Skin Inspection Education for the Identification of Skin Cancers in Primary Care
AdvisorPacheco, Christy L.
MetadataShow full item record
PublisherThe University of Arizona.
RightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
AbstractPurpose. This quality improvement (QI) project aimed to educate providers, nurses regarding risk factors for skin cancer development and identification of pigmented lesions suspicious for skin cancer diseases. The goal was to increase provider, nursing knowledge, confidence in visual skin inspection technique, inform practice change in performance of visual skin inspections, skin cancer screening, and skin inspection education. Background. Skin cancers are most common forms of cancers diagnosed in United States (US), but only 4.4% of US population routinely visit dermatologists (AAD, 2019; Rapaport, 2018). There is an opportunity for primary care providers (PCPs) to aid in screening, early identification, and treatment of skin cancer diseases, however, most PCPs lack training in identification of abnormal skin lesions and rarely perform comprehensive visual skin inspections (Wise et al., 2009). Methods. An asynchronous webinar for providers, nurses was delivered to educate them regarding skin cancer risk factors, identification of abnormal pigmented precancerous and cancerous skin lesions. Content of asynchronous webinar was based on existing clinical decision support course called INFORMED (INternet curriculum FOR Melanoma Early Detection), to educate providers in identification of normal and abnormal skin findings (Weinstock et al., 2020). Post-intervention survey data was collected to evaluate knowledge, confidence, and intent to change practice based on webinar content. Results. QI project sample population included three providers and three nurses. All providers reported webinar increased knowledge of identification of precancerous, cancerous skin lesions, 66.67% of providers reported they would perform more visual skin inspections in primary care clinics. 66.67% of nurses reported feeling more confident in providing patient education regarding skin cancer screening, skin inspection after completing webinar and reported that they would educate more patients as a result. Conclusions. Providers and nurses in primary care clinic increased knowledge of pigmented skin lesions, educating patients regarding skin cancer screening, performed skin inspections after completing asynchronous skin cancer education webinar. Nurses were more confident in ability to provide patient education regarding skin cancer screening and skin inspection. Two thirds of providers and nurses indicated that education would change their clinical practice; they would perform more visual skin inspections and more skin cancer education.
Degree ProgramGraduate College