Health Sciences Program Student Theses, Dissertations and Capstones

Document Type

Dissertation - NSU Access Only

Degree Name

Doctor of Philosophy (PhD) in Health Science

Copyright Statement

All rights reserved. This publication is intended for use solely by faculty, students, and staff of Nova Southeastern University. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, now known or later developed, including but not limited to photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author or the publisher.

Department

College of Health Care Sciences – Health Science Department

First Advisor

Brianna Black Kent

Date of original Performance / Presentation

January 2022

Publication Date / Copyright Date

1-1-2022

Abstract

It is estimated that human papillomavirus (HPV) vaccination programs can prevent 87% of cervical cancer cases globally (Muñoz et al., 2004). Recognition of the burden of cervical cancer globally and the inequity of resources across low-, middle-, and high-income countries prompted the American Society of Clinical Oncology (ASCO) to develop clinical practice guidelines stratified by resource availability. These guidelines address the continuum of care from diagnosis to palliative care; however, adherence to these guidelines is unknown. Despite the development of resource-stratified clinical guidelines for the treatment of cervical cancer, there is a global disparity in incidence and survival between middle- and low-income countries and higher income countries. This research applies the first phase of a quality improvement educational intervention and is based on the social ecological model and social cognitive theory (Bandura, 1986; McLeroy et al., 1988). The research explored system-based challenges and barriers to inform educational strategies that are sustainable and scalable for cancer centers that manage patients with cervical cancer in low- and middle-income countries. The analysis suggests differences in practice based on country income stratification, disparities in access to care, similar patient challenges to optimal care, differences in site/team-related challenges dependent on treatment category, and an emphasis on the need for prevention and screening efforts. The data can be utilized to provide education that supports providers in providing evidence-based care and improving access to treatment, in addition to patient education to address the societal challenges that hinder optimal cervical cancer care.

Disciplines

Medicine and Health Sciences

Download
To access this thesis/dissertation you must have a valid nova.edu OR mynsu.nova.edu email address and create an account for NSUWorks.

Free My Thesis

If you are the author of this work and would like to grant permission to make it openly accessible to all, please click the Free My Thesis button.

  Contact Author

Share

 
COinS