Abstract:

The high rates of morbidity and mortality for Cervical Cancer in Brazil may be due to the low population coverage of Pap smear, and therapeutic and diagnostic insufficient and / or inadequate to indicate the need for training among these professionals. The aim of this study was to assess the knowledge and practices of primary care nurses about the exams / tests for preventing cancer of the cervix (cervical cancer), as well as evaluating the motivation for these trainings in this area. This was a descriptive-correlational cross study held in an Institution of Higher Education in Juazeiro-Ceará-Brazil. The non-probabilistic sample was obtained by convenience, totaling in 144 nurses. We used a questionnaire with information about knowledge of nurses on visual inspection, the test Schiller, recognition and ability to technically describe structures that are observed in gynecological nursing and motivation for training in the area. The exploratory data analysis drew on descriptive statistics, using Statistical Package for the Social Sciences-SPSS. It was found that most nurses were female (N = 129, 89.6%), aged between 26 and 30 years (N = 78, 54.2%), single (N = 116, 80.6 %), with one year or less (N = 48, 33.3%) of professional practice, and who were working in the primary care (N = 100, 69.4%). It was noticed that the previous experience of nurses in view of clinical findings presented ranged from 14.6% to 48.6%. In the evaluation of practices and knowledge of nurses regarding the Test Schiller, the biggest hit percentage of nurses was only 9.7% with respect to the conservation of this solution. About the description of the structures identified in the clinical images, the structure with the highest percentage of accuracy (5.5%) among nurses was the identification of the cervical canal and squamocolumnar junction. It was found that the baseline of knowledge about morphology of the uterine cervix and the ability to recognize abnormal structures was insufficient for most nurses performs safely IV and the Schiller test. However, in evaluating the motivation of nurses for training in Pap smear and visual inspection for the primary health care, it was found that 96.5% believed that there were still many unknown or new information about the Cervical Cancer workup and 97.2 % and felt the need for receing updates, 68.1% stated that the participation in training does not interfere in other professional activities. Given this result, it is important to conduct training with these professionals, a fact that is corroborated by their interest and motivation in relation to these strategies.

Keywords:

Early Diagnosis, Uterine Cervical Neoplasms, Inservice Training.