Factors Predicting Nurse Intent and Status Regarding Pap Smear Examination in Taiwan: a Cross-sectional Survey

Autor: Mei-Mei Hsieh, Ya-Ling Tzeng, Shu Ling Chen, Lin-Lin Lee, Shu-Fang Tsai
Rok vydání: 2016
Předmět:
Adult
Health Knowledge
Attitudes
Practice

Cancer Research
Epidemiology
Cross-sectional study
Sexual Behavior
education
Population
Taiwan
Psychological intervention
Nurses
Uterine Cervical Neoplasms
Physical examination
Intention
03 medical and health sciences
0302 clinical medicine
Nursing
Surveys and Questionnaires
medicine
Humans
030212 general & internal medicine
Health Education
Physical Examination
Vaginal Smears
Cervical cancer
education.field_of_study
medicine.diagnostic_test
Descriptive statistics
business.industry
Public Health
Environmental and Occupational Health

Middle Aged
medicine.disease
female genital diseases and pregnancy complications
Confirmatory factor analysis
Cross-Sectional Studies
Oncology
030220 oncology & carcinogenesis
Female
Health education
business
Papanicolaou Test
Zdroj: Asian Pacific Journal of Cancer Prevention. 17:165-170
ISSN: 1513-7368
DOI: 10.7314/apjcp.2016.17.1.165
Popis: Background Nurses are the most visible, frontline personnel providing health education to patients. In particular, nurse experience with Pap examinations have the potential to influence women's attitudes toward screening for cervical cancer. However, nurses in Taiwan have lower rates of Pap testing than the general population. Understanding the factors predicting nurse intent to have a Pap exam and Pap exam status would inform interventions and policies to increase their Pap exam uptake. Therefore, the present study was undertaken. Materials and methods Data were collected by questionnaire from a convenient sample of 504 nurses at a regional hospital in central Taiwan between August and October 2011 and analyzed by descriptive statistics, confirmatory factor analysis, and logistic regression. Results Nurse intention to have a Pap exam was predicted by younger age, less negative attitudes toward Pap exams, and greater influence of others recommendations. However, nurses were more likely to actually have had a Pap exam if they were older, married, had sexual experience, and had a high intention to have a Pap exam. Conclusions Nurses who are younger than 34 years old, unmarried, sexually inexperienced, and with low intention to have a Pap exam should be targeted with interventions to educate them not only about the importance of Pap exams in detecting cervical cancer, but also about strategies to decrease pain and embarrassment during exams. Nurses with less negative attitudes and experiences related to Pap exams would serve as role models to persuade women to have Pap exams, thus increasing the uptake rate of Pap exams in Taiwan.
Databáze: OpenAIRE