Date Available

12-3-2019

Year of Publication

2019

Degree Name

Doctor of Nursing Practice

Advisor

Dr. Elizabeth Tovar

Committee Member

Dr. Brian DePrest

Co-Director of Graduate Studies

Dr. Michelle Pendleton

Abstract

BACKGROUND: Chronic Obstructive Pulmonary Disease is one of the leading causes of morbidity and mortality in the United States. With early detection, COPD is a treatable disease, highlighting the need for an effective screening measure. The COPD Population Screener Questionnaire (COPD-PS) is a valid, accurate questionnaire that can identify individuals likely to have COPD.

PURPOSE: The purpose of this study was to evaluate the impact of a provider-based educational intervention on the knowledge, attitudes, self-efficacy and screening rates of COPD using the COPD-PS screening tool among primary care providers.

METHODS: This study was a single-center, pre/post implementation study to evaluate provider screening rates for COPD, provider knowledge, attitudes and self-efficacy regarding COPD screening and utilization of the COPD-PS screening tool. Phase one of the study was a baseline chart review and provider pre-implementation survey. Phase two was a provider educational intervention covering COPD and COPD-PS screening tool. Third phase study was a post-implementation chart review and provider post-implementation survey.

RESULTS: There was an increase in overall means from the baseline to the posttest scores, but these changes were not statistically significant: provider knowledge (pre=6.75, post=7.00, p=.391), attitude (pre=4.12, post=4.93, p=.090), or self-efficacy (pre=4.12, post=5.00, p=.133). There was a statistically significant increase in provider practice for COPD screening using surveys (p=.003), performing COPD-PS screening tool (p=.001), documentation of COPD-PS (p=.001) and spirometry ordered (p=.001) from the pre- to post-intervention period.

CONCLUSION: Utilization of a questionnaire-based screening tool, such as the COPD-PS can increase COPD screening rates and identify at risk patients who may benefit from diagnostic spirometry.

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