DNP Scholarly Projects


The project identified factors affecting implementation of evidence-based non-invasive screening tests to identify early stage cardiovascular disease (CVD). The use of coronary artery calcium scores and carotid intima media thickness testing improves accuracy of risk stratification over risk factor scoring systems alone. The purpose of this project was to identify NP’s perceived barriers to and facilitators of utilization of evidence-based non-invasive CVD screening tests and to make recommendations for improvements in implementation. The SAVE project consisted of a cross-sectional survey of 64 nurse practitioners, recruited using a multi-pronged strategy, using Funk’s barriers instrument plus two additional qualitative questions regarding intent to implement. Roger’s diffusion of innovations model provided the framework to identify perceived barriers and facilitators. The results revealed the top six barriers were related to characteristics of the nurse practitioner, the organization, and communication. Themes, based on Roger’s adoption phase, were apparent in the NP-identified facilitators. The five facilitator themes were communication and education, partnerships, clinical applicability, guidelines, and availability of the research. These facilitators could be helpful in overcoming the barriers to utilization of the evidence-based strategies, leading to early detection and appropriate treatment recommendations.



First Advisor

Wofford, Linda G.

Second Advisor

Price, J. Mitch

Scholarly Project Team Member

Doneen, Amy

Scholarly Project Team Member

Johnson, Tracy


Nursing, School of


Health Sciences & Nursing, Gordon E. Inman College of

Document Type

Scholarly Project


Doctorate of Nursing Practice (DNP)

Degree Level


Degree Grantor

Belmont University


Cardiovascular system--Diseases--Diagnosis; Atherosclerosis; Nurse practitioners

Included in

Nursing Commons