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Utilization of Cervical Cancer Screening Service Among Nurses in Ekiti State, Nigeria

Received: 17 February 2021    Accepted: 9 March 2021    Published: 17 March 2021
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Abstract

Cervical cancer is a preventable cause of death among women especially in developing nations which can be prevented through regular and timely screening. Nurses who are assume to be knowledgeable about cervical cancer screening options and ought to act as leading examples in utilization of cervical cancer screening services, however studies have documented otherwise, The purpose of this study therefore, is to evaluate the Utilization of Cervical Cancer Screening Service among Nurses in Ekiti State, as little literary study have been done on the topic among nurses in the setting. A mixed method design study was conducted in four health facilities that were purposively selected in Ekiti State, Nigeria. A total of 278 consenting nurses participated in the study. Data were collected using self- structured questionnaire and interview guide. Data were analyzed using chi square and Student's t-test at p = 0.05. Nurses’ mean age was 35 years with average work experience of 10 years. Results from the study shows that a preponderance of the nurses which stood at 75.8% had never been screened for cervical cancer while only 24.2 have been screened and 90.6% willing to be screened if given the opportunity. It was observed that Nurses’ avoid cervical screening exercise as a result of the following; lack of time, fear of positive result, embarrassment of exposing the vulva to the opposite sex, cost implication and spiritual assurance that they can never be a victim of cervical cancer. Also 164 (59.2%) of the participants had adequate knowledge about cervical cancer screening, while slightly more than half 143 (51.6%) of the respondent had positive attitude towards cervical cancer screening, There was also a significant association between years of professional practice and utilization of cervical cancer screening service as p value was 0.003 This implies that participants who had longer years of professional experience are more likely to utilize cervical cancer screening services than those who had shorter years of professional experience. Therefore, the null-hypothesis was rejected. it was also noted that participants’ level of academic education did not determine whether or not their attitude was positive or negative as the p value gotten was 0.544 The null-hypothesis was not rejected. It was concluded that nurse’s utilisation rate was very low. Thus, regular educational programs on cervical cancer, government and hospital management should make policies that will encourage utilization of cervical cancer screening among nurses are recommended.

Published in Cancer Research Journal (Volume 9, Issue 1)
DOI 10.11648/j.crj.20210901.19
Page(s) 71-78
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Utilization, Cervical Cancer Screening, Nurses, Ekiti State

