Educational effect on knowledge, attitude and practice among registered nurses regarding cervical cancer, its prevention and screening in Karachi, Pakistan

J Pak Med Assoc. 2020 Apr;70(4):674-678. doi: 10.5455/JPMA.10254.

Abstract

Objective: To determine the effects of education on knowledge, attitude and practice status regarding cervical cancer, its prevention and screening among registered nurses working at tertiary care hospitals.

Methods: The quasi-experimental study was conducted in 2016(15th June-15th July) at Civil Hospital, Karachi, and Dow University of Health Sciences, Karachi, and comprised registered nurses enrolled through non-probability convenience sampling. Baseline demographic characteristics and knowledge, attitude and practice levels of the nurses was gathered using a self-structured pretested and validated questionnaire. An education session on, "prevention and screening of cervical cancer" was conducted and its effectiveness was determined using the same questionnaire post-intervention. The difference in pre- and post-intervention values were determined. P<0.05 was considered significant.

Results: There were 129 subjects with a mean age of 34.2±3.8 years, and 69(53.5%) had work experience of 5 years or less. There was significant mean difference between baseline and post-intervention scores in terms of knowledge and practice (p<0.05), while attitude scores were not significantly different (p>0.05). The difference in knowledge scores were significant in all age groups, marital status, work experience and education (p<0.05 each).

Conclusions: There was a highly significant impact of education on the knowledge level of the subjects.

Keywords: Prevention, Screening, Nursing education, Cervical cancer, Knowledge, Practice of screening, Pap smear, HPV vaccine, HPV, Human papilloma virus.

MeSH terms

  • Adult
  • Alphapapillomavirus
  • Attitude of Health Personnel
  • Early Detection of Cancer* / methods
  • Early Detection of Cancer* / statistics & numerical data
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Nurses* / standards
  • Nurses* / statistics & numerical data
  • Pakistan / epidemiology
  • Papanicolaou Test / methods
  • Papillomavirus Infections* / prevention & control
  • Papillomavirus Infections* / virology
  • Papillomavirus Vaccines / therapeutic use*
  • Surveys and Questionnaires
  • Uterine Cervical Neoplasms* / diagnosis
  • Uterine Cervical Neoplasms* / epidemiology
  • Uterine Cervical Neoplasms* / prevention & control

Substances

  • Papillomavirus Vaccines