Evidence-based practice project to increase hospital-based cervical cancer screening compliance among registration staff
Abstract
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 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 screening form.
Results: A two-tailed paired samples t-test revealed that the PSCs scored higher on the post-survey (m-7.68, s- 2.52) compared to the pre-survey (m-3.68, s-1.77), t (32) = 8.949, p ≤ .0.5. 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) screening forms were completed. For the four weeks after the educational intervention, 54% (N=735 of 1,373) of eligible women were screened; 89% (656/735) forms were completed. Both tests were found to be significant p <0.000.
Interpretation: 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%.
Conclusion: 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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