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Teaching and breast self-examination: An insufficiency of instruction

Turnbull, Beverley J. and Roberts, Kathryn L. (2004). Teaching and breast self-examination: An insufficiency of instruction. Contemporary Nurse: health care across the lifespan,17(1-2):167-176.

Document type: Journal Article
Citation counts: Scopus Citation Count Cited 3 times in Scopus Article | Citations

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Title Teaching and breast self-examination: An insufficiency of instruction
Author Turnbull, Beverley J.
Roberts, Kathryn L.
Journal Name Contemporary Nurse: health care across the lifespan
Publication Date 2004
Volume Number 17
Issue Number 1-2
ISSN 1037-6178   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-35448939206
Start Page 167
End Page 176
Total Pages 10
Place of Publication Melbourne, Victoria, Australia
Publisher Pearson Education, Malaysia
Field of Research 1110 - Nursing
HERDC Category C1 - Journal Article (DEST)
Abstract Client teaching is recognised as an essential component of nursing and midwifery care, and all clinical areas provide opportunities for informal client teaching. This qualitative study aimed to explore registered nurses' professional practices with regard to teaching breast self-examination (BSE), and to identify factors that influenced their participation or non-participation in teaching about breast health. Participants' views were obtained using individual semi-structured interviews. The data were analysed inductively, that is, without imposing structure from the interview questions. Findings revealed that participants' perspectives of BSE and breast health, the dual symbolism of breasts, and the time constraints of clinical practice, were significant factors that impacted on participants' personal BSE practices and on their level of participation in teaching BSE. The results indicate that that nurses and midwives do not view teaching breast health as part of their role in client interaction, particularly in an acute care setting. Although nursing literature identifies midwives and nurses as ideally placed to promote health promotion activities, the image of BSE as linked to breast cancer, the dominant illness oriented model of care and a task orientated culture in health care facilities do not facilitate this.
Keywords nurses and midwives
breast symbolism
breast cancer
health promotion
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Created: Fri, 12 Sep 2008, 08:35:25 CST by Administrator