Date of Award

5-2022

Document Type

Dissertation - Campus Access Only

Degree Name

Doctor of Nursing Practice

Degree Discipline

Nursing Practice

Abstract

Background: HIV-positive women are more likely to die from preventable or treatable cervical cancer than HIV (UNAIDS, 2018). HIV-positive women are five times more likely to be affected by cervical cancer than HIV-negative women (UNAIDS, 2018). Previous research has shown that widespread use of the Pap test leads to substantial reductions in death from cervical cancer; however, few women remain adherent to cervical cancer screening guidelines.

Purpose: The quality improvement project aimed to use an educational brochure to increase cervical cancer knowledge and screening among HIV-positive women in a local FQHC using the Health Belief Model (HBM).

Methods: In this quality improvement project, HIV-positive women’s knowledge regarding cervical cancer screening was assessed using a pre- and post-test. Pre- and post-intervention cervical cancer screening compliance was assessed. The difference in mean knowledge scores were assessed using the paired samples t-test. A one-sample chi-square test assessed the difference in the proportion of women who received cervical cancer screening between the period before and after the intervention. An alpha level of 0.05 determined statistical significance.

Results: Results of the two-tailed paired samples t-test revealed a statistically significant difference between pre-intervention and post-intervention knowledge (t(17) = -4.27, p < .001). The chi-square test results yielded greater than 50% of participants who scheduled and completed pap screening post-intervention.

Implications for the Future: Results of this quality improvement project can guide the implementation of policies, protocols, and guidelines which promote healthcare providers to utilize HIV-tailored education.

Committee Chair/Advisor

Gloria Rose

Committee Member

Jerrel Moore

Committee Member

Vivian Dawkins

Committee Member

Abida Solomon

Publisher

Prairie View A&M University

Rights

© 2021 Prairie View A & M University

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Date of Digitization

11/25/2024

Contributing Institution

John B Coleman Library

City of Publication

Prairie View

MIME Type

Application/PDF

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