RNSurveyNursing open2022

Women's perception of cervical cancer pap smear screening.

Kristine N Siseho, Beauty Etinosa Omoruyi, Benjamin I Okeleye and 3 others

PMID 35243808

WHAT IT FOUND

Women attending a Namibian clinic had not screened for cervical cancer because they did not know it was needed, feared pain or embarrassment, or could not pay.

Long waits and limited nursing staff also discouraged them.

Key findings

0149% of participants had never had Pap smear screening; among those who had not, 26% saw no necessity, 26% had no time, 21% had not been informed, and 21% felt embarrassment.

0292% knew cervical cancer can be detected early, but 33% had no idea how often Pap smear should be done; 51% said the service fee was affordable and 49% said it was not.

03Interviewed women described misconceptions that Pap smear cleans the womb or cuts tissue, and they reported long waiting times and queues linked to only one nurse being available for the test.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study was done at a single Namibian clinic, so the findings may not apply to other settings. Participants were women attending that clinic, not a random sample of all women. The results are self-reported perceptions and barriers, not measured screening outcomes or cancer detection. The number analysed was lower than the number enrolled, and some questionnaires were not returned. The interview themes came from a small subgroup.

Declared interests

The authors report no conflict of interest related to this manuscript.

The easy way to misread this

Do not read this as evidence that Pap smear screening is ineffective or that nurses should change clinical screening policy based on this study. It describes women's perceptions and service barriers at one Namibian clinic, not screening outcomes.

Read it on PubMed →