Year of Publication
Doctor of Nursing Practice
Dr. Elizabeth Tovar
Dr. Michelle Pendleton
Dr. Brian DePrest
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.
Craig, Kelli, "The Effect of Provider Education on COPD Screening Rates in the Primary Care Setting" (2019). DNP Projects. 283.