Nurse practitioner‐led lung cancer screening clinic: An evidence‐based quality improvement evaluation

Background Lung cancer is the leading cause of cancer deaths worldwide. Screening for lung cancer using low‐dose computed tomography of the chest (LDCT) can reduce mortality associated with lung cancer. LDCT is an under‐ordered screening study. Aims To evaluate the use of a nurse practitioner‐led lu...

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Bibliographic Details
Published in:Worldviews on evidence-based nursing 2022-06, Vol.19 (3), p.227-234
Main Authors: Schlabach, Tyra, King, Tara Spalla, Browning, Kristine K., Kue, Jennifer
Format: Article
Language:English
Subjects:
cancer screening
Clinics
Evidence-based nursing
low‐dose CT chest
Lung cancer
lung cancer screening
lungRADS
Medical screening
Nurse practitioners
Quality improvement
Tomography
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Summary:Background Lung cancer is the leading cause of cancer deaths worldwide. Screening for lung cancer using low‐dose computed tomography of the chest (LDCT) can reduce mortality associated with lung cancer. LDCT is an under‐ordered screening study. Aims To evaluate the use of a nurse practitioner‐led lung cancer screening clinic (LCSC). Methods The absolute number of LDCT for lung cancer screenings obtained 12 months before implementing the nurse practitioner‐led LCSC was compared to the 12 months after clinic implementation using a casual comparison design. An electronic survey was conducted to assess the LCSC key stakeholders' perceptions of the clinic. Results An increase of 60% in the total number of LDCT for lung cancer screenings was observed. Qualitative data obtained through stakeholder evaluation of the clinic revealed that 85% of participants (n = 13) expressed that the LCSC was addressing barriers to lung cancer screening. Linking Evidence to Action A dedicated nurse practitioner‐led LCSC is a practical way to increase lung cancer screening by addressing established barriers to screening in the community setting.
ISSN:1545-102X
1741-6787
DOI:10.1111/wvn.12578