Abstract
In press
The implementation of systematic cervical screening programs significantly reduces the incidence and mortality of cervical cancer, which is proven by the experience of countries with developed screening systems. This short scientific report highlights the role of a nurse in the process of cervical screening in women of reproductive age as a key link in the system of early detection of cervical cancer. Attention is focused on the importance of nursing intervention not only at the stage of biomaterial collection, but also in the process of informing, counseling, psychological support of patients, keeping records and monitoring repeated screening. Modern approaches to screening are analyzed, in particular, Papanicolaou test, human papillomavirus testing, co-testing, as well as the organizational component of nursing work. It is emphasized that timely detection of precancerous conditions is possible provided that the nurse's work is professionally performed, quality standards are observed and the female population is regularly covered by preventive programs. Thus, nurses perform key functions in the implementation of cervical screening programs, providing organizational support, information and educational work with the population, direct screening procedures and further monitoring of patients. Expanding the powers of nurses and developing their competencies in the field of cervical screening allows solving the problem of staff shortage, increasing the availability of preventive services and ensuring timely detection of precancerous changes in the cervix. Improving the training of nurses and standardizing their activities in the field of cervical screening creates the basis for full use of the potential of paramedical personnel in the prevention of cervical cancer. The implementation of a structured approach to organizing the work of nurses during cervical screening will ensure an increase in the overall effectiveness of screening programs and an expansion of coverage of target population groups.
Keywords: prevention, cervical cancer, Papanicolaou test, human papillomavirus, women's health.
References
Order of the Ministry of Health of Ukraine No.595 on 16 Sep 2011 "On the procedure for carrying out preventive vaccinations in Ukraine and quality control and circulation of medical immunobiological preparations", in force on 01 Apr 2025. Verkhovna Rada (Parliament) of Ukraine. Legislation of Ukraine. Available at: https://zakon.rada.gov.ua/laws/show/z1159-11 [in Ukrainian].
Order of the Ministry of Health of Ukraine No.947 on 02 Feb 2019 "On approval of standards of medical care in the specialty "Obstetrics and Gynecology". [In Ukrainian].
Global strategy to accelerate the elimination of cervical cancer as a public health problem. WHO, 17 Nov 2020. [Internet]. Available at: https://www.who.int/publications/i/item/9789240014107 [accessed 01 Apr 2025].
Cancer in Ukraine, 2021–2022. Bulletin of the National Cancer Registry of Ukraine No.24. Kyiv: National Cancer Institute; 2023. 184 р. Available at: http://www.ncru.inf.ua/publications/BULL_24/PDF/BULL_24.pdf [in Ukrainian].
Cancer diagnosis is the first step towards proper treatment. Oncology Clinic "Innovation" [Internet]. Available at: https://innovacia.com.ua/diagnostyka-i-licuvanya/diagnostyka [accessed 01 Apr 2025]. [In Ukrainian].
Dryvay V. The role of a nurse in the system of primary medical care: methodological recommendations. Ternopil: TSMU; 2018.
Standard of medical care "Cervical cancer screening, management of patients with abnormal screening results and precancerous conditions of the cervix", approved by the Order of the Ministry of Health of Ukraine No.1057 on 18 Jun 2024. Ministry of Health of Ukraine [Internet]. Available at: https://moz.gov.ua/storage/uploads/3b9b0fce-86b2-409c-979a-969e67b76929/dn_1057_18062024_dod.pdf [accessed 01 Apr 2025]. [In Ukrainian].
Siegel RL, Miller KD, Wagle NS, Jemal A. Cancer statistics, 2023. CA Cancer J Clin. 2023;73(1):17-48. DOI: 10.3322/caac.21763. PMID: 36633525.
Zhang SK, Zhao FH, Qiao YL. [Development and achievements regarding the prevention and control of cervical cancer in the last 20 years in China]. Zhonghua Liu Xing Bing Xue Za Zhi [Chin J Epidemiol]. 2020;41(6):809-12. DOI: 10.3760/cma.j.cn112338-20191203-00849. PMID: 32564540. [In Chinese].

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.