CHALLENGES FOR NURSING PRACTICE AMIDST LOW ADHERENCE TO CERVICAL CANCER SCREENING

Abstract

Introduction: Cervical cancer is an important public health problem, and its prevention and early detection are directly related to the effectiveness of screening and population adherence. Objective: To reflect on the challenges of nursing practice in addressing individual, sociocultural, and organizational factors that interfere with adherence to cervical cancer screening. Methodology: This is a theoretical-reflective study based on scientific publications and official documents, with searches conducted in the SciELO and LILACS databases through the Virtual Health Library (VHL), and in Google Scholar as a complementary source. The analysis was organized into five thematic axes: individual factors, sociocultural factors, barriers within health services, transition to HPV DNA testing, and nursing strategies. Results and Discussion:Low adherence was found to be multifactorial, related to limited knowledge, fear, embarrassment, beliefs, previous experiences, socioeconomic conditions, and difficulties in accessing and organizing health services. Nursing practice was highlighted in health education, welcoming care, qualified listening, active case-finding, guidance, and follow-up. Conclusion: Reducing barriers to screening requires a comprehensive approach and coordination among healthcare professionals and management, strengthening the role of nursing in expanding access, adherence, and continuity of care.