Cervical cancer prevention by vaccination: nurses’ knowledge, attitudes and intentions

Authors

  • Bernard Duval,

    1. Bernard Duval MPH MD Public Health Physician Consultant Chief Department, Quebec National Public Health Institute, Canada
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    • Deceased

  • Vladimir Gilca,

    1. Vladimir Gilca PhD MD Medical Epidemiologist Quebec National Public Health Institute, and Associate Professor, Laval University, Canada
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  • Nicole Boulianne,

    1. Nicole Boulianne MSc RN Coordinator Research Group in Immunization Quebec National Public Health Institute, and Researcher Public Health Research Unit, Laval University Hospital Center, Canada
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  • Karen Pielak,

    1. Karen Pielak MSN RN Provincial Nurse Epidemiologist British Columbia Centre for Disease Control, and Adjunct Professor University of British Columbia School of Nursing, Canada
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  • Beth Halperin,

    1. Beth Halperin MSN RN Centre Manager Clinical Trials Research Center, Canadian Center for Vaccinology, and Lecturer Department of Paediatrics, Dalhousie University, Canada
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  • Mary Anne Simpson,

    1. Mary Anne Simpson MSN RN Manager Vaccine Preventable Diseases Department, Middlesex-London Public Health Unit, Canada
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  • Chantal Sauvageau,

    1. Chantal Sauvageau MSc MD Public Health Physician Consultant Quebec National Public Health Institute, and Associate Professor Laval University, Canada
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  • Manale Ouakki,

    1. Manale Ouakki MSc Bio-statistician Quebec National Public Health Institute, and Lecturer Department of Social and Preventive Medicine, Laval University, Canada
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  • Eve Dube,

    1. Eve Dube PhD Psychologist Researcher Quebec National Public Health Institute, and Lecturer Department of Psychology, Laval University, Canada
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  • France Lavoie

    1. France Lavoie BPs Research Professional and Psychologist Laval University Hospital Center, Canada
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V. Gilca: e-mail: vladimir.gilca@ssss.gouv.qc.ca

Abstract

Title. Cervical cancer prevention by vaccination: nurses’ knowledge, attitudes and intentions.

Aim.  This paper is a report of a survey: (1) to document nurses’ knowledge, attitudes and information needs regarding human papillomavirus prevention and (2) to determine factors associated with their willingness to recommend human papillomavirus vaccines.

Background.  Persistent infection with human papillomavirus has been causally linked to cervical cancer. Two human papillomavirus vaccines have recently been approved for use in more than 65 countries. Nurses’ level of support for the prevention of human papillomavirus related diseases by vaccination has not been researched.

Methods.  A survey was conducted in 2007. Self-administered questionnaires were mailed to 1799 randomly selected nurses. Descriptive statistics were generated for all variables. Multivariable logistic regression models were estimated to determine variables associated with the willingness to recommend human papillomavirus vaccines.

Results.  A total of 946 questionnaires were analyzed and showed that: 97% of nurses perceived routinely recommended vaccines as very useful; 93% would support human papillomavirus vaccination if it is publicly funded; 85% would recommend human papillomavirus vaccines to their patients; 33%, 46% and 61% expect the vaccination to permit screening to begin later in life, reduction of the frequency of screening, and reduction of the number of postscreening interventions, respectively. Respondents’ knowledge score was 3·8 out of 7. Several modifiable factors, including knowledge, perceived self-efficacy, and societal and colleagues support were associated with willingness to recommend vaccines.

Conclusion.  Most nurses’ support human papillomavirus vaccination, but their active involvement should not be taken for granted. Targeted educational efforts are needed to ensure nurses’ involvement in the prevention of human papillomavirus-related diseases.

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