Agricultural workers are at risk for developing skin cancer due to exposures to ultraviolet radiation. Occupational health nurses implemented a skin cancer screening during an agricultural trade show to facilitate primary and secondary prevention of skin cancer through risk assessment, visual skin examination, counseling, and education. The purpose of this article is to present an evidence-based practice model that describes the demographics of a skin cancer screening population, self-reported risk factors, the occurrence of presumptive diagnoses, and compliance with health-related recommendations. Eighty-eight individuals were screened. Thirty-nine (44%) of all screened participants were referred for further evaluation. Of the 39 referrals, 16 (41%) were recommended for biopsy. One month after the screening, 21 (54%) of the participants had completed or arranged follow-up. Status of the identified lesion was also explored. General comments yielded statements that demonstrated appreciation for the screening, teaching, reminders, and encouragement.
References
1.
American Academy of Dermatology. (2007a). Skin cancer. Schaumburg, IL: Author.
BermanB. (2001). Basal cell carcinoma and actinic keratoses: Patients' perceptions of their disease and current treatments. International Journal of Dermatology, 40(9), 573–576.
4.
BoikoP. E. (1998). Colleagues in skin cancer prevention: The family practitioner, pediatrician, internist, gynecologist, physician assistant and the nurse. Clinics in Dermatology, 16, 467–475.
5.
CamiahS. (1997). Utilization of nursing research in practice and application strategies to raise research awareness amongst nurse practitioners: Model for success. Journal of Advanced Nursing, 26(6), 1193–1202.
6.
ChristosP. J.OliveriaS. A.MasseL. C.McCormickL. K.HalpernA. C. (2004). Skin cancer prevention and detection by nurses: Attitudes, perceptions, and barriers. Journal of Cancer Education, 19(1), 50–57.
7.
ConnorA.RainerL. P.SimcoxJ. B.ThomiseeK. (2007). Increasing the delivery of health care services to migrant farm worker families through a community partnership model. Public Health Nursing, 24(4), 355–360.
8.
DonhamK. J.ThelinA. (2006). Agricultural skin diseases and cancer in agricultural populations. In Agricultural medicine: Occupational and environmental health for the health professions (pp. 145–172). Ames, IA: Blackwell Publishing.
9.
FedermanD. G.KravetzJ. D.KirsnerR. S. (2002). Skin cancer screening by dermatologists: Prevalence and barriers. Journal of the American Academy of Dermatology, 46(5), 710–714.
10.
FerriniR. L.PerlmanM.HillL. (1998). American College of Preventive Medicine policy statement: Screening for skin cancer. American Journal of Preventive Medicine, 14(1), 80–82.
11.
GellerA. C.AnnasG. D. (2003). Epidemiology of melanoma skin cancer. Seminars in Oncological Nursing, 19(1), 2–11.
12.
GellerA. C.O'RiordanD. L.OliveriaS. A.ValvoS.TeichM.HalpernA. C. (2004). Overcoming obstacles to skin cancer examinations and prevention counseling for high-risk patients: Results of a national survey of primary care physicians. Journal of the American Board of Family Practitioners, 17(6), 416–423.
13.
GlanzK.SaraiyaM. (2005). Using evidence-based community and behavioral interventions to prevent skin cancer: Opportunities and challenges for public health practice. Retrieved April 1, 2008, from www.cdc.gov/pcd/issues/2005/Apr/04_0143.htm
14.
GoldbergM. S.DoucetteJ. T.LimH. W.SpencerJ.CarucciJ. A.RigelD. S. (2007). Risk factors for presumptive melanoma in skin cancer screening: American Academy of Dermatology national melanoma/skin cancer screening program experience 2001–2005. Journal of the American Academy of Dermatology, 57(1), 60–66.
15.
HalpernA. C.KoppL. J. (2005). Awareness, knowledge and attitudes to non-melanoma skin cancer and actinic keratosis among the general public. International Journal of Dermatology, 44(2), 107–111.
16.
HarrisJ. M.SalascheS. J.HarrisR. B. (2001). Can internet-based continuing medical education improve physicians' skin cancer knowledge and skills?Journal of General Internal Medicine, 16, 50–56.
17.
LarsonA. (2002). Enumeration of vegetable and orchard temporary worker and work hours in New York: Final report. Vashon Island, WA: Larson Assistance Services.
LeBlancW. G.VidalL.KirsnerR. S.LeeD. J.Caban-MartinezA. J.McCollisterK. E. (2008, April 22). Reported skin cancer screening of US adult workers. Journal of the American Academy of Dermatology, 1–9.
LevyB. S.WegmanD. H.BaronS. L.SokasR. K. (Eds.). (2006). Occupational and environmental health: Recognizing and preventing disease and injury (5th ed., pp. 598–611). Philadelphia: Lippincott, Williams & Wilkins.
22.
MarlengaB. (1995). The health beliefs and skin cancer prevention practices of Wisconsin dairy farmers. Nursing Forum, 22(4), 681–686.
23.
MarlengaB.LeeB. C. (1996). Barriers to skin cancer screening follow-up in farmers. Journal of Agromedicine, 3(1), 5–16.
24.
MassoneC.Hofmann-WellenhofR.Ahigrimm-SiessV.GablerG.EbnerC.SoyerP. H. (2007). Melanoma screening with cellular phones. PloS ONE, 2(5), e483.
25.
MassoneC.WurmE. M.Hofmann-WellenhofR.SoyerH. P. (2008). Teledermatology: An update. Seminars in Cutaneous Medical Surgery, 27(1), 101–105.
McCormickL. K.MasseL. C.CummingsS. S.BurkeC. (1999). Evaluation of a skin cancer prevention module for nurses: Change in knowledge, self efficacy, and attitudes. American Journal of Health Promotion, 13(5), 282–289.
28.
MikkilineniR.WeinstockM. A.GoldsteinM. G.DubeC. E.RossiJ. S. (2001). Impact of the basic skin cancer triage curriculum on providers' skin cancer control practices. Journal of General Internal Medicine, 16, 302–307.
29.
OliveriaS. A.ChristosP. J.MarghoobA. A.HalpernA. C. (2001a). Skin cancer screening and prevention in the primary care setting. Journal of General Internal Medicine, 16, 297–301.
30.
OliveriaS. A.NehalK. S.ChristosP. J.SharmaN.TrombergJ. S.HalpernA. C. (2001b). Using nurse practitioners for skin cancer screening: A pilot study. American Journal of Preventive Medicine, 21(3), 214–217.
31.
OlszewskiK.ParksC.ChikotasN. E. (2007). Occupational safety and health objectives of Healthy People 2010: A systematic approach for occupational health nurses—part II. AAOHN Journal, 55(3), 115–123.
SalasR.MayerJ. A.HoersterK. D. (2005). Sun-protective behaviors of California farm workers. Journal of Occupational and Environmental Medicine, 47(12), 1244–1249.
34.
SmithR. A.CokkinidesV.EyreH. J. (2007). Cancer screening in the United States, 2007: A review of current guidelines, practices, and prospects. CA: A Cancer Journal for Clinicians, 57(2), 90–104.
TitlerM. G.KleiberC.SteelmanV. J.RakelB. A.BudreauG.EverettL. Q. (2001). The Iowa model of evidence-based practice to promote quality care. Critical Care Nursing Clinics of North America, 13(4), 497–509.
37.
VillarejoD.BaronS. L. (1999). The occupational health status of hired farm workers. Occupational Medicine, 14(3), 613–635.
38.
U.S. Department of Health and Human Services. (1990). An atlas of state profiles which estimate number of migrant and seasonal farmworkers and members of their families, Rockville, MD. Retrieved April 7, 2008, from www.ncfh.org/docs/fs-Migrant%20Demographics.pdf
