The purpose of this naturalistic inquiry was to understand factors that influence patients’ commitment to colorectal cancer screening, specifically colonoscopy. Fifteen personcentred interviews were conducted: 10 with individuals who had completed screening, and 5 with individuals who declined. Three subthemes (relationship, motivation, and human agency) were associated with the overarching theme of regard or disregard for vulnerability. Participants who perceived a disregard for their vulnerability by their health care provider (HCP) frequently chose to decline screening even though they showed a high level of commitment to health promotion. Participants who perceived a regard for vulnerability by their HCP frequently chose to accept screening. The nursing profession can show a regard for patient vulnerability by enhancing communication techniques and concentrating on being attentive to patient concerns which will build a trusting relationship with patients and enhance screening rates. Persistence in the relationship can change a patient’s decision in time. / 132 leaves : col. ill. ; 29 cm

First Nations women face nearly three times the risk of cervical cancer and mortality rates of up to six times higher than their non-Aboriginal counterparts. While cervical cancer is almost completely preventable, Southern Alberta First Nations women seldom access cervical screening services. The purpose of this qualitative focused ethnography was to gain an understanding of the cervical screening needs of un- and under-served First Nations women living off-reserve. Thirteen purposefully selected First Nations women participated in three focus groups utilizing semi-structured interviews. Personal self-worth and cervical screening awareness and relevance are essential to the pursuit of cervical screening. Barriers and incentives for screening and opportunities for acceptability and sustainability are explored. A holistic approach, intersectoral collaboration and cultural safety are described by focus group participants as foundational for optimal service delivery. / xii, 223 leaves ; 29 cm.