Date of Award

Fall 2022

Degree Type


Degree Name

Doctor of Nursing Practice (DNP)


Leadership and Advanced Nursing Practice

Committee Chair

Dr. LaWanda Baskin

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Dr. Marti Jordan

Committee Member 2 School

Leadership and Advanced Nursing Practice


Breast cancer risk (BC) prediction algorithms can allow referrals for identified high-risk individuals for further tests like mammography. Unfortunately, there is not yet a reliable method for predicting Black women's risk of developing BC in the United States (U.S.). Compared to White women, Black women in the U.S. are at an increased risk of developing BC at a younger age and experiencing a worse prognosis (Palmer et al., 2021). Race-based tumor inequalities and other social and health factors contribute to BC disparities. These disparities include limited access to care, inadequate health education, financial constraints, and poor patient-provider relations (Wheeler et al., 2013).

Moore's Outcomes Framework laid the foundation for this Doctor of Nursing Practice (DNP) quality improvement (QI) project. The framework considered engagement, community, contentment, productivity, patient well-being, and training outcomes. Because of the project's focus on the importance of interpersonal relationships in influencing health outcomes, the Principal Investigator (PI) also drew on Dr. Jean Watson's theory of human caring.

This pilot study aimed to disseminate information about the Black Women's Health Study (BWHS) Breast Cancer Risk Calculator (BCRC) and the underlying health inequalities that inspired its creation for rural health care providers in South Mississippi using the Plan-Do-Study-Act cycle (PDSA). The purpose of this study was to determine if educating rural Mississippi providers on the BWHS BCRC would improve their knowledge of the tool's potential utility in primary care and change their perceptions of the risk of BC among younger Black women. The project addressed the eight fundamental components of the DNP Essentials, which lay out the foundational skills and knowledge that must underpin all forms of advanced nursing practice.