Department of Public Health, Faculty of Health, Aarhus University, Aarhus, Denmark.
Research and Development, National Rehabilitation Center for Neuromuscular Diseases, Aarhus, Denmark.
J Clin Nurs. 2024 Jul;33(7):2674-2687. doi: 10.1111/jocn.17067. Epub 2024 Feb 7.
To explore Danish women's experiences with opting out of cervical cancer screening and the role of the nurse in the women's decision-making process.
A qualitative study using semi-structured, individual interviews with a phenomenological-hermeneutic approach.
Interviews were conducted with 13 women with experience in opting out of cervical cancer screening. Women were recruited through a public flyer and interviewed virtually or by phone. The interviews were analysed using the theory of interpretation from Paul Ricoeur and consisted of three levels: naïve reading, structural analysis, and critical discussion and analysis. The present study adheres to the COREQ guidelines.
The women experience various personal causes for opting out of cervical cancer screening, such as low accessibility of screening appointments, discomfort during the smear test, fear of being sick, and insufficient information about the relevance of screening to the individual woman. The perceived disadvantages of screening outweighed their perceived advantages. The women's experiences did not include the role of the nurse in the procedures and knowledge sharing related to cervical cancer screening. However, nurses were described as having good communicative and relational qualifications relevant to being involved in cervical cancer screening.
It was challenging for the women to weigh the advantages and disadvantages of cervical cancer screening and thus to make an informed decision about participation. They expressed a need for more information on which to base their decision. This places nurses in a much needed, yet unexplored, role of identifying and lowering potential personal barriers that may outweigh the women's perceived benefits of participating in screening.
IMPLICATION FOR THE PROFESSION AND/OR PATIENT CARE: Nurses should play a more active role in cervical cancer screening such as improving general knowledge and facilitating two-way communication about its relevance.
The present study adheres to the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines.
No patient or public contribution.
探讨丹麦女性选择退出宫颈癌筛查的经验，以及护士在女性决策过程中的作用。
使用半结构化、个体访谈的定性研究，采用现象学-解释学方法。
对 13 名有过选择退出宫颈癌筛查经验的女性进行访谈。通过公共传单招募女性，并通过虚拟或电话进行访谈。使用保罗·利科的解释理论对访谈进行分析，包括三个层次：朴素阅读、结构分析和批判性讨论与分析。本研究遵循 COREQ 指南。
女性选择退出宫颈癌筛查的原因各不相同，如筛查预约的可及性低、巴氏涂片检查时感到不适、对患病的恐惧、以及对筛查与个体相关性的信息不足。筛查的弊端超过了其优势。女性的经验中没有涉及护士在程序和与宫颈癌筛查相关的知识分享中的作用。然而，护士被描述为具有良好的沟通和人际关系资格，与参与宫颈癌筛查相关。
女性权衡宫颈癌筛查的利弊并做出是否参与的知情决策具有挑战性。她们表示需要更多的信息来做出决策。这使护士在确定和降低可能超过女性对参与筛查的感知益处的潜在个人障碍方面发挥了急需但尚未探索的作用。
对专业和/或患者护理的影响：护士应在宫颈癌筛查中发挥更积极的作用，如提高一般知识，并促进有关其相关性的双向沟通。
本研究遵循《定性研究报告的统一标准》（COREQ）指南。
无患者或公众贡献。
