Effectiveness of nursing interventions to increase pap smear test screening

Authors

  • Gulten Guvenc,

    Corresponding author
    1. Gulhane Military Medical Academy, School of Nursing, Department of Obstetrics and Gynecology, Ankara, Turkey
    • Gulhane Askeri Tip Akademisi, Hemsirelik Yuksek Okulu, 06010/Etlik, Ankara, Turkey.
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    • Lecturer.

  • Aygul Akyuz,

    1. Gulhane Military Medical Academy, School of Nursing, Department of Obstetrics and Gynecology, Ankara, Turkey
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    • Associate Professor.

  • Mufit Cemal Yenen

    1. Gulhane Military Medical Academy, Faculty of Medicine, Department of Obstetrics and Gynecology, Ankara, Turkey
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    • Associate Professor.


  • We would like to thank to Dr. Sevgi Hatipoglu for contributions as a mentor, Dr. Cengizhan Acikel for statistical expertise, pathology specialists of Gulhane Military Medical Academy for evaluating the Pap smear tests, dispensary healthcare staff for supporting us during the data collection period, and Dr. Sharon L. Van Sell, Professor, Texas Women's University, USA, for English editing.

Abstract

The purpose of this study was to determine the effect of a three-stage nursing intervention to increase Turkish women's participation in Pap smear testing. Knowledge and beliefs about cervical cancer screening and barriers to Pap smears also were explored. In a quasi-experimental study in a target population of 2,500 women, 237 completed pre-test measures to inform the intervention, and an educational brochure was distributed to all 2,500. As a result, 510 women (20.4%) accepted free Pap smears. Of the remaining 1,990 women, 417 were randomly selected for telephone interviews, 302 participated, and 158 of these (52.3%) participated in free Pap smear testing. Of the 144 who did not have Pap smears after participating in telephone interviews, 54 were then interviewed face-to-face, and 20 (37.0%) decided to accept free Pap smears. A total of 668 women had accepted free Pap smears by the end of the intervention period. © 2013 Wiley Periodicals, Inc. Res Nurs Health 36:146–157, 2013

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