Yao LuoFollow

Date of Graduation

Summer 8-6-2020

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




Family Nurse Practitioner

First Advisor

Dr. Wanda Borges

Second Advisor

Dr. Cathy Coleman


Problems: Culture and language may create huge barriers to the delivery of high-quality care for patients with Limited English Proficiency (LEP) who are seeking breast cancer care, especially in a population that consists of a large proportion of disadvantaged, low income, low English literacy, and high-risk women over 45 years of age.

Context: LEP patients’ inability to effectively communicate and inadequate knowledge about screening mammography have put them at great risk of receiving additional images during the exam, as well as brought a huge burden to technologists regarding breast positioning.

Interventions: A Doctor of Nursing Practice project was implemented to create culturally sensitive and language appropriate patient education materials on screening mammography. This material will benefit LEP patients by teaching enhanced breast positioning skills, body relaxation techniques, and general knowledge on screening mammography.

Measures: The metric included a pre-post online interventional participant survey that evaluated knowledge, confidence, readiness, and likelihood to participate in screening mammography in the future.

Results: A total of 60 Chinese women (aged 40-65) participated in the online survey. Data analysis demonstrated a 24.82% gain in their knowledge on screening mammography and a 46.82% gain in their understanding of breast positioning skills and body relaxation techniques. Forty-eight (80%) participants indicated the education material has enhanced their knowledge and they would like to use those tips in the future. Fifty-two participants (86.7%) suggested they would recommend the material to other patients.

Conclusion: A culturally and linguistically appropriate patient education material is imperative in increasing the LEP population’s knowledge of screening mammography and may promote their willingness to participate in screening programs.

Included in

Nursing Commons