April
2021
- Volume 15, Issue 2
Exploring
the Barriers Toward Colorectal Cancer Screening: A Literature
Review
Rolla Hamdan (1)
Jessie Johnson (2)
Maryam Fatemi (1)
Kathleen Benjamin (3)
Afrah Moosa (1)
(1) BScN, MN, Primary Healthcare
Corporation, Qatar
(2) RN, PhD, Faculty of Nursing Qatar (3) Uyoun Aljawa General
Hospital, Qassim, Kingdom of Saudi Arabia
(3) RN, PhD, Adjunct, Faculty of Nursing, University of Calgary,
Canada
Corresponding author:
Rolla Hamdan
Primary Healthcare Corporation,
Qatar
Email: ramhamda@ucalgary.ca
Received: February 2021; Accepted:
March 2021; Published: April, 2021
Citation: Rolla Hamdan et al. Exploring the Barriers Toward
Colorectal Cancer Screening: A Literature Review. Middle East
Journal of Nursing 2021; 15(2): 3-12.DOI: 10.5742/MEJN.2021.937804
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ABSTRACT
Background:
Colorectal cancer is the third most common cancer and the
second leading cause of death worldwide. Bowel cancer screening
helps prevent colon cancer by early detection of polyps, leading
to efficient treatment and reduced mortality. Within Qatar,
primary health facilities promote bowel screening by using
the faecal occult blood test. However, the popularity and
use of this test is still low.
Aim: The aim of this literature
review is to explore barriers related to colorectal cancer
bowel screening using the faecal occult blood test in primary
health care settings to facilitate colorectal cancer screening
in Qatar.
Method: Cronins five
step framework for literature reviews was utilized for this
paper. This review included nine articles that were peer-reviewed
and published between 2009 and 2019. The nine articles were
appraised by using the Mixed Methods Appraisal Tool. This
tool has separate criteria to assess the quality of the qualitative,
quantitative, and mixed-method studies.
Result: Three main barriers
to bowel cancer screening included knowledge deficit, personal
beliefs and organizational barriers.
Conclusion: The main barriers
are related to the patients lack of knowledge and personal
beliefs. Overcoming these barriers is essential to raising
awareness about this issue among all nurses, physicians, and
patients. It is necessary to involve stakeholders in order
to mitigate barriers. Developing educational activities for
healthcare professionals will provide information that they
can share with patients to encourage screening and decrease
the fear of the test. Developing a pamphlet to increase patient
awareness will also encourage screening and work toward decreasing
fear.
Key words: faecal occult blood
test, faecal immunochemical test,
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