Evidence map›Paper›PMID 42728889›Full record

ArticlePublic health nursing (Boston, Mass.)2026

Why Women Don't Return: Nurse Perspectives on Follow-Up Care After Abnormal Cervical Cancer Screening Results in Mississippi's Public Health System.

Christina D Ferrell, Katherine C Hall, Sydney Reaves, Nicholas Wentzensen, Megan A Clarke, Mary W Stewart, Amy Parker, Jimmie Wells, Rhonda Rives, Jon Daniels and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Public health nursing (Boston, Mass.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Christina D FerrellSchool of Nursing, University of Mississippi Medical Center, Jackson, Mississippi, USA.ORCID https://orcid.org/0000-0002-7113-2428
Katherine C HallSchool of Nursing, University of Mississippi Medical Center, Jackson, Mississippi, USA.ORCID https://orcid.org/0000-0002-1724-1092
Sydney ReavesSchool of Nursing, University of Mississippi Medical Center, Jackson, Mississippi, USA.ORCID https://orcid.org/0009-0002-9248-5502
Nicholas WentzensenClinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Rockville, Maryland, USA.ORCID https://orcid.org/0000-0003-1251-0836
Megan A ClarkeClinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Rockville, Maryland, USA.
Mary W StewartSchool of Nursing, Mississippi State University, Meridian, Mississippi, USA.ORCID https://orcid.org/0000-0002-2243-8578
Amy ParkerSchool of Nursing, University of Mississippi Medical Center, Jackson, Mississippi, USA.ORCID https://orcid.org/0000-0002-2094-7619
Jimmie WellsOncology Nurse Navigator, St. Dominic Hospital, Jackson, Mississippi, USA.
Rhonda RivesDepartment of Pathology, PathGroup, Jackson, Mississippi, USA.
Jon DanielsMississippi State Department of Health, Jackson, Mississippi, USA.
Katherine FarringtonMississippi State Department of Health, Jackson, Mississippi, USA.
Carolann RisleyDepartment of Cell and Molecular Biology, School of Nursing, Cancer Research Institute, University of Mississippi Medical Center, Jackson, Mississippi, USA.ORCID https://orcid.org/0000-0001-9434-0185

Funding

Tracking and Evaluation CoreU54GM115428 · NIGMS · UNIVERSITY OF MISSISSIPPI MED CTR · PI GOMEZ-SANCHEZ, CELSO ENRIQUE · 2016 to 2025
$38.2M
NCI NIH HHSNIGMS NIH HHS U54 GM115428
6 · The paper itself

Abstract

objectiveTo explore public health nurses' perspectives on reasons women in Mississippi may fail to receive follow-up care after abnormal cervical cancer (CC) screenings.

backgroundMississippi's high cervical cancer mortality rate poses a significant public health challenge. Understanding public health nurses' perspectives on barriers to follow-up may help improve timely diagnostic care.

methodsThis qualitative descriptive study used focus groups to examine barriers and facilitators to follow-up care. Sixteen registered nurses who manage follow-up care in Mississippi public health clinics participated in five virtual focus groups. Participants represented diverse ages and experience levels (mean age 45.5 years; mean 10 years' experience). Semi-structured interviews elicited perspectives on patient, nursing, and system-level barriers and facilitators. Data was thematically analyzed.

resultsThree overarching barriers emerged: patient-level (limited health literacy, financial constraints, unreliable contact information), nursing-level (language differences, staffing shortages, declining motivation), and system-level (underuse of electronic health records, limited access to specialty care). Facilitators included early patient education, proactive communication, language resources, adequate staffing and training, and full utilization of electronic health record tools.

conclusionNurses identified multilevel barriers and facilitators influencing CC follow-up in Mississippi. These insights can inform strategies to improve follow-up care and reduce CC disparities in rural and underserved populations.

Indexed as

family medicinefocus grouphealth literacymedicinenursingpatient educationpublic healthqualitative researchspecialtystaffing

Identifiers

PMID42728889
PMCPMC13616596

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.