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Related Concept Videos

Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
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Community Based Intervention01:30

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Nursing Clinical Information System01:27

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Role of Communication in the Nursing Process II: Planning and Implementation01:25

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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
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Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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International Nursing Organizations I01:23

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International Nursing Organization (ICN) is a global union of national nurses' organizations. Individual nurses can be a part of ICN through member organizations. Each member organization strives to ensure quality nursing care, sound health policies, the advancement of nursing knowledge, respect for the profession, and a satisfied and competent nursing workforce.
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A Community-Based Partnership to Successfully Implement and Maintain a Breast Health Navigation Program.

Bettina F Drake1,2,3, Shivon Tannan4, Victoria V Anwuri5

  • 1Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, 600 S. Taylor Ave., Campus Box 8100, St. Louis, MO, 63110, USA. drakeb@wustl.edu.

Journal of Community Health
|June 17, 2015
PubMed
Summary
This summary is machine-generated.

Patient navigation significantly increased mammography rates among eligible women, overcoming barriers to screening. This evidence-based program successfully reached 89% of the target population, highlighting its impact in high-need areas.

Keywords:
Breast cancerDisparitiesMammographyPatient navigationScreening

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Area of Science:

  • Public Health
  • Preventive Medicine
  • Health Services Research

Background:

  • Breast cancer screening reduces mortality but utilization is low in many populations.
  • A study clinic reported only 12% of eligible women aged 40+ received mammograms annually.
  • Barriers to screening include cost, system, and individual-level factors.

Purpose of the Study:

  • To implement and evaluate a patient navigation program to increase mammography utilization.
  • To identify women overdue for mammograms and facilitate screening and follow-up.
  • To assess barriers to mammography and the program's impact over two years.

Main Methods:

  • A patient navigator contacted women overdue for mammograms up to three times.
  • Navigation addressed system and individual barriers to mammography and follow-up care.
  • Mammography utilization was compared between navigated and non-navigated women using statistical tests.

Main Results:

  • The program successfully navigated 94.8% of eligible women.
  • 94% of navigated women completed their mammograms, reaching 89% of the target population.
  • Cost was the most frequently cited barrier to mammography.

Conclusions:

  • Patient navigation is an effective, evidence-based strategy to increase mammography screening rates.
  • Addressing financial and structural barriers is crucial for improving access to preventive services.
  • The program demonstrated significant impact in a high-need population and is sustainable.