Klause, Karin

Intimate partner violence (IPV) is a global health problem affecting millions of individuals. The purpose of this DNP project is to compare current IPV practices and recommend use of an IPV screening tool into practice along with staff education to improve screening practices in primary care. The overall goal is to increase screening of IPV in primary care, which rates are currently very low throughout the nation.
To achieve this goal a quality improvement project was conducted with participants at a local clinic in Fort Pierce. The staff and providers received a PowerPoint and verbal presentation, which focused on the ability to identify IPV. They received a pre-intervention survey and a post intervention survey at the completion of the presentation. They were also given information on referrals and resources for patients identified with IPV. 54% of providers responded that they do not currently screen for IPV. Participants showed that they would in the future use a screening tool in practice. They also showed a significant change in perceptions after the intervention. Providers also felt that they do have time to screen for IPV in the future and thus resulting in practice change.

This Doctor of Nursing Practice (DNP) project describes a quality improvement (QI)
project to address the problem of male breast cancer (MBC) in a medically underserved
population in the southeastern United States. The purpose of this project was to implement a
practice protocol to increase breast cancer screening rates to potentially improve early
identification and management of men at risk for breast cancer in an outpatient safety net clinic.
The Six Sigma DMAIC methodology guided the development, implementation, and evaluation
of the project. A pre and post intervention survey was utilized to measure nurse practitioners’
knowledge, attitude, and practice (KAP) about MBC screening and a chart audit tool was utilized
to measure adherence to the protocol. The results revealed statistical significance. The nurse
practitioners demonstrated improved KAP of male breast cancer screening recommendations
based on responses to the pre and post questionnaires. The implementation of the male breast
cancer screening protocol led to a significant increase in the nurse practitioner’s MBC screening
rates. The findings reinforce continued education of nurse practitioners for male breast cancer
prevention. Public education is also pertinent for early detection and prevention of male breast
cancer worldwide.