Evaluating the WEB Training Program for Cancer Screening in Native American Women*

Wesley O. Petersen, Mary A. Trapp, Michelle A. Fanale, Judith S. Kaur

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


The Native Women Enjoying the Benefit (WEB) program trains nurses to perform breast and cervical cancer screening examinations for Native American women. Several evaluations have shown that the program improves nurses' knowledge and skills, and nurses value its positive impact on clinic, nurse, and patient behaviors. Beyond effectiveness, program longevity often rests upon equilibrium that results from alignment between a program's values and principles with those of its sponsoring organization and pertinent surrounding environments. We examined how Native WEB values align with those of its 2 most relevant environments—the medical institution (immediate environment) that sponsors it and the broader health care context (distal environment). We found that social justice views articulated in Catholic social teaching served as a convenient synthesis of the 2 environments' values and principles. We used this conception of social justice to determine whether the Native WEB program reflected the perspectives of its immediate and distal environments.

Original languageEnglish (US)
Pages (from-to)262-275
Number of pages14
JournalHolistic nursing practice
Issue number5
StatePublished - Jan 1 2003


  • Community health nursing
  • Nursing education
  • Organizational culture
  • Program evaluation
  • Social justice
  • Underserved populations

ASJC Scopus subject areas

  • Complementary and alternative medicine
  • Advanced and Specialized Nursing


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