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Exfoliative cytologic screening. The Papanicolaou test
1Graduate perinatal clinical specialist-nurse practitioner program, SUNY, Stony Brook.
Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|January 1, 1991
Summary
The Papanicolaou (Pap) test screens for cervical cancer but has accuracy concerns due to false negatives. Refresher training on exfoliative cytology is needed to improve nurse and patient confidence in Pap test results.
Area of Science:
- Gynecologic Oncology
- Cytopathology
Background:
- Exfoliative cytology, commonly known as the Papanicolaou (Pap) test, is a standard screening method for cervical cancer.
- Annual gynecologic wellness visits are often utilized for Pap testing.
- Concerns exist regarding the Pap test's screening effectiveness due to reported high rates of false-negative results in scientific literature.
Purpose of the Study:
- To address the declining confidence in the Papanicolaou (Pap) test's efficacy.
- To re-educate nurse clinicians on current exfoliative cytology techniques and responsibilities.
- To enhance the reliability and acceptance of cervical cancer screening.
Main Methods:
- Review of current techniques in exfoliative cytology.
- Analysis of nursing responsibilities associated with the Papanicolaou (Pap) test.
- Literature review on the effectiveness and limitations of cervical cancer screening.
Main Results:
- The Papanicolaou (Pap) test is a cost-effective and noninvasive screening tool.
- High false-negative rates challenge the test's diagnostic accuracy.
- A knowledge gap may exist among healthcare providers regarding optimal procedures.
Conclusions:
- Refamiliarization with exfoliative cytology is crucial for healthcare providers.
- Improved understanding of techniques and nursing roles can bolster confidence in Papanicolaou (Pap) test results.
- Enhancing the screening process is vital for early detection and management of cervical cancer.