Improving Patient Education, Knowledge, and Confidence of Breast Density and Screening Recommendations

Abstract

Background: Breast density significantly impacts breast cancer screening, yet many women remain unaware of its implications. Dense breast tissue is very common and can reduce mammogram sensitivity and increase false positives, leading to confusion, anxiety, or unnecessary follow-up. Educational gaps contribute to misinformed decision-making and inequities in screening access, particularly in community-based women’s health settings. Purpose: This Doctor of Nursing Practice (DNP) project aims to improve patient knowledge, confidence, and satisfaction regarding breast density and evidence-based screening guidelines. A structured educational brochure, grounded in Knowles’ Adult Learning Theory, was implemented at a local women’s health clinic to enhance patient understanding, promote shared decision-making, and reduce health disparities. Methods: A quantitative, single-site, post-intervention design was used. Women aged 40 and above were invited to participate and received an educational brochure via email following the unexpected closure of the clinic. Outcomes were assessed using an anonymous post-survey with Likert-scale items and open-ended feedback to measure knowledge, confidence, and satisfaction. Descriptive statistics and qualitative feedback informed future improvements, supporting the integration of education into standard preventive care workflows. Results: A total of nine women completed the post-intervention survey. All participants reported increased understanding of breast density and its relevance to screening. Most felt more confident in making informed decisions and expressed high satisfaction with the clarity and usefulness of the brochure. Responses affirmed that the material was easy to understand and appropriately detailed. Conclusions: Brief, structured education significantly improved perceived knowledge and confidence related to breast density. The brochure was well-received and feasible to deliver digitally, supporting its integration into future preventive care workflows. Findings support further development and use of tailored patient education tools to enhance understanding, reduce anxiety, and promote equitable breast health decision-making.