Doctor of Nursing Practice Program

Jitana Bagomolny, DNP

Jitana Bagomolny
  • Committee Chair Name & Credentials:
    Dr. Ken Nelson, III, DNP, RN, NE-BC, CPHQ


DNP Project Abstract

Implementation of a Social Determinants of Health Assessment Tool for Adult Cancer Patients

Determine if identification of SDOH needs prior to cancer treatment initiation will lead to better treatment outcomes.

Project design: Plan-Do-Study-Act Measures

Aim: Improve identification of SDOH disparities in the initial treatment of adult patients with cancer through the utilization of a SDOH assessment tool from none identified (this was not currently addressed in the practice setting) to 50% identification over a period of 12 weeks.

A two-tailed Wilcoxon signed rank test revealed that SDOH needs were slightly more readily identified following cancer treatment initiation following a diagnosis of cancer for adult patients with private insurance. Participants ranged from 33-79 years old (M = 58, SD = 15.14). The standardized effect size was small (0.17).

Two of 24 patients had pre-treatment SDOH needs identified with the SDOH screening tool. Five of 24 patients were identified as having post-treatment SDOH needs.

Implications for Practice
There was little improvement in identification of SDOH disparities by introduction of a SDOH screening tool at the time of cancer diagnosis in adult patients surveyed. Based upon this finding, no changes are indicated for fully-insured patients. A similar study in patients without health insurance is indicated.