Cervical Cancer Screening in Primary Care: A Provider-Based Intervention with Shared Decision-Making to Evaluate Guideline Adherence

Olivia M Maxell, Salve Regina University


Nonadherent cervical cancer screening practices in the primary care setting reflect obsolete standards of care despite recent guideline transformations by governing bodies. This phenomenon perpetuates unnecessary healthcare costs, resource utilization, and poor health outcomes related to the psychosocial implications of false positive results and avoidable procedures. In support of primary care providers, the SHARE Approach (see Appendix A) and a cervical cancer decisional aid (see Appendix B) were offered to any patient with an intact cervix at their initial or annual examination to navigate the cervical cancer screening options and align clinical decision making in concordance with USPSTF guidelines. A cross sectional pilot study was conducted amongst a nonrandomized convenience purposive sample recruited from a northeast primary care setting. Inclusion criteria for the single participating primary care provider included age 18 years or older, current employment by the Lifespan organization in a position at the primary care office, possession of an active Rhode Island Nurse Practitioner license, and the provision of care to a patient population that required routine cervical cancer screening. Inclusion criteria for patients included age 18 years or older with an intact cervix. All participants were English speaking and reading. Descriptive statistics were utilized to evaluate characteristics of the participating population in lieu of past and prior cervical cancer screening to determine cervical cancer screening guideline adherence. The application of shared decision-making to cervical cancer screening may inform the patient-provider dyad of current screening guidelines, while increasing screening adherence and identifying barriers to implementation to highlight the need for change at the individual, systems, and organizational levels.

Subject Area

Womens studies|Health education|Nursing

Recommended Citation

Maxell, Olivia M, "Cervical Cancer Screening in Primary Care: A Provider-Based Intervention with Shared Decision-Making to Evaluate Guideline Adherence" (2021). Doctoral Dissertations. AAI28494680.

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