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Increasing compliance with breast self-examination

M J Dienger, J Llewellyn

    Medsurg Nursing : Official Journal of the Academy of Medical-Surgical Nurses
    |October 1, 1995
    PubMed
    Summary
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    Monthly breast self-examination (BSE) is crucial for early breast cancer detection but is performed by fewer women than desired. This review explores motivators, barriers, and nursing strategies to improve BSE performance and effectiveness.

    Area of Science:

    • Oncology
    • Preventive Medicine
    • Nursing Research

    Background:

    • Breast self-examination (BSE) is a vital tool for the early detection of breast cancer.
    • Current rates of monthly BSE performance among women are suboptimal.
    • Early detection significantly improves breast cancer prognosis and treatment outcomes.

    Purpose of the Study:

    • To review common motivators influencing women's adherence to monthly breast self-examination.
    • To identify prevalent barriers hindering the regular practice of breast self-examination.
    • To explore effective nursing strategies for enhancing breast self-examination performance and efficacy.

    Main Methods:

    • Systematic literature review.
    • Analysis of existing research on breast self-examination practices.

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  • Synthesis of findings on motivators, barriers, and nursing interventions.

    • Main Results:

    • Key motivators include perceived personal risk, health consciousness, and provider recommendation.
    • Common barriers involve lack of knowledge, fear of finding cancer, and perceived lack of necessity.
    • Nursing interventions focusing on education, skill-building, and addressing psychological factors show promise.

    Conclusions:

    • Improving breast self-examination rates requires addressing both individual motivators and systemic barriers.
    • Targeted nursing strategies are essential to empower women in performing BSE effectively.
    • Enhanced BSE practice can contribute significantly to early breast cancer detection efforts.