Date of Graduation

Spring 5-20-2022

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




Family Nurse Practitioner

First Advisor

Nancy Selix

Second Advisor

Cynthia Huff


Colorectal Cancer (CRC) is the second leading cause of cancer related deaths in the U.S., although it is preventable with adequate routine screening. Medically underserved minorities and immigrants require screening program awareness in their respective communities. The incidence of CRC remains markedly high despite the screening modalities among various populations. In the United States (U.S.), there were approximately 147,950 reported CRC diagnoses, 53,200 deaths, and over 35.2 cases per 100,000 in California alone reported in 2020 (Siegel et al., 2020). Healthcare providers can prevent colorectal cancer (CRC) through adequate routine screening. Various screening practices are widely implemented in primary cases settings, but targeted screening for high-risk population must be addressed. This project created a process for prevention of CRC and training staff to educate patients on colorectal cancer screening (CRCS). This pilot educational project was implemented to increase staff knowledge about CRCS at Mission Primary Care Clinic in Fremont. The pretest/posttest along with staff education showed an increase in knowledge and improved routine practices for CRCS within primary care setting. The clinic benefited by educating staff on CRCS knowledge to educate underserved populations and older adults who have limited knowledge about the CRC and screening for it. This quality improvement project in nursing practice will influence a positive social change by emphasizing CRCS in primary care setting among high-risk populations.