| Learning Objective #1: Describe key outcomes measured in a nurse-managed, community-based cancer screening program implemented in Nicaragua | |||
| Learning Objective #2: Discuss the value of partnerships between nurses in the US and developing countries aimed to improve the quality of life of vulnerable populations related to cancer care |
Design: This pilot intervention study used a pretest-posttest within-subject, quasi-experimental design to compare outcomes prior to and six months following participation in a screening program.
Population/Sample/Setting/Years: In 2002-2003, 320 high-risk underserved women living in a Nicaraguan barrio of nearly 10,000 residents were randomly selected to participate.
Intervention/Outcome Variables: The screening program, developed by Nicaraguan nurses following an educational program sponsored by US nurses, was implemented through the barrio’s nurse-managed clinic. Women learned BSE, received breast and PAP/pelvic exams, and were case-managed through mammograms and follow-up treatments provided by collaborative Nicaraguan partners. Outcomes were measured through private interviews using the Spanish version of Barriers to Breast and Cervical Cancer, previously used in Nicaragua. Knowledge of breast and cervical cancer, benefits of screening, and cancer stage at diagnosis were tracked.
Methods: Women were interviewed prior to and approximately six months following the screening program and offered follow-up treatment at no cost.
Findings: All women completed the program. Posttest measures revealed positive outcomes. Five women had cervical cancer, two HPV, and 90% infections/STDs. Following study completion, one woman who sought treatment after hearing about the program, was diagnosed with breast cancer. Positive evaluation data were obtained through focus groups.
Conclusions: This pilot program provides an alternative screening model that can assist Nicaraguan health officials in reducing cervical cancer morbidity/mortality. Its value in detecting breast cancer needs revisited.
Implications: Creative community-based models for cancer screening are essential in reducing health disparities among vulnerable populations in developing countries like Nicaragua. Nurses assumed a leadership role in improving quality of life by minimizing the need for extensive, costly cancer treatment.
Back to Health Promotion
Back to 15th International Nursing Research Congress
Sigma Theta Tau International
July 22-24, 2004