A Pap test does not screen for everything: Nurse practitioner knowledge of ovarian cancer

Abstract

Purpose Nurse practitioners (NPs) are in a prime position to educate women about initial signs and symptoms of ovarian cancer (OC) and perform appropriate screening tests. However, little is known about NPs knowledge regarding OC. This article's purpose is to present the outcomes of a focused OC awareness program for NP students. Data sources NP students (N = 104) participated in this longitudinal one group pre–post study. Knowledge was calculated based on the number of correct answers for a total knowledge score and subscales related to OC incidence, risk, screening, symptoms, and treatment. An item related to the effectiveness of the Pap test to screen for OC was evaluated separately. Conclusion Knowledge deficits continue to exist related to OC, emphasizing the need for NPs to be aware of risk factors, symptoms, and early detection options for women with average risk. Many NP students erroneously believed a Pap test was an effective screening tool for OC. Implications for practice Many NPs are inadequately prepared to assess risk, detect early symptoms, and perform screening tests for OC. Continuing education and reinforcement about OC is essential if NPs are to provide appropriate education to clients and detect this deadly disease as early as possible.

Ovarian Cancer Knowledge Among Advanced Providers in a University Setting

“…Loerzel et al demonstrated knowledge deficits in NP students and identified a paucity of literature for NPs on early detection strategies. 28 In their study, as in ours, the majority of respondents (68%) believed that a Pap test screened for ovarian cancer. Loerzel et al identified knowledge deficits among NP students who had not completed training.…”

“…As primary care delivery continues to incorporate NPs and PAs as major partners of the care team, they will be tasked with preventive screening as well as early identification of disease. 15,28,30 In its landmark report, The Future of Nursing: Leading Change, Advancing Health, the Institute of Medicine (IOM) proposed that nurses be encouraged to practice to the full extent of their education and that they serve as full partners in the redesign and improvement efforts of the health care system. 31 When viewing ovarian cancer from an epidemiologic perspective, it is clear that NPs and PAs should be able to function in both primary and secondary spheres.…”