I-IV and walk-in and scheduled patients (rs = 0.59, p = .002, 95% CI [0.25, 0.80]). There was no significant difference seen based on an alpha value of (0.05, U = 60.5, z = -1.75, p = .080) from stages I-IV for patients screened in the scheduled only group and those screened after walk-in screening was introduced.

Implications for practice: Increased awareness that scheduled and walk-in mammogram screenings can enhance early detection of breast cancer diagnosis for patients particularly African American women.

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