КОМПЕТЕНЦІЇ МЕДИЧНОЇ СЕСТРИ В ДОГЛЯДІ ЗА ХВОРИМИ ГЕПАТОЛОГІЧНОГО ПРОФІЛЮ

The article presents current data on professional qualities of a nurse in care of patients with hepatic disorders nowadays and manipulations used in the profession and the specifics of their conduct. The development of the training system for health care professionals is an important issue today and requires review for the purpose of improving nursing.У статті висвітлено сучасні дані щодо професійної компетентності та професійної мобільності молодшого медичного персоналу при догляді за пацієнтами із захворюваннями печінки в сучасних умовах, маніпуляції, які використовують у даній професії, та специфіку їх проведення. Розвиток системи професійної підготовки медичних працівників є важливим питанням сьогодення та вимагає перегляду з метою удосконалення сестринської справи

Experiences of women participating in a human papillomavirus-based screen-triage-and treat strategy for cervical cancer prevention in Malawi

Objective To explore the experiences of Malawian women who underwent a human papillomavirus (HPV)-based screen-triage-treat algorithm for cervical cancer (CxCa) prevention. This algorithm included GeneXpert® HPV testing of self-collected vaginal samples, visual inspection with acetic acid (VIA) and colposcopy for HPV-positive women, and thermal ablation of ablation-eligible women. Method In-depth interviews were conducted with participants of a trial that evaluated the feasibility of a HPV-based screen-triage-treat algorithm among women living with HIV and HIV negative women in Lilongwe, Malawi. Participants were recruited from 3 groups: 1) HPV-negative; 2) HPV-positive/VIA-negative; 3) HPV-positive/VIA-positive and received thermal ablation. Interviews explored baseline knowledge of CxCa and screening, attitudes towards self-collection, and understanding of test results. Content analysis was conducted using NVIVO v12. Results Thematic saturation was reached at 25 interviews. Advantages of HPV self-collection to participants were convenience of sampling, same-day HPV results and availability of same-day treatment. There was confusion surrounding HPV-positive/VIA-negative results, as some participants still felt treatment was needed. Counseling, and in particular anticipatory guidance, was key in helping participants understand complex screening procedures and results. Overall, participants expressed confidence in the HPV screen-triage-treat strategy. Discussion HPV testing through self-collected samples is a promising tool to increase CxCa screening coverage. A multi-step screening algorithm utilizing HPV self-testing, VIA triage and thermal ablation treatment requires proper counseling and anticipatory guidance to improve patient understanding. Incorporating thorough counseling in CxCa screening programs can change women’s perspectives about screening, build trust in healthcare systems, and influence healthcare seeking behavior towards routine screening and prevention