Training of health personnel to improve knowledge and skills in taking Pap: Effect of an educational intervention to prevent cervical cancer

Abstract

Objective: To evaluate the effectiveness of an educational intervention to improve knowledge and skills in taking Pap smear conducted by health staff implementing the program on Early Detection of Cervical Cancer. Methods: A quasiexperimental, longitudinal and prospective study, held from October 25 2010 to April 11, 2011 at a hospital in San Luis Potosi, Mexico. To select groups applied a non-probabilistic convenience sampling that was composed of 28 people, 15 for the study group and 13 to the control group. The study group received training that was divided into three phases in which assessed the knowledge and skills taking the smear, the control group received conventional training offered by your workplace. Papanicolaou quality was measured before and after the intervention. The reference used international classification system Bethesda 2001. For data analysis we used the Student t test. Results: The study group increased knowledge (t = 8.768, p = 0.000) in the management of official standards, in the anatomy of the lower female genital tract and in the form of testing. Technical skills (t = 8.639, p = 0.000) also increased in the study group after the intervention. The control group showed no significant changes. The quality report of the samples in the study group increased from 60% to 86.7% and in the control group decreased from 92.3% to 84.6%. Conclusions: The training is effective in improving the knowledge and skills in taking Pap. Health staff who received the training improved their performance and showed more interest in providing high quality service to women.

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Sandra Olimpia, G. , Víctor Omar, F. , Cuauhtémoc, O. , Julio Alejandro, O. , Darío, G. and Yolanda, T. (2013) Training of health personnel to improve knowledge and skills in taking Pap: Effect of an educational intervention to prevent cervical cancer. Health, 5, 60-64. doi: 10.4236/health.2013.57A4009.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Castellsagué Piqué, X. De Sanjosé, S. and Jose, F.X.J. (2007) Chapter 1: Epidemiology of HPV infection and cervical cancer. New preventive options. In: Human Papillomavirus and Cervical Cancer, Editorial Médica Panamericana, Madrid, 14-17.
[2] World Health Organization (2008) Experts call for improvements in the Americas to prevent deaths from cervical cancer. Autor, México.
[3] Aroch, C.A., Díaz-Sánchez, J.G., Zertuche, J.G. and Ohara, G. (2005) Colposcopic new technique to prevent cervical cancer. Journal of the Faculty of Medicine: National Autonomous University of Mexico (UNAM), 48, 47-51.
[4] Government of Mexico. Ministry of Health (2006) Mortality from cervical cancer by state and municipality. Autor, México.
[5] Government of México. National Institute of Statistics, Geography and Informatics (2006) World Cancer Day. Autor, México.
[6] Government of México. Ministry of Health (2007) National Health Program 2007-2012. Autor, México.
[7] Salvetto, M. (1999) Cervical cancer: the cost of poor quality. Health Newsletter quality. http://www.icas.net/icasweb/precio.htm
[8] Government of Mexico (2001) Program action: The crusade for quality health services. Ministry of Health.
[9] Gutiérrez Enríquez, S.O. (2006) Quality cervical cytology and associated factors in health personnel of San Luis Potosí. Doctoral Dissertation, University of Guadalajara, México.
[10] Gómez, M., Díaz, I., et al. (2002) Evaluation of an educational intervention for improvement of the Early Detection of Cancer. Journal of Nursing, Mexican Social Security Institute 10, 137-144.
[11] Curiel, V.J. (2002) Pap smear: the importance of the transformation zone and how to obtain an adequate sample. México Medical Gazette, 138, 259-265.
[12] Arillo-Santillan, E., Lazcano-Ponce, E., et al. (2000). Knowledge of health professionals on the prevention of cervical cancer. Alternative medical education. Journal of Public Health from México, 42, 34-42. doi:10.1590/S0036-36342000000100007
[13] Tarwirexi, F., Chirenje, Z.M. and Rusakakikos, S. (2003) Cancer of the cervix: Knowledge, beliefs and screening behaviours of heatlh workers in Mudzi District in Mashonaland East Provice Zimbabwe. The Central African Journal of Medicine, 49, 83-86.
[14] Donabedian, A. (1992) Warranty and monitoring of the quality of medical care. National Public Health Institute, Cuernavaca.
[15] Almonte, M., Murillo, R., Sánchez, G., Jerónimo J., Salmeron, J., Ferreccio, C., Lazcano-Ponce, E. and Herrero, R. (2010) New paradigms and challenges in the prevention and control of cervical cancer in Latin America. Journal of Public Health from México, 52, 544-599. doi:10.1590/S0036-36342010000600010
[16] Norena-Quiceno, C. and Tamayo-Acevedo, L.S. (2010). Cervical cancer: Analysis of the quality of a program. Aquichán, 10, 52-68.

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