Pre- and posttest evaluation of a breast cancer risk assessment program for nurse practitioners

J Am Acad Nurse Pract. 2010 Jul;22(7):376-81. doi: 10.1111/j.1745-7599.2010.00523.x.

Abstract

Purpose: Numerous studies have shown that healthcare providers, including nurse practitioners (NPs) fail to provide breast cancer risk assessment (BrCRA) in primary care settings. A potential barrier to the use of BrCRA is insufficient knowledge or training of risk assessment. The purpose of this study was to analyze the outcome of a BrCRA program developed to enhance NPs' knowledge of risk assessment and use of empiric risk assessment models.

Data sources: Thirty-five NPs participated in a before-after (pretest-posttest design) study evaluating the effectiveness of a BrCRA education program conducted at a national NP conference. Demographics, pre/post knowledge, and course satisfaction measures were all examined as a part of this pilot study.

Conclusion: Continuing education through the implementation of a BrCRA program significantly increased NPs knowledge in assessing breast cancer risk and the use of empiric risk assessment models.

Implications for practice: Many healthcare providers, including NPs, are inadequately prepared to assess a woman's risk for breast cancer. Understanding breast cancer risk assessment is essential if NPs are to provide appropriate counseling, management, and referral strategies needed to reduce a woman's risk for developing the disease. Continuing education provides one means to enhance NP's knowledge of BrCRA.

MeSH terms

  • Breast Neoplasms / diagnosis
  • Breast Neoplasms / nursing*
  • Breast Neoplasms / prevention & control
  • Clinical Competence
  • Education, Nursing, Continuing
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Models, Statistical
  • Nurse Practitioners*
  • Primary Health Care*
  • Program Development
  • Program Evaluation*
  • Risk Assessment
  • Time Factors