title: Cervical cancer screening performed by a nurse. Evaluation in family practice.
abstract: OBJECTIVE
  To determine whether a nurse practitioner could collect adequate Papanicolaou smear samples from the transformation zone of the cervix.
  
  
  METHODS
  A retrospective, descriptive study.
  
  
  METHODS
  The Bella Coola Medical Clinic, a primary care facility located in the isolated, small village of Bella Coola, BC.
  
  
  METHODS
  All women who presented for Pap smears between July 1993 and June 1994.
  
  
  METHODS
  Endocervical or metaplastic cells in smear samples.
  
  
  RESULTS
  All Pap smears performed in the Bella Coola Medical Clinic over 1 year by either the nurse or a member of the physician group (which includes family practice residents) were reviewed. Between July 1, 1993, and June 30, 1994, 149 Pap smears were done, 55 by the nurse and 94 by the physicians. All smears collected by the nurse practitioner showed endocervical or metaplastic cells. More than 90% of physician samples showed endocervical or metaplastic cells.
  
  
  CONCLUSIONS
  A Canadian nurse practitioner can be trained to collect adequate Pap smears.
authors.affiliation: Bella Coola General Hospital, British Columbia.
authors.forename: H
authors.initials: H
authors.lastname: Thommasen
authors.forename: P
authors.initials: P
authors.lastname: Lenci
authors.forename: I
authors.initials: I
authors.lastname: Brake
authors.forename: G
authors.initials: G
authors.lastname: Anderson
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000592:standards*; D008875:Middle Aged; D009722:Nurse Practitioners / Q000193:education / Q000592:standards*; D015403:Nursing Evaluation Research; D065006:Papanicolaou Test; D010821:Physicians, Family / Q000592:standards; D012189:Retrospective Studies; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D014626:Vaginal Smears