Award Date


Degree Type

Doctoral Project

Degree Name

Doctor of Nursing (ND)



First Committee Member

Jennifer Pfannes

Second Committee Member

Mary Bondmass

Third Committee Member

Courtney Coughenour

Number of Pages



Breast cancer is the leading cause of death of women in the United States. Patients at high risk for developing cancer are more easily identified in today’s world. Early identification might be due to strong family history or genetic mutations, such as BRCA1 or BRCA2. Screening and risk reduction guidelines have been developed over recent years for these patients. Adherence to these guidelines continues to be a problem. The factors stemming from this problem include lack of knowledge about being high-risk, understanding the guidelines, and anxiety and depression about the perceived risk of developing breast cancer. These factors can cause a barrier and prevent patients from following through with their recommended screening or risk reduction strategy. The purpose of this Doctor of Nursing Practice (DNP) project was to determine if cancer risk education increases knowledge and self-efficacy and decreases anxiety and depression. Based on a literature review, the project was developed to evaluate the outcome variables of self-efficacy, knowledge, anxiety, and depression before and after a standardized educational intervention for high-risk cancer patients. Data collected were analyzed with a paired t-test and an increase in knowledge scores from the and post-survey answers were identified as being statistically significant (p = 0.04). Although anxiety shows a clinical significance, there were no statistically significant changes in anxiety and depression.

Controlled Subject

Anxiety; Breast--Cancer--Psychological aspects;Education


Educational Assessment, Evaluation, and Research | Genetics | Nursing

File Format


File Size

1077 KB

Degree Grantor

University of Nevada, Las Vegas




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