Incorporation of human papillomavirus self-sampling into the revised National Cervical Screening Program: a qualitative study of GP experiences and attitudes in rural New South Wales

2021 ◽  
Author(s):  
Yun Megan Foo ◽  
Pragya Goswami ◽  
James Grogin ◽  
Elizabeth Hargan ◽  
Meera Thangarajah ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
Qualitative Study ◽  
Screening Program ◽  
New South ◽  
Cervical Screening ◽  
New South Wales ◽  
South Wales

National Cervical Screening Program renewal in Australia: survey of clinician views and attitudes

2020 ◽  
Vol 26 (5) ◽  
pp. 410
Author(s):  
Sally Sweeney ◽  
Yan Cheng ◽  
Jessica R. Botfield ◽  
Deborah Bateson
Keyword(s):  
Human Papillomavirus ◽  
Online Survey ◽  
Screening Program ◽  
New South ◽  
Cervical Screening ◽  
Missed Opportunities ◽  
Screening Guidelines ◽  
Health Checks ◽  
South Wales ◽  
Additional Education

From 1 December 2017, the National Cervical Screening Program was renewed in Australia, with updated national cervical screening guidelines released. This study was performed to determine clinicians’ familiarity with the updated guidelines and explore their views and attitudes towards the renewed program. Clinicians providing cervical screening in New South Wales, Australia, were invited to complete an online survey in 2018. Of the 241 clinicians who responded, 91.5% supported the change to 5-yearly human papillomavirus screening from the age of 25 years. However, nearly 13% indicated they did not know where to access the renewed guidelines and 37% had never or rarely accessed them. Open-ended responses highlighted clinicians’ concerns about missed cancers and missed opportunities for health checks. Those raising these concerns accessed the guidelines less frequently. The findings highlight important areas for additional education and support for clinicians in translating guidelines into practice to ensure successful delivery of the renewed program.

Emerging themes in Aboriginal child and adolescent mental health: findings from a qualitative study in Sydney, New South Wales

2010 ◽  
Vol 192 (10) ◽  
pp. 603-605 ◽  
Author(s):  
Anna B Williamson ◽  
Beverley Raphael ◽  
Sally Redman ◽  
John Daniels ◽  
Sandra J Eades ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
New South ◽  
New South Wales ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Aboriginal Child ◽  
South Wales ◽  
Emerging Themes

Unethical conduct by the nurse

2013 ◽  
Vol 20 (5) ◽  
pp. 578-588 ◽  
Author(s):  
Kathleen A Dixon
Keyword(s):  
Discourse Analysis ◽  
Qualitative Study ◽  
Critical Discourse Analysis ◽  
New South ◽  
New South Wales ◽  
Theoretical Framework ◽  
Critical Discourse ◽  
Unethical Conduct ◽  
South Wales ◽  
The Way

The aim of this study was to uncover and critically examine hidden assumptions that underpin the findings of nurses’ unethical conduct arising from inquiries conducted by the Nurses Tribunal in New South Wales. This was a qualitative study located within a post-structural theoretical framework. Transcripts of five inquiries conducted between 1998 and 2003 were analysed using critical discourse analysis. The findings revealed two dominant discourses that were drawn upon in the inquiries to construct nurses’ conduct as unethical. These were discourses of trust and accountability. The way the nurses were spoken about during the inquiries was shaped by normalising judgements that were used to discursively position the nurse through narrative.

High-grade cervical abnormalities and screening intervals in New South Wales, Australia

2008 ◽  
Vol 15 (1) ◽  
pp. 36-43 ◽  
Author(s):  
Suzanne Schindeler ◽  
Stephen Morrell ◽  
Yeqin Zuo ◽  
Deborah Baker
Keyword(s):  
Cervical Cancer ◽  
New South ◽  
Cervical Screening ◽  
New South Wales ◽  
Pap Test ◽  
Intraepithelial Neoplasia ◽  
High Grade ◽  
Screening Interval ◽  
South Wales ◽  
Screening Intervals

Objectives This study aims to determine the association of two versus three year screening intervals with the likelihood of detection of a high-grade cervical abnormality and cervical cancer. Methods Data were obtained from the New South Wales (NSW) Papanicolaou (Pap) Test Register (PTR) and NSW Central Cancer Registry (CCR). Subjects were human papillomavirus (HPV) unvaccinated women aged 20-69 years who had a minimum of two Pap tests with a negative result at their first recorded Pap test (n = 1,213,295). Logistic regression was used to determine the association between screening interval and the likelihood of: (1) a cytological prediction of high-grade abnormality, defined as cervical intraepithelial neoplasia (CIN) 2 or greater; (2) a histologically confirmed high-grade abnormality; (3) a cytological prediction of cervical cancer and (4) a confirmed diagnosis of cervical cancer, controlling for potential confounders of age and socioeconomic status (SES) of area of residence. Results For each year increase in the screening interval, the odds of a histologically confirmed high-grade abnormality increased significantly in women aged 20-29 years (odds ratio [OR] 1.24, 95% confidence interval [CI] 1.20-1.28) and in women aged 30-49 years (OR 1.11, 95% CI 1.06-1.16), but not in women aged 50-69 years (OR 1.08, 95% CI 0.89-1.32). Similar results were observed for cytologically detected high-grade abnormalities. The screening interval was significantly and positively associated with a cytological prediction of cervical cancer (OR 1.40, 95% CI 1.28-1.54) and a confirmed cervical cancer diagnosis (OR 1.66, 95% CI 1.33-2.07) in women aged 20-69 years. We estimate that if the screening interval were increased from two to three years, and the number of women participating in triennial screening participation was the same as for biennial participation in NSW, then 267 (95% CI 186-347) extra cases of high-grade abnormalities would be detected annually by cytology and 225 extra cases (95% CI 160-291) confirmed by histology, mostly confined to women aged 20-49 years. Equivalently, 2.3 (95% CI 1.8-2.8) and 1.9 (95% CI 1.5-2.4) extra cases of high-grade cytology and histology, respectively, would be expected per 1000 women with initially negative cytology if the screening interval were extended from two to three years. Conclusion Increasing the cervical screening interval from two to three years would be expected to significantly increase the odds of detection of a high-grade abnormality for NSW women aged 20-49 years and cervical cancer for NSW women aged 20-69 years. Accordingly, our study provides evidence in support of retaining the recommended cervical screening interval at two years for HPV unvaccinated, well women.

Information sources used by New South Wales cancer clinicians: a qualitative study

2006 ◽  
Vol 36 (11) ◽  
pp. 711-717 ◽  
Author(s):  
E. L. Tan ◽  
H. Stark ◽  
J. S. Lowinger ◽  
C. Ringland ◽  
R. Ward ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Information Sources ◽  
New South ◽  
New South Wales ◽  
South Wales

scholarly journals Exploring children's experiences in community gambling venues: A qualitative study with children aged 6‐16 in regional New South Wales

2018 ◽  
Vol 30 (3) ◽  
pp. 413-421 ◽  
Author(s):  
Amy Bestman ◽  
Samantha L. Thomas ◽  
Melanie Randle ◽  
Hannah Pitt ◽  
Mike Daube
Keyword(s):  
Qualitative Study ◽  
New South ◽  
New South Wales ◽  
South Wales
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