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Evidence-based practice project to increase hospital-based cervical cancer screening compliance among registration staff

Journal Name:

  • International Journal of Nursing

Publication Year:

  • 2015

Key Words:

Author NameUniversity of Author
Abstract (2. Language): 
Background: High-quality Papanicolaou testing was developed in the 1940s, and when used for early detection of cervical cancer, has been shown to significantly reduce cervical cancer related deaths world-wide. Legislation, passed by many states in the United States, aims to maximize cervical cancer screening. One Academic Medical Center (AMC) in Maryland initiated a cervical cancer screening program in 1977. A pilot, developed to assess cervical cancer screening compliance, found the screening rate at this AMC to be 51%. Objective: This project aimed to improve the knowledge of the Patient Service Coordinators in order to increase cervical cancer screening compliance. Population: Patient service coordinator, who conducts registration and screening when a patient is admitted to the AMC Methods: Effectiveness of the education was measured by three assessments: 1) A pre and post knowledge survey of the patient service coordinator measuring facts about cervical cancer, the screening process, and the State of Maryland cervical cancer screening mandate; 2) a calculation of screening rates comparing the number of women screened to the number of women admitted; and 3) an assessment of the completeness of each screen-ing form. Results: A two-tailed paired samples t-test revealed that the PSCs scored higher on the post-survey compared to the pre-survey (p <0.000). A chi- square test was used to compare categorical variables. During the four weeks before the educational intervention, 34% (543 of 1602) of women were screened; 51% (279/543) screen-ing forms were completed. For the four weeks after the educational intervention, 54% (N=735 of 1,373) of eligi-ble women were screened; 89% (656/735) forms were completed (p <0.000). Conclusion: There was a significant improvement of the PSC’s knowledge, 20% increase in the number of women screened, and completeness of the form increased by 38%. These findings suggest that an educational intervention for registration staff can increase cervical cancer screening compliance, and positively impact staff ability to screen inpatient women.
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