Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
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Effects on Nursing Students of Cognition-Behavior Integrated Breast Cancer Prevention Education Using an Interchangeable Nodule Model

결절교체 유방모형을 이용한 인지.행동 통합 유방암 예방교육 효과 -간호학생을 대상으로-

  • Park, