Rangolo Nthanyiseni, Tshitangano Takalani Grace, Olaniyi Foluke Comfort
Department of Public Health, University of Venda, Thohoyandou 0950, South Africa.
Nurs Rep. 2021 Sep 22;11(4):741-749. doi: 10.3390/nursrep11040069.
Despite the availability of the South African cervical cancer screening guidelines at clinics, women still present in district hospitals of Thulamela Municipality with no cervical cancer screening results. Thus, many cervical cancer screenings done at the hospitals often come back positive for cervical cancer at advanced stages. This study was conducted to investigate the compliance of professional nurses at primary health care facilities (PHCs) in Thulamela Municipality to the South African cervical cancer screening guidelines. The study adopted a qualitative approach. Purposive, non-probability sampling method was used to select PHCs and recruit eligible participants. Sample size was determined by data saturation. A digital recorder was used to log individual responses during interview sessions. Data from the digital recordings were transcribed verbatim. Results were analysed and interpreted in accordance with the consolidated criteria for reporting qualitative research (COREQ) checklist. This study established that clinic professional nurses are non-compliant to the South African cervical cancer screening guidelines owing to several challenges they face, such as inadequate knowledge of the cervical cancer screening guidelines, shortage of resources, shortage of staff and patients' factors. We recommend a strengthening of the South African cervical cancer screening guideline, in-service trainings and workshops on cervical cancer and cervical cancer screening guideline as well as improvement on patients' education.
尽管诊所备有南非宫颈癌筛查指南，但在图拉梅拉市的地区医院，仍有女性前来就诊时没有宫颈癌筛查结果。因此，医院进行的许多宫颈癌筛查结果往往显示癌症已处于晚期。本研究旨在调查图拉梅拉市初级卫生保健机构（PHC）的专业护士对南非宫颈癌筛查指南的遵守情况。该研究采用定性研究方法。采用目的抽样、非概率抽样方法选择初级卫生保健机构并招募符合条件的参与者。样本量由数据饱和确定。在访谈过程中，使用数字录音机记录个人回答。数字录音的数据逐字转录。根据定性研究报告统一标准（COREQ）清单对结果进行分析和解释。本研究表明，由于面临诸多挑战，如对宫颈癌筛查指南的了解不足、资源短缺、人员短缺以及患者因素等，诊所专业护士未遵守南非宫颈癌筛查指南。我们建议加强南非宫颈癌筛查指南，开展关于宫颈癌和宫颈癌筛查指南的在职培训和研讨会，并加强患者教育。
