Women’s views of registered nurses as Papanicolaou smearproviders: A pilot study

Christie, Leane; Gamble, Jenny; Creedy, Debra

doi:10.5172/conu.20.2.159

Cited by 4 publications

(5 citation statements)

References 11 publications

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“…In an investigation of women’s views of registered nurses as ‘Pap smear’ providers Christie et al [1] found high levels of acceptance of “a female health professional [providing] a Pap smear” [1] (p.166) which agrees with findings from this study. These authors go on to argue that clients are less likely to accept cervical screening conducted by male PNs, citing personal comfort and the sensitivity of female clinicians as influencing factors.…”

Section: Discussionsupporting

confidence: 87%

“…While previous studies have examined the role of PNs as Pap smear [cervical screening] providers [1-4] findings are limited to identifying barriers to implementing the role, while recommending further research in the area. This study builds on previous work in order to develop a solutions based approach for PNs and their employing general practices wishing to incorporate cervical screening and well women’s health care services into their work.…”

Section: Introductionmentioning

confidence: 99%

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Australian nurses in general practice, enabling the provision of cervical screening and well women’s health care services: a qualitative study

et al. 2012

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BackgroundThe role of Australian general practice nurses (PNs) has developed exponentially since the introduction of service based funding in 2005. In particular, their role has expanded to include cervical screening and well women’s health care services provided under the supervision of a general practitioner (GP). While previous research identifies barriers to the provision of these services, this study sought to investigate enablers for nurse led care in this area.MethodsA number of grounded theory methods including constantly comparing data, concurrent data collection and analysis and theoretical sampling are utilised in this qualitative, exploratory study. A purposive sample of PNs who completed the required program of education in order to provide cervical screening and well women’s health care services was recruited to the study. Data is presented in categories, however a limitation of the study is that a fully integrated grounded theory was unable to be produced due to sampling constraints.ResultsFour enablers for the implementation of a change in the PN role to include cervical screening and well women’s health checks are identified in this study. These enablers are: GPs being willing to relinquish the role of cervical screener and well women’s health service provider; PNs being willing to expand their role to include cervical screening and well women’s health services; clients preferring a female practice nurse to meet their cervical screening and well women’s health needs; and the presence of a culture that fosters interprofessional teamwork. Seven strategies for successfully implementing change from the perspective of PNs are also constructed from the data. This study additionally highlights the lack of feedback on smear quality provided to PNs cervical screeners and well women’s health service providers.ConclusionsThe influence of consumers on the landscape of primary care service delivery in Australia is of particular note in this study. Developing interprofessional teams that maximise each health care provider’s role will be fundamental to comprehensive service delivery in the future.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Australian nurses in general practice, enabling the provision of cervical screening and well women’s health care services: a qualitative study

et al. 2012

Self Cite

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“…Even though general practice is positioned alongside other primary care service models, such as family planning services, where nurses are successfully employed to provide well women health checks as a part of their role (Christie et al 2005), barriers were identified for participants who wished to expand their role which can be attributed to context and culture. In particular, the genderization of medicine and the role of the female general practitioner was found to impact greatly on the ability of practice nurses to change their role to incorporate cervical screening, traditionally seen as a the business of female doctors.…”

Section: Discussionmentioning

confidence: 99%

Renegotiating roles as part of developing collaborative practice: Australian nurses in general practice and cervical screening

Mills

Fitzgerald

2008

JMDH

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This paper reports the fi ndings from an action research study that used a refl ective group method to work with nurses in general practice recently credentialed as cervical screeners. The research aimed to develop a new model of practice nurse service delivery within a multidisciplinary team. Findings demonstrated that poor interdisciplinary collaboration created barriers to changing the role of the practice nurse. Key themes identifi ed were: renegotiating their roles, identifying and negotiating gendered patterns of cervical screening, and the effect of multidisciplinary teams and interdisciplinary collaboration on practice nurse retention. Recommendations from this study address the need for improved piloting of new initiatives and an increase in continuing professional development for practice managers who are potential change agents.

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“…They found that members of the public were uncomfortable with PNs undertaking advanced roles, including cervical screening. A more recent study, however, reported positive attitudes to registered nurse ‘Pap‐smear’ providers. Although public confidence might be expected to have increased as service users have become more familiar with the role of the PN, the rate at which PNs actually undertake cervical screening suggests otherwise.…”

Section: Australian Practice Nurses and Cervical Screeningmentioning

confidence: 92%

Practice nurses and cervical screening: A two‐country review

Holmes

Mills

Chamberlain-Salaun

2013

Int J of Nursing Practice

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The aim of this review is to explore the literature relating to the delivery of cervical screening by practice nurses (PNs) in the United Kingdom and Australia. Research relating to PNs began in earnest approximately 15 years ago in the UK context, and more recently, c.2005, in Australia. Although there is scant literature devoted specifically to the role of PNs in cervical screening, literature relating to the role of PNs provides evidence of the extent to which PNs in the United Kingdom and Australia are involved in the provision of cervical screening services. Findings from this review indicate that the role of PNs in the provision of cervical screening differs substantially between the United Kingdom and Australia. PNs in the United Kingdom provide a high percentage of cervical screening services, whereas in Australia general practitioners provide around 80% of all cervical smears, which account for only 0.6% of all procedures undertaken by PNs. Employment and funding models and inadequate multidisciplinary collaboration are contributing to the underutilization of PNs in Australia.

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Women’s views of registered nurses as Papanicolaou smearproviders: A pilot study

Abstract: While women are positive about RN PSPs, there is a need for promotion and community education about the role of RNs in providing cervical screening services.

Cited by 4 publications

References 11 publications

Australian nurses in general practice, enabling the provision of cervical screening and well women’s health care services: a qualitative study

Australian nurses in general practice, enabling the provision of cervical screening and well women’s health care services: a qualitative study

Renegotiating roles as part of developing collaborative practice: Australian nurses in general practice and cervical screening

Practice nurses and cervical screening: A two‐country review

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