Does a 30-min quality improvement clinical practice meeting reviewing the recommended Papanicolaou test guidelines for adolescents improve provider adherence to guidelines in a pediatric primary care office?

Research output: Contribution to journalArticle

Abstract

PURPOSE: The purpose of this quality improvement project was to evaluate adherence to Papanicolaou (Pap) test guidelines 6 months prior to and 6 months following a 30-min educational clinical practice meeting in a pediatric primary care office. Guidelines for Pap tests have been revised in recent years by the American Academy of Obstetrics and Gynecology, the American Cancer Society, and the U.S. Preventive Task Force, but providers often do not adhere to the guidelines.

DATA SOURCES: A total of 777 charts from a pediatric primary care office were reviewed. Eighty-four percent (652) met criteria for inclusion.

CONCLUSIONS: Among sexually active adolescents, there was a statistically significant relationship between rates of Pap tests following the clinical practice meeting (χ(2) (1) = 13.5, p = .001). Prior to the meeting there were 29 Pap tests recorded, whereas after there were two Pap tests done. After the focused clinical practice meeting, providers performed far fewer Pap tests, which is in accordance with the guidelines for this population.

IMPLICATIONS FOR PRACTICE: Providers may not always practice in accordance with recommended clinical practice guidelines for various reasons. Focused, in-office educational interventions via clinical practice meetings may be an effective way of discussing recommended guidelines to improve provider adherence.

Original languageEnglish (US)
Pages (from-to)584-587
Number of pages4
JournalJournal of the American Association of Nurse Practitioners
Volume25
Issue number11
DOIs
StatePublished - Nov 1 2013

Fingerprint

Guideline Adherence
Papanicolaou Test
Quality Improvement
Primary Health Care
Guidelines
Pediatrics
Advisory Committees
Gynecology
Practice Guidelines
Obstetrics
Population

Keywords

  • Adolescents
  • education
  • practitioners
  • primary care
  • reproductive health

ASJC Scopus subject areas

  • Medicine(all)

Cite this

@article{470cf23496cc4671aa85e503fcfc5e18,
title = "Does a 30-min quality improvement clinical practice meeting reviewing the recommended Papanicolaou test guidelines for adolescents improve provider adherence to guidelines in a pediatric primary care office?",
abstract = "PURPOSE: The purpose of this quality improvement project was to evaluate adherence to Papanicolaou (Pap) test guidelines 6 months prior to and 6 months following a 30-min educational clinical practice meeting in a pediatric primary care office. Guidelines for Pap tests have been revised in recent years by the American Academy of Obstetrics and Gynecology, the American Cancer Society, and the U.S. Preventive Task Force, but providers often do not adhere to the guidelines.DATA SOURCES: A total of 777 charts from a pediatric primary care office were reviewed. Eighty-four percent (652) met criteria for inclusion.CONCLUSIONS: Among sexually active adolescents, there was a statistically significant relationship between rates of Pap tests following the clinical practice meeting (χ(2) (1) = 13.5, p = .001). Prior to the meeting there were 29 Pap tests recorded, whereas after there were two Pap tests done. After the focused clinical practice meeting, providers performed far fewer Pap tests, which is in accordance with the guidelines for this population.IMPLICATIONS FOR PRACTICE: Providers may not always practice in accordance with recommended clinical practice guidelines for various reasons. Focused, in-office educational interventions via clinical practice meetings may be an effective way of discussing recommended guidelines to improve provider adherence.",
keywords = "Adolescents, education, practitioners, primary care, reproductive health",
author = "Lozman, {Rebecca L.} and Belcher, {Anne E} and Sloand, {Elizabeth D}",
year = "2013",
month = "11",
day = "1",
doi = "10.1111/1745-7599.12019",
language = "English (US)",
volume = "25",
pages = "584--587",
journal = "Journal of the American Association of Nurse Practitioners",
issn = "2327-6886",
publisher = "John Wiley and Sons Ltd",
number = "11",

}

TY - JOUR

T1 - Does a 30-min quality improvement clinical practice meeting reviewing the recommended Papanicolaou test guidelines for adolescents improve provider adherence to guidelines in a pediatric primary care office?

AU - Lozman, Rebecca L.

AU - Belcher, Anne E

AU - Sloand, Elizabeth D

PY - 2013/11/1

Y1 - 2013/11/1

N2 - PURPOSE: The purpose of this quality improvement project was to evaluate adherence to Papanicolaou (Pap) test guidelines 6 months prior to and 6 months following a 30-min educational clinical practice meeting in a pediatric primary care office. Guidelines for Pap tests have been revised in recent years by the American Academy of Obstetrics and Gynecology, the American Cancer Society, and the U.S. Preventive Task Force, but providers often do not adhere to the guidelines.DATA SOURCES: A total of 777 charts from a pediatric primary care office were reviewed. Eighty-four percent (652) met criteria for inclusion.CONCLUSIONS: Among sexually active adolescents, there was a statistically significant relationship between rates of Pap tests following the clinical practice meeting (χ(2) (1) = 13.5, p = .001). Prior to the meeting there were 29 Pap tests recorded, whereas after there were two Pap tests done. After the focused clinical practice meeting, providers performed far fewer Pap tests, which is in accordance with the guidelines for this population.IMPLICATIONS FOR PRACTICE: Providers may not always practice in accordance with recommended clinical practice guidelines for various reasons. Focused, in-office educational interventions via clinical practice meetings may be an effective way of discussing recommended guidelines to improve provider adherence.

AB - PURPOSE: The purpose of this quality improvement project was to evaluate adherence to Papanicolaou (Pap) test guidelines 6 months prior to and 6 months following a 30-min educational clinical practice meeting in a pediatric primary care office. Guidelines for Pap tests have been revised in recent years by the American Academy of Obstetrics and Gynecology, the American Cancer Society, and the U.S. Preventive Task Force, but providers often do not adhere to the guidelines.DATA SOURCES: A total of 777 charts from a pediatric primary care office were reviewed. Eighty-four percent (652) met criteria for inclusion.CONCLUSIONS: Among sexually active adolescents, there was a statistically significant relationship between rates of Pap tests following the clinical practice meeting (χ(2) (1) = 13.5, p = .001). Prior to the meeting there were 29 Pap tests recorded, whereas after there were two Pap tests done. After the focused clinical practice meeting, providers performed far fewer Pap tests, which is in accordance with the guidelines for this population.IMPLICATIONS FOR PRACTICE: Providers may not always practice in accordance with recommended clinical practice guidelines for various reasons. Focused, in-office educational interventions via clinical practice meetings may be an effective way of discussing recommended guidelines to improve provider adherence.

KW - Adolescents

KW - education

KW - practitioners

KW - primary care

KW - reproductive health

UR - http://www.scopus.com/inward/record.url?scp=84927170966&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84927170966&partnerID=8YFLogxK

U2 - 10.1111/1745-7599.12019

DO - 10.1111/1745-7599.12019

M3 - Article

VL - 25

SP - 584

EP - 587

JO - Journal of the American Association of Nurse Practitioners

JF - Journal of the American Association of Nurse Practitioners

SN - 2327-6886

IS - 11

ER -