Diana Dedmon, DNP, APRN, FNP-BC
Purpose/Background Colorectal cancer (CRC) is the second leading cause of cancer-related deaths in the United States. Rates have steadily increased in recent years due to high rates of obesity, smoking, and sedentary lifestyles. Screening for the disease can lead to early detection and reduced morbidity/mortality, yet screening rates remain low. Existing literature is extensive in discussing methods to increase CRCS adherence; therefore, a scoping review allows for increased understanding of barriers to CRCS and how to address those barriers to increase screening compliance.
Methods A literature search was completed from September 2020 to October 2021. Multiple databases were used, including SCOPUS, CINAHL Complete, Science Direct, Medline, Discovery Search, and PubMed. The main search term was “colorectal cancer,” and keywords such as “adherence,” “compliance,” “benefits,” “barriers,” and “methods” were added to narrow the results. Studies eligible for the scoping review were those published from the year 2011 to 2021, full-text, peer-reviewed, and written or translated to English.
Results Investigators found a variety of sources: one qualitative study, three randomized controlled trials, one retrospective single-center study, one scoping review, two surveys, and lastly, several discussion-based articles about increasing CRCS. 66.7% of the articles increased CRCS. 91.7% of the articles had new methods to increase CRCS rates. 75% of the articles achieved improved patient perception of CRCS. 91.7% of the articles discussed educating about the importance of CRCS.
Implications for Nursing Practice This scoping review offers a foundation for future research. Specifically, the next steps for CRCS research would involve developing a PICOT, conducting a systematic review, and then making recommendations for practice. This would provide specific insight into studies that have been conducted on increasing CRCS. While there is certainly room for further research in this area of medicine, providers can begin increasing CRCS rates based on the interventions we proposed.
Billingsley, Megan E. BSN, RN; Ford, Tiameria T. BSN, RN; Vican, Mikayla E. BSN, RN; and Dedmon, Diana DNP, APRN, FNP-BC , "Increasing Colorectal Cancer Screening Adherence: A Scoping Review" (2022). Doctor of Nursing Practice Projects. Paper 33. http://dx.doi.org/10.21007/con.dnp.2022.0033.
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