THE COLLECTION OF CERVICAL CYTOPATHOLOGICAL EXAM: PERCEPTIONS OF STUDENTS AND USERS.
Nursing students; Medical students; Education; Primary health care; Women’s health.
The Pap smear test is essential for identifying abnormal cells in the cervix and plays a fundamental role in cancer prevention. In the context of this exam being performed by male nurses, it becomes relevant to understand the perceptions and feelings of future healthcare professionals, such as nursing and medical students, as well as women who are users of healthcare services and directly interact with this practice. It is noteworthy that the cultural and social barriers related to this practice are deeply rooted, requiring efficient strategies to drive changes more swiftly and consistently. In this regard, the present study aimed to understand the perceptions of nursing and medical students and female users of a Primary Health Unit (PHU) regarding the Pap smear test being performed by male nurses. This is a descriptive, exploratory, and qualitative study conducted in a PHU. Data collection was carried out through interviews using semi-structured questionnaires and focus groups (FG), and the study was divided into two stages. Data analysis was based on the thematic categorical content analysis technique proposed by Bardin. The focus groups conducted with Nursing and Medical students resulted in the identification of two main categories, subdivided into four subcategories, totaling 52 units of analysis. The analysis of interviews with PHU users revealed two categories, further divided into three subcategories, totaling 71 units of analysis. The results highlighted thought-provoking perceptions about Pap smear collection by male nurses. From the students' perspective, challenges related to the acceptance of this practice and the sociocultural barriers faced by professionals were evident, reinforcing the importance of strategies to minimize these difficulties and promote broader acceptance. From the users’ perspective, feelings of discomfort and resistance emerged, associated with cultural influences and social norms, despite acknowledging the importance of the exam for the prevention of gynecological diseases. Both perspectives indicate the need for strategies that reduce sociocultural prejudices and strengthen the training of future professionals. Thus, this research expands the understanding of the factors that impact the performance of the Pap smear test by male professionals and provides support for improving student education and professional practice in the context of primary healthcare.The construction of educational products could help in this process.