Nurse’s knowledge and attitude regarding cervical cancer screening at a tertiary care hospital

Bhabani Pegu, Niharika Dhiman, Jaya Chaturvedi, Suresh K. Sharma


Background: Cervical cancer is one of the commonest cancers among women which cause morbidity and mortality worldwide. Though, it is a preventable disease, most of the women with cervical cancer present in advanced stage due to lack of knowledge about the disease and screening among general population. The objective was to assess the level of knowledge and explore attitude towards cervical cancer screening among female nursing staff.

Methods: A cross sectional, questionnaire based study was conducted on 34 female nursing staff in a tertiary care hospital of Uttarakhand, India in the month of January 2015. With the help of predesigned questionnaire, information was collected regarding demographic profile, knowledge about cervical cancer and attitude towards screening techniques.

Results: In this study, 79% of the respondents had knowledge about screening methods for cervical cancer and 91% had knowledge about HPV vaccine. Though 82% of them were aware of pap smear and 89% had good attitude towards it, 85.29% respondent knew about colposcopy as one of the screening technique for cervical cancer. None of the respondent had undergone a pap smear themselves.

Conclusions: The study showed that, female nursing staff had average knowledge and positive attitude towards cervical cancer screening. They were not aware of the routine screening guidelines and had limited understanding of different types of cervical cancer screening techniques. Hence, it is recommended that routine training should be given on regular basis to all the health care providers.


Attitude, Cervical cancer, Knowledge, Nurses, Screening

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Standard and Guidelines, Cervical and breast cancer screening by VIA and CBE. New York: The United Nations Population Fund; 2006.

Desai M. An assessment of community based cancer screening program among Indian women using the Anganwadi workers. J Obstet Gynecol India. 2004;54:483-7.

Anorlu RI. Tumours of the cervix uteri. In: Agboola A ed. Text book of Obstetrics and Gynaecology for medical students. 2nd ed. Heinemann Educational Books (Nigeria) Plc, Ibadan; 2006:167-182.

Arevian M, Noureddine S, Kabakian-Khasholian T. Raising awareness and providing free screening improves cervical cancer screening among economically disadvantaged Lebanese/Armenian women. J Transcult Nurs. 2006;17:357-65.

Papanicolaou GN. A new procedure of staining vaginal smear. Sci. 1942;95:488.

O’Neal R. Cancer-stricken farrah fawcett weighs 86 pounds: Redmond O’Neal. Available from: USA: 2009.

Hand book on cancer. IARC 2003. Available from:

Dillner J, Rebolj M, Birembaut P, Petry KU, Szarewski A, Munk C, et al. Long term predictive values of cytology and human papillomavirus testing in cervical cancer screening: joint European cohort study. BMJ. 2008;337:a1754.

Ezem BU. Awareness and uptake of cervical cancer screening in Owerri, South-Eastern Nigeria. Ann Afr Med. 2007;6(3):94-8.

Awodele O, Adeyomoye AA, Awodele DF, Kwashi V, Awodele IO, Dolapo DC. A study on cervical cancer screening amongst nurses in Lagos University Teaching Hospital, Lagos, Nigeria. J Cancer Educ. 2011;26:497-504.

Mandelblatt JS. Is HIV infection a cofactor for cervical squamous cell neoplasia? Cancer Epidemiol Biomark Prev. 1999;8:97-106.

Gupta M, Yadav M, Agarwal N, Arora R. Awareness of cervical cancer screening among paramedical staff and students in an institution of northern India. Natl J Comm Med. 2013;4(2):333-6.

Anantharaman VV, Sudharshini S, Chitra A. A cross-sectional study on knowledge, attitude, and practice on cervical cancer and screening among female health care providers of Chennai Corporation, 2013. J Acad Med Sci. 2012;2:124-8.

Ertem G. Awareness of cervical cancer risk factors and screening behaviour among nurses in a rural region of Turkey. Asian Pac J Cancer Prev. 2009;10:735-8.

Singh E, Seth S, Rani V, Srivastava DK. Awareness of cervical cancer screening among nursing staff in a tertiary institution of rural India. J Gynecol Oncol. 2012;23(3):141-6.

Mutyaba T, Mmiro FA, Weiderpass E. Knowledge, attitudes and practices on cervical cancer screening among the medical workers of Mulago Hospital, Uganda. BMC Med Edu. 2006;6:13.

Arulogun OS, Maxwell OO. Perception and utilization of cervical cancer screening services among female nurses in University College Hospital, Ibadan, Nigeria. Pan Afr Med J. 2012;11:69.

Udigwe GO. Knowledge, attitude and practice of cervical cancer screening (pap smear) among female nurses in Nnewi, South Eastern Nigeria. Niger J Clin Pract. 2006;9:40-3.

Thippeveeranna C, Mohan SS, Singh LR, Singh NN. Knowledge, attitude and practice of the pap smear as a screening procedure among nurses in a tertiary hospital in North Eastern India. Asian Pac J Cancer Prev. 2013;14:849-52.

Gharoro EP, Ikeanyi EN. An appraisal of the level of awareness and utilization of the Pap smear as a cervical cancer screening test among female health workers in a tertiary health institution. Int J Gynecol Cancer. 2006;16:1063-8.