Employing a Risk Assessment Tool for Shared Decision-Making in Breast Cancer Screening.
| Autor: | Krueger, Louisa |
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| Předmět: |
BREAST tumor diagnosis
BREAST tumor risk factors FAMILY planning PATIENT participation EARLY detection of cancer MAMMOGRAMS BEHAVIOR RISK assessment PRIMARY health care SOCIOECONOMIC factors HUMAN services programs COMPARATIVE studies DECISION making QUALITY assurance COMMUNICATION HEALTH attitudes PSYCHOSOCIAL factors DESCRIPTIVE statistics NURSE practitioners |
| Zdroj: | Creative Nursing; Feb2024, Vol. 30 Issue 1, p21-28, 8p |
| Abstrakt: | Background: The existing guidelines for breast cancer screening incorporate assessing individual risk but contain no universally recommended risk assessment tool in the primary care setting. Local Problem: A family planning program utilizing nurses and nurse practitioners for assessment, education, and referral lacked a risk assessment tool for assessing breast cancer risk. Methods: A breast cancer risk assessment tool was implemented in practice. Interventions: The interventions involved assessing the patient's risks, providing education on risk reduction strategies, and determining the need for clinical breast exams and referrals for mammography. Results: The study demonstrated a clear correlation between the number of breast cancer risks identified and the extent of education provided to patients based on their specific risk profiles (0 vs. 1.5 risks; 2 vs. 4.6 educational components). Among patients under age 35, 80% opted for a clinical breast exam, while 100% of patients age 40 and above agreed to both clinical breast exams and referrals for mammography after discussing individual risks. Conclusions: The use of a breast cancer risk assessment tool provided an evidence-based foundation for the shared decision-making conversation between patient and nurse/provider on risk reduction. The discussion included current evidence on the risk versus benefit of age-based screening options for breast cancer, allowing for an informed decision made jointly between the patient and provider. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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