MN504-5: Evaluate interdisciplinary approaches to organizational and system change through evidence-based practice.
Evaluating Clinical Question Publication
This assignment provides an opportunity to review the clinical question identified with a focus of research or publication opportunities on this question.
- Describe a clinical question as it relates to your practice setting.
- Identify the growth of this clinical question in research possibilities.
- Discuss journals that would be a potential publisher for your future authorship on the clinical question posed.
- Review collaborative practice opportunities as it relates the evidence determined in the database searches.
- Provide an overview of the guideline and the discussion in the paper.
- Write a 3- to 5-page paper using APA format.
Clinical question: For women of childbearing age, does breastfeeding reduce their risks for breast cancer compared to not breastfeeding?
Description of the Clinical Question
Breast cancer has been considered one of the commonly diagnosed types of cancer in clinical settings. It is also evidenced that cancer is the leading cause of mortality among American women. In 2013, it was reported that around 230 815 women were diagnosed with breast cancer (Anstey et al., 2017). According to the 2021 U.S Breast Cancer statistics, around 13% of women are likely to develop invasive breast cancer during their lifetime (U.S. Breast Cancer Statistics, 2021). Statistics also show that around 281,550 new cases of invasive breast cancer are likely to be diagnosed in American women, together with 49,290 new cases of non-invasive breast cancer.
The mortality rates from breast cancer have been found to be steady in women under 50 since 2007, but the rate has continued to reduce for older women over 50 years and above. From 2013 to 2018, it is evident that the overall rates of death from breast cancer reduced by 1% (U.S. Breast Cancer Statistics, 2021). These reductions have been linked with advancing the treatment methods used for cancer screening, detection, and treatment. The risks of a woman getting breast cancer doubles if the first-degree relative is diagnosed with cancer.
According to research, breastfeeding reduces the risks of breast cancer as lactation delays menstruation among women after they give birth to cancer (Anstey et al., 2017). When menstruation is delayed, the lifetime exposure to hormones like estrogen is associated with the increased risks of breast cancer (Anstey et al., 2017). Findings from the past studies also show that breastfeeding reduces the risks of breast cancer because, after lactation, the breasts tend to shed many tissues during which the body can get rid of cells with damaged DNA, which may be associated with the increased risk of breast cancer.
The Growth of the Clinical Question in Research Possibilities
Currently, the researchers focus on advancing people’s understanding of the prevention, detection, and treatment of cancer. Researchers are also looking for the best approaches to address the disparities in breast cancer prevention and how to improve the quality of life for cancer survivors (Modugno et al., 2019). The ongoing research studies are also looking at the approaches to enhance breast cancer screening by studying the technologies used to image and create new opportunities to improve the early detection of breast cancer (Anstey et al., 2017). The increased rate of breast cancer among American women has made it necessary for researchers to focus on studying every aspect of breast cancer prevention, including preventing it with fewer side effects like breastfeeding (Jordan et al., 2017). Researchers are also focusing on ways of reducing the chances of breast cancer recurrence. The studies are occurring at different levels.
Most of the studies are now studying breastfeeding and prevention of breast cancer among the parous black women being that black women are associated with the increased risks to breast cancer. Besides, other researchers are investigating the adaption of healthcare practices that support breastfeeding practices (Modugno et al., 2019). This offers the future possibilities of studying what intensity and duration of breastfeeding are required to prevent cancer. For instance, the researchers have considered it important to determine if the protective effect of breastfeeding is a stringer for the mothers who breastfeed exclusively (Modugno et al., 2019). The clinical question has opened opportunities for the future assessment of the dose-response association in clinical and epidemiological research, which calls for consistent definitions in the intensity and duration of breastfeeding (Jordan et al., 2017). The current research is expected to have a standard protocol to group the number of breastfeeding months that minimizes the risks of different breast cancer subtypes (Modugno et al., 2019). Researchers are making efforts to consider the needs of black women to address the existing disparities and, as a result, lower the incidence of breast cancer (Jordan et al., 2017). Researchers are conducting comprehensive approaches in integrating the interventions across the local, state, and national levels to assist women in reaching their breastfeeding goals, hence reducing the risks of breast cancer.