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Improving mammography recommendation: a nurse-initiated intervention
E C Foley1, F D'Amico, J H Merenstein
1Family Practice Residency Program, St. Margaret Memorial Hospital, Pittsburgh, PA 15215.
The Journal of the American Board of Family Practice
|April 1, 1990
Summary
A new intervention significantly increased screening mammography rates among eligible women patients by addressing knowledge and behavior barriers in family practice residents. This multi-component approach improved adherence to American Cancer Society guidelines.
Area of Science:
- Medical Science
- Public Health
- Oncology
Background:
- Screening mammography adherence is crucial for early breast cancer detection.
- Family practice residents face barriers to consistently recommending mammograms per American Cancer Society (ACS) guidelines.
- Previous efforts to improve compliance require enhanced strategies targeting resident knowledge and behavior.
Purpose of the Study:
- To enhance compliance with ACS screening mammography recommendations.
- To address and overcome resident-dependent barriers to mammography screening.
- To evaluate the effectiveness of a multipart intervention on mammography recommendation rates.
Main Methods:
- A multi-component intervention was implemented for family practice residents.
- Intervention included guideline dissemination, patient identification by nurses, resident checklists, and nurse-initiated reminders.
- Chart audits of 200 pre-intervention and 270 post-intervention patient records were conducted.
Main Results:
- Statistically and clinically significant increases in mammograms recommended or performed were observed post-intervention.
- A cohort study of 111 patients also showed significant improvements in mammography rates.
- The intervention effectively increased the rate of recommended mammography.
Conclusions:
- A targeted intervention can effectively improve resident compliance with mammography screening guidelines.
- Addressing knowledge and behavioral barriers is key to enhancing cancer screening rates.
- This strategy demonstrates success in increasing mammography recommendations in family practice settings.