MacDonald Catherine, Martin-Misener Ruth, Steenbeek Audrey, Browne Annette
School of Nursing, Saint Francis Xavier University, Antigonish, Nova Scotia, Canada.
School of Nursing, Dalhousie University, Halifax, Nova Scotia.
Can J Nurs Res. 2015 Mar;47(1):72-96. doi: 10.1177/084456211504700106.
Mi'kmaq women are reported to have lower rates of Papanicolaou (Pap) screening and higher rates of cervical cancer than non-Aboriginal women. This qualitative participatory study used postcolonial feminist perspectives and Indigenous principles to explore Mi'kmaq women's experiences with Pap screening within the contexts that shaped their experiences. Community facilitators assisted with the research process. Talking circles and individual in-depth interviews were conducted with 16 Mi'kmaq women. Also, health-care providers were interviewed in 2 Mi'kmaq communities. The findings indicate that historical and social contexts are shaping Mi'kmaq women's screening experiences and that these experiences are diverse, as are their understandings about screening. Some women were accessing regular screening despite challenging personal circumstances. The results highlight the need for nurses and other health-care providers to understand the uniqueness of each woman's experiences with Pap screening. Improvements in screening rates depend on multifaceted nursing approaches developed in partnership with Mi'kmaq women.
据报道，米克马克族女性的巴氏涂片筛查率低于非原住民女性，宫颈癌发病率则高于非原住民女性。这项定性参与式研究运用后殖民女性主义视角和本土原则，在塑造米克马克族女性经历的背景下，探索她们进行巴氏涂片筛查的经历。社区协调员协助开展研究过程。对16名米克马克族女性进行了交流圈讨论和个人深度访谈。此外，还在两个米克马克族社区对医疗服务提供者进行了访谈。研究结果表明，历史和社会背景正在塑造米克马克族女性的筛查经历，这些经历各不相同，她们对筛查的理解也各不相同。尽管个人情况具有挑战性，但一些女性仍在定期进行筛查。研究结果凸显了护士和其他医疗服务提供者了解每位女性巴氏涂片筛查经历独特性的必要性。提高筛查率取决于与米克马克族女性合作制定的多方面护理方法。
