Date of Completion


Document Type

Open Access Capstone

Degree Name

Doctor of Nursing Practice (DNP)

Faculty Advisor

Lingling Zhang, ScD, MS, MPA


Description of the Problem: Cervical Cancer Screening rates among Hispanic women are low compared with non-Hispanic white women (Cadet et al., 2017). The organization in which this improvement project will be implemented, whose primary population is Hispanic, had a significantly lower cervical cancer screening rate of approximately 19% in 2021 among its existing patients who meet the criteria for cervical cancer screenings.

Aim and objectives: The aim of this quality improvement project was to increase cervical cancer screening rates among Hispanic female patients aged 23 – 65 years old in Rural Northern New Mexico using short messaging system (SMS)/text message. The culturally and linguistically tailored SMS/text message was developed in accordance with the Health Belief Model.

Methods: The implementation of the project intervention consisted of a pre-planning phase and an intervention phase using the Model for Improvement (Langley et al., 2009). This included collaboration with stakeholders. The SMS/text messages were sent to the sample population (n= 263) using the study organization's electronic health record platform. The satisfaction, acceptance, and attitude about the use of SMS/text messaging were evaluated using a patient survey.

Findings: The baseline percentage adherence rate for those within the sample having completed a CCS was 25.2% before implementing the intervention. Post-implementation adherence rate was 30%, which was statistically significant (p=0.01). 82.35% (n=14) of survey respondents indicated that they were satisfied with the message.