Cervical Screening in Canadian First Nation Cree Women

Purpose: Attitudes and beliefs of First Nation Cree women living in a reserve community were explored to gain insights into how cervical screening could be better utilized. Method: Focused ethnography utilizing participant observation and interviews (n = 8) with participants having experience with cervical screening and/or cancer was conducted. Results: Women did not believe they had adequate information and were resistant to screening because of embarrassment caused by the procedure and fear of cancer, which was viewed as a "death sentence." Conclusions: Challenges faced by First Nation Cree women when contemplating cervical screening are presented. Nursing sensitivity is needed to strategize access to cervical screening that is culturally appropriate.