Year of Publication

2017

Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Julie Ossege

Clinical Mentor

Dr. Jill Badik

Committee Member

Dr. Sharon Lock

Abstract

Purpose: The purpose of this study was to perform a needs assessment within the primary care practice of ProMedica Family Medicine in Fostoria, OH. The needs assessment will specifically identify intentions and behaviors, attitudes and beliefs, subjective norms about behavioral control, and healthcare provider or healthcare system barriers related to colorectal cancer screening.

Methods: This was a cross-sectional study using a survey among a convenience sample of patients who were 50 - 75 years of age and were not currently up-to-date with their colorectal cancer screening. In total, 222 patients were screened, 133 patients were determined to not be up-to-date, and 75 surveys were completed. Survey administration took place between January and February 2017.

Results: A distinct barrier to screening was not identified. Those with a lower education showed an increased fear of the screening process (p = 0.018) and an increased fear of cancer diagnosis (p = 0. 017). Fifty-four percent of surveys returned reported adequate knowledge about colorectal cancer screening and disease process; however, participants tended to disagree when asked about intention to get screened.

Conclusion: Further research is needed to identify methods to increase colorectal cancer screening intentions.

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