DNP Projects

The Impact of a Nurse-Led High-Risk Referral Protocol Implemented in a Comprehensive Breast Center

Ashley B. Johnson

Monica L. Beck

Heather J. Jackson
breast cancer, mammogram, referrals, risk assessment, advanced practice provider
CJON 2024, 28(4), 366-371. DOI: 10.1188/24.CJON.366-371

This quality improvement project implemented a nurse-led high-risk screening referral protocol for earlier identification of women at increased risk for breast cancer. The Breast Cancer Risk Assessment Tool was used at the mammography appointment, which led to improved electronic communication and significant increases in high-risk clinic consultations, breast magnetic resonance imaging, genetic counseling, and additional testing. Patients reported high satisfaction with advanced practice providers, which indicates increased comfort levels.

At a Glance

  • Breast cancer risk assessment at mammography can identify women at high risk and promote enhanced cancer screening.
  • Nurse-driven referral protocols provided a model for risk communication, expansion of personalized breast health services, and earlier cancer detection.
  • A surgical oncology advanced practice provider team consistently delivered patient education in alignment with best practices and attained high patient satisfaction.
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