Factors influencing registered nurses teaching breast self-examination to female clients

Abstract

A university hospital-based study was conducted to explore factors that influence nurses teaching breast self-examination (BSE) to female clients, using the PRECEDE (Predisposing, Reinforcing, and Enabling factors in Educational Diagnosis and Evaluation) model as an organizing framework. Female registered nurses (N = 140) from adult inpatient and outpatient units completed a questionnaire that included items about frequency of BSE, knowledge of breast cancer screening and BSE technique, health motivation, confidence and competence in performing BSE, and teaching BSE. Data analysis compared the characteristics of nurses who reported teaching BSE with nurses who did not teach. Nurses in the teaching group had more work experience in nursing and were more likely to have a friend with breast cancer than were those in the nonteaching group. The teaching group had more knowledge about breast cancer screening and BSE technique and reported more confidence and competence in performing BSE.

Registered Nurses' Breast Self-Examination Practice and Teaching to Female Clients

“…The majority of nurses who indicated performing BSE is consistent with the findings of Han et al (1996). Also, the low percentage of nurses performing monthly BSE is similar to the findings of other studies (Cole & Gorman, 1984;Edgar et al, 1984).…”

“…A recent study by Han, Ciofu-Baumann, and Cimprich (1996) of 140 registered nurses (RNs) working in an acute setting found 98% of nurses reported performing BSE. However, other studies have identified that only 30% or less of nurses perform BSE monthly (Cole & Gorman, 1984 [30%]; Edgar, Shamian, & Patterson, 1984 [24%]; Ellis, Slavin, & Pinch, 1990 [28%]).…”

Breast cancer awareness and practice of breast self examination among primary health care nurses: influencing factors and effects of an in‐service education

“…Reinforcing factors relate to the supportive environment for behaviour change and include social influence and personal experiences such as caring for people with cancer, having friends with breast cancer and having breast problems (Han et al 1996). These are factors that follow a behaviour that provide the continuing reward or incentive for the persistence or repetition of the behaviour.…”

Comparison of the Expected Outcome of the Mastectomy with Perceived Treatment Outcomes based on Self-Efficacy in Women with Breast Cancer

“…Breast cancer is the most common non-skin cancer and the second leading cause of cancer death among women [1][2][3][4][5][6]. The incidence of breast cancer in the United States has been doubled in the past 60 years (National Breast Cancer Organization, Donald et al [7].…”