References
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[2] Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R. L., Torre, L. A., & Jemal, A., (2018). Estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Cancer Journal Clin, in press. http://gco.iarc.fr/, as part of IARC’s Global Cancer Observatory.
[3] Mihret G., Nigus, G. A., & Semarya B., 2014. “Factors Affecting the Practices of Cervical Cancer Screening among Female Nurses at Public Health Institutions in Mekelle Town, Northern Ethiopia: A Cross-Sectional Study,” Journal of Cancer Research, vol. 2016, Article ID 4743075, 7 pages, 2016. doi: 10.1155/2016/4743075.
[4] Ndejjo, R., Mukama, T., Musabyimana, A., & Musoke, D. (2016). Uptake of Cervical Cancer Screening and Associated Factors among Women in Rural Uganda: A Cross Sectional Study. PLoS ONE, 11 (2), e0149696. http://doi.org/10.1371/journal.pone.0149696
[5] Bruni L, Albero G, Serrano B, Mena M, Gómez D, Muñoz J, Bosch FX, de Sanjosé S., 2019 Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in Nigeria., Summary Report.
[6] Ojo, J. O., Adeola, M. O., Awe, O. O., Oluwasina, Y. T., Akinyemi, O. A., Omotoso, P. A., Alatise, O. I., & Olasode, B. J., (2016). Analyses and Distribution of Various Types of Cancers Recorded In Ife-Ijesha Cancer Registry in the Five Year Period 2010 -2014 Ife Journal of Science (2016) vol. 18, no. 4.
[7] Babatunde, O. E., Elegbede, L. M., Ayodele, S. D., & Abidoye (2013). Prevalence and outcome of Cancers in Ekiti state, southwest Nigeria, Journal of Clinical Oncology, 31 suppl; abstr e 12553.
[8] Sachan, P. L., Singh, M., Patel, M. L., & Sachan, R. (2018). A Study on Cervical Cancer Screening Using Pap Smear Test and Clinical Correlation. Asia-Pacific journal of oncology nursing, 5 (3), 337–341. https://doi.org/10.4103/apjon.apjon_15_18
[9] Brunner, L. S., Suddarth, D. S., Smeltzer, S. C. O., & Bare, B. G. (2014). Brunner & Suddarth's textbook of medical-surgical nursing (12th ed.). Philadelphia: Lippincott Williams & Wilkins.
[10] Landy, R., Pesola, F., Castañón, A., & Sasieni, P., (2016). Impact of cervical screening on cervical cancer mortality: estimation using stage-specific results from a nested case–control study. British Journal of Cancer, 115 (9), 1140–1146.
[11] Arulogun, O. S., & Maxwell, O. O., (2012). Perception and utilization of cervical cancer screening services among female nurses in University College Hospital, Ibadan, Nigeria. The Pan African Medical Journal, 11, 69.
[12] Bakari, M., Takai, I. U., Bukar, M., (2015). Awareness and utilization of Papanicoloau smear among health care workers in Maiduguri, Nigeria. Niger J Basic Clinical Science; 12: 34-8.
[13] Olusegun, G., 2015. Awareness and Practice of Cervical Cancer Screening among Women Accessing Care in a Rural Tertiary Hospital in Nigeria, Clinical Medicine Research, 4. 120. 10.11648/j.cmr.20150404.16.
[14] Ugwu, E. O., Iferikigwe, E. S., Okeke, T. C., Ugwu, A. O., Okezie, O. A, & Agu P. U. 2011. Pattern of gynaecological cancers in University of Nigeria Teaching Hospital, Enugu, South Eastern Nigeria. Niger J Med. 20 (2): 266-9.
[15] Awodele, O., Adeyomoye, A. A., Awodele, D. F., Fayankinnu, V. B., & Dolapo, D. C., (2011). Cancer distribution pattern in south-western Nigeria. Tanzan J Health Res. 13 (2): 125-31.
[16] Aweke, Y. H., Ayanto, S. Y., Ersado, T. L., (2017). Knowledge, attitude and practice for cervical cancer prevention and control among women of childbearing age in Hossana Town, Hadiya zone, Southern Ethiopia: Community-based crosssectional study. PLoS ONE 12 (7): e0181415. https://doi.org/10.1371/journal.pone.0181415
[17] Ifemelumma, C. C., Anikwe, C. C., Okorochukwu, B. C., Onu, F. A., Obuna, J. A., Ejikeme, B. N., & Ezeonu, O. P. (2019). Cervical Cancer Screening: Assessment of Perception and Utilization of Services among Health Workers in Low Resource Setting. International journal of reproductive medicine, 2019, 6505482. https://doi.org/10.1155/2019/6505482
[18] Yörük, Selda, Açıkgöz, Ayla, Türkmen, Hülya, & Ergör, Gül. (2019). Risk factors and relationship between screening periodicity and risk of cervical cancer among nurses and midwives. A cross-sectional study. Sao Paulo Medical Journal, 137 (2), 119-125. https://doi.org/10.1590/1516-3180.2018.0244230119
[19] Nwobodo, E. I., & Malami S. A., 2005. Knowledge and practice of cervical cancer screening among female health workers in Sokoto, North Western Nigeria. Med J. 12: 255–7.
[20] Fasanu, A. O., Akindele, R. A., Adebimpe, W. A., Ala, O. A., Omopariola, S. O., & Adisa, O. P., 2016 international Journal of Medicine and Medical Sciences ISSN: 2167-0404 Vol. 4 (5), pp. 172-177.
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    Babajide Augustine Owolabi, Prisca Olabisi Adejumo. (2021). Utilization of Cervical Cancer Screening Service Among Nurses in Ekiti State, Nigeria. Cancer Research Journal, 9(1), 71-78. https://doi.org/10.11648/j.crj.20210901.19

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    Babajide Augustine Owolabi; Prisca Olabisi Adejumo. Utilization of Cervical Cancer Screening Service Among Nurses in Ekiti State, Nigeria. Cancer Res. J. 2021, 9(1), 71-78. doi: 10.11648/j.crj.20210901.19

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    AMA Style

    Babajide Augustine Owolabi, Prisca Olabisi Adejumo. Utilization of Cervical Cancer Screening Service Among Nurses in Ekiti State, Nigeria. Cancer Res J. 2021;9(1):71-78. doi: 10.11648/j.crj.20210901.19

