ABSTRACT This study aimed to map, identify, and synthesize women's experiences with human papillomavirus (HPV) self‐sampling in cervical cancer screening programs. The study was conducted as a scoping review, reported in accordance with PRISMA‐ScR. Studies involving women of all nationalities who had been offered HPV self‐sampling were included, of any qualitative study design, and published at any date in either English or a Scandinavian language. Systematic searches were conducted in the PubMed, CINAHL, PsycInfo, and EMBASE databases in May 2023, in September 2024, and in August 2025. Data were systematically charted by study characteristics, and the main findings were reported narratively. A total of 25 studies reporting qualitative or mixed methods were included. The synthesis resulted in three themes generated from the women's perspective: Women's perceptions of HPV self‐sampling , Women's experiences of health professionals’ HPV sampling , and Women's perceptions of community HPV sampling . Women experienced self‐sampling to be highly acceptable with feelings of control over their own bodies, comfort in the procedure, and time‐saving benefits. Some women experienced a lack of confidence in taking the sample themselves. The experience was influenced by the relationship with health professionals, for example, due to previous traumatic experiences, and by the women's immediate community, for example, relationships with other women or partners.
ABSTRACT This scoping review mapped and synthesized multilevel interventions that may mitigate disparities in prostate cancer early detection, guideline‐concordant treatment, and survival among Black men aged 40–75 in underserved Memphis communities. PubMed/MEDLINE, CINAHL, Embase, and Web of Science were searched for English‐language evidence published from January 1990 through September 2025. Two reviewers independently screened citations and extracted data, and findings were synthesized narratively following PRISMA‐ScR. Eight sources were included. Socioeconomic instability, insurance gaps, transportation constraints, limited health literacy and numeracy, medical mistrust, and clinician underrepresentation were associated with delayed or inequitable care. The evidence supported five connected themes: population and context, equity‐focused multilevel strategies, beliefs and psychosocial mechanisms, care processes and behaviors, and clinical and equity outcomes. Community‐embedded, equity‐focused strategies led by nurses and community health workers may help reduce prostate cancer disparities among Black men in Memphis. Direct evidence for Memphis‐specific interventions and Black male nurse representation remains limited.
Objective To understand how affective bonds and experiences of gender-based violence intersect the trajectories of women experiencing homelessness and influence their relationship with the Psychosocial Care Network (RAPS). Methods A qualitative study with an ethnographic approach, conducted between August and December 2025 in Campinas, Brazil, alongside "Street Clinic" (Consult & oacute;rio na Rua) teams. Participants were 11 adult women experiencing homelessness. Data were produced through participant observation, semi-structured interviews, and field diaries, and subjected to Thematic Content Analysis. Results The study identified the centrality of intimate partner and institutional violence in the participants' trajectories and their impacts on care. It highlighted the ambivalence of heterosexual affective-romantic bonds, which operate paradoxically as sources of protection, belonging, and emotional support, but also as spaces for reproducing inequalities, restricting autonomy, and creating barriers to healthcare access and continuity. Conclusions Romantic bonds occupy a central position in these women's daily lives, placing them between protection and vulnerability. Care experiences are intersected by multiple social markers, reinforcing the need for public policies guided by intersectional, gender-sensitive perspectives capable of recognizing the complexity of care itineraries for this population.
Objective To examine how Chinese community nurses experience and navigate the dual imperatives of population-focused public health services and individualised clinical care.Design Narrative inquiry using participant-generated drawings and interviews, interpreted through Swanson's theory of caring.Sample Fourteen female registered nurses from five community health centres in Shenzhen, China, recruited via a WeChat-based pool.Measurements Narrative analysis of transcripts and drawings, examining plot, agency, affective stance, and metaphor/symbol. Coding proceeded before Swanson's caring processes were introduced as an interpretive lens.Results Three navigational practices.emerged relational triage (prioritising the proximate patient), systemic compliance (prioritising metrics and protocols), and fragmented agency (paralysis and withdrawal when both imperatives collide). These form a typology of (im)balancing caring, revealing a fracture between relational depth ('being with', 'knowing') and procedural completion ('doing for') reoriented towards system metrics.Conclusions (Im)balancing caring is constitutive labour generated by systemic architecture, not individual adaptation. The study's theoretical contribution is to show how 'doing for' is co-opted from patient-centred to system-centred ends. Sustaining community nursing requires recognising this skilled negotiation, supporting reflective forums, and integrating relational indicators into performance systems.
