scholarly journals Stopping smoking advice given by practice assistants after routine cervical screening in general practice: a qualitative exploration of potential barriers and enablers.

2020 ◽  
Author(s):  
Marthe B.L. Mansour ◽  
Matty R. Crone ◽  
Henk C. van Weert ◽  
Niels H. Chavannes ◽  
Kristel M. van Asselt
Keyword(s):  
General Practice ◽  
Cervical Screening ◽  
Potential Barriers ◽  
Barriers And Enablers ◽  
Qualitative Exploration

Abstract The authors have withdrawn this preprint due to author disagreement.

scholarly journals Stopping smoking advice given by practice assistants after routine cervical screening in general practice: a qualitative exploration of potential barriers and enablers.

2019 ◽  
Author(s):  
Marthe B.L. Mansour ◽  
Matty R. Crone ◽  
Henk C. van Weert ◽  
Niels H. Chavannes ◽  
Kristel M. van Asselt
Keyword(s):  
General Practice ◽  
Smoking Cessation ◽  
General Practitioners ◽  
Smoking Status ◽  
Cervical Screening ◽  
Behavioural Change ◽  
Young Female ◽  
Influential Factors ◽  
Individual Level ◽  
Potential Barriers

Abstract Background Cervical screening could be an appropriate moment to provide female smokers with stopping smoking advice and support. In Dutch general practice cervical smears are performed by practice assistants. The aim of this study was to identify potential barriers or enablers for a stopping smoking strategy performed by trained practice assistants after routine cervical screening. The strategy consists of brief stopping smoking advice and is based on the Ask-Advise-Connect approach.Methods Three focus group meetings were held with 10 practice assistants, 3 nurses, and 6 general practitioners. We analysed data using thematic analysis. Identified factors are presented within the framework of the Social Ecological Model.Results Potential influential factors were identified at individual, interpersonal, and workplace levels. At the individual level: practice assistants did not see themselves as having a professional role in a smoking cessation program. While they could register smoking status, they were reluctant to provide advice. However, practice assistants valued having advice at hand in order to make relatively young female smokers aware of the health risks At the interpersonal level: practice assistants thought that their relationship with the women would change if they gave stopping smoking advice. Moreover, the assistant’s own attitude to smokers and her beliefs about the smoker’s willingness to change behaviour could influence the relationship. At the workplace level: the availability and motivation of nurses might hamper referral. The general practitioners’ opinion about primary prevention and smoking cessation could influence the amount of support given to practice assistants when it comes to providing stopping smoking advice.Conclusions At individual, interpersonal, and workplace levels, several factors could influence the provision of a stop smoking strategy by a practice assistant. These factors could be used to design a behavioural change intervention to be provided by practice assistants after cervical cancer screening.

scholarly journals Knowledge and perspectives of the new National Cervical Screening Program: a qualitative interview study of North Queensland women—‘I could be that one percent’

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e034483 ◽  
Author(s):  
Archana Nagendiram ◽  
Rachel Bidgood ◽  
Jennifer Banks ◽  
Clare Heal
Keyword(s):  
General Practice ◽  
Screening Program ◽  
Cervical Screening ◽  
Personal Factors ◽  
Snowball Sampling ◽  
Additional Information ◽  
Screening Participation ◽  
Increased Risk ◽  
Qualitative Interview Study ◽  
And Gender

ObjectivesTo investigate women’s understanding and attitudes towards the National Cervical Screening Program (NCSP) and to explore methods to improve screening participation.DesignSemi-structured face-to-face interviews were conducted through convenience and snowball sampling. Thematic analysis occurred using the interpretivist framework.SettingA private general practice in North Queensland.ParticipantsWomen between the ages of 18 and 74 who attended the general practice were eligible to participate. Fourteen women between 20 and 58 years old were interviewed.ResultsParticipants were concerned that the new NCSP would miss cancer due to longer screening intervals and reliance on primary human papilloma virus (HPV) testing. They believed that young women are at increased risk of cervical cancer, due to perceived HPV vaccine ineffectiveness and parent objection to vaccination. Most participants were not agreeable to self-sampling and preferred their doctor to perform screening. Personal and practitioner beliefs influenced a woman’s screening participation. Personal factors include being healthy for themselves and their family, previous abnormal smears and family history of cancer. Emphasis was placed on feeling ‘comfortable’ with their practitioner which included patient rapport and gender preference. Proposed methods to improve cervical screening included education programmes, advertising campaigns, general practitioner interventions and improving accessibility.ConclusionsIt is apparent that women are hesitant about the new NCSP. However, when provided with additional information they were more amenable to the changes. This highlights the need to improve awareness of cervical screening and the new NCSP.

scholarly journals Advanced roles for nurses working in general practice: A study of barriers and enablers for nurses in rural Australia

2013 ◽  
Vol 1 (4) ◽  
Author(s):  
Karen Francis ◽  
Judith Anderson ◽  
Narelle Mills ◽  
Tony Hobbs ◽  
Mary Fitzgerald
Keyword(s):  
General Practice ◽  
Barriers And Enablers ◽  
Advanced Roles ◽  
Rural Australia
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