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  • @article{10.11648/j.crj.20210901.19,
      author = {Babajide Augustine Owolabi and Prisca Olabisi Adejumo},
      title = {Utilization of Cervical Cancer Screening Service Among Nurses in Ekiti State, Nigeria},
      journal = {Cancer Research Journal},
      volume = {9},
      number = {1},
      pages = {71-78},
      doi = {10.11648/j.crj.20210901.19},
      url = {https://doi.org/10.11648/j.crj.20210901.19},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.crj.20210901.19},
      abstract = {Cervical cancer is a preventable cause of death among women especially in developing nations which can be prevented through regular and timely screening. Nurses who are assume to be knowledgeable about cervical cancer screening options and ought to act as leading examples in utilization of cervical cancer screening services, however studies have documented otherwise, The purpose of this study therefore, is to evaluate the Utilization of Cervical Cancer Screening Service among Nurses in Ekiti State, as little literary study have been done on the topic among nurses in the setting. A mixed method design study was conducted in four health facilities that were purposively selected in Ekiti State, Nigeria. A total of 278 consenting nurses participated in the study. Data were collected using self- structured questionnaire and interview guide. Data were analyzed using chi square and Student's t-test at p = 0.05. Nurses’ mean age was 35 years with average work experience of 10 years. Results from the study shows that a preponderance of the nurses which stood at 75.8% had never been screened for cervical cancer while only 24.2 have been screened and 90.6% willing to be screened if given the opportunity. It was observed that Nurses’ avoid cervical screening exercise as a result of the following; lack of time, fear of positive result, embarrassment of exposing the vulva to the opposite sex, cost implication and spiritual assurance that they can never be a victim of cervical cancer. Also 164 (59.2%) of the participants had adequate knowledge about cervical cancer screening, while slightly more than half 143 (51.6%) of the respondent had positive attitude towards cervical cancer screening, There was also a significant association between years of professional practice and utilization of cervical cancer screening service as p value was 0.003 This implies that participants who had longer years of professional experience are more likely to utilize cervical cancer screening services than those who had shorter years of professional experience. Therefore, the null-hypothesis was rejected. it was also noted that participants’ level of academic education did not determine whether or not their attitude was positive or negative as the p value gotten was 0.544 The null-hypothesis was not rejected. It was concluded that nurse’s utilisation rate was very low. Thus, regular educational programs on cervical cancer, government and hospital management should make policies that will encourage utilization of cervical cancer screening among nurses are recommended.},
     year = {2021}
    }
    

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    T1  - Utilization of Cervical Cancer Screening Service Among Nurses in Ekiti State, Nigeria
    AU  - Babajide Augustine Owolabi
    AU  - Prisca Olabisi Adejumo
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    PY  - 2021
    N1  - https://doi.org/10.11648/j.crj.20210901.19
    DO  - 10.11648/j.crj.20210901.19
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    JO  - Cancer Research Journal
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    EP  - 78
    PB  - Science Publishing Group
    SN  - 2330-8214
    UR  - https://doi.org/10.11648/j.crj.20210901.19
    AB  - Cervical cancer is a preventable cause of death among women especially in developing nations which can be prevented through regular and timely screening. Nurses who are assume to be knowledgeable about cervical cancer screening options and ought to act as leading examples in utilization of cervical cancer screening services, however studies have documented otherwise, The purpose of this study therefore, is to evaluate the Utilization of Cervical Cancer Screening Service among Nurses in Ekiti State, as little literary study have been done on the topic among nurses in the setting. A mixed method design study was conducted in four health facilities that were purposively selected in Ekiti State, Nigeria. A total of 278 consenting nurses participated in the study. Data were collected using self- structured questionnaire and interview guide. Data were analyzed using chi square and Student's t-test at p = 0.05. Nurses’ mean age was 35 years with average work experience of 10 years. Results from the study shows that a preponderance of the nurses which stood at 75.8% had never been screened for cervical cancer while only 24.2 have been screened and 90.6% willing to be screened if given the opportunity. It was observed that Nurses’ avoid cervical screening exercise as a result of the following; lack of time, fear of positive result, embarrassment of exposing the vulva to the opposite sex, cost implication and spiritual assurance that they can never be a victim of cervical cancer. Also 164 (59.2%) of the participants had adequate knowledge about cervical cancer screening, while slightly more than half 143 (51.6%) of the respondent had positive attitude towards cervical cancer screening, There was also a significant association between years of professional practice and utilization of cervical cancer screening service as p value was 0.003 This implies that participants who had longer years of professional experience are more likely to utilize cervical cancer screening services than those who had shorter years of professional experience. Therefore, the null-hypothesis was rejected. it was also noted that participants’ level of academic education did not determine whether or not their attitude was positive or negative as the p value gotten was 0.544 The null-hypothesis was not rejected. It was concluded that nurse’s utilisation rate was very low. Thus, regular educational programs on cervical cancer, government and hospital management should make policies that will encourage utilization of cervical cancer screening among nurses are recommended.
    VL  - 9
    IS  - 1
    ER  - 

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Author Information
  • School of Midwifery, Ado Ekiti, Nigeria

  • Department of Nursing, University of Ibadan, Ibadan, Nigeria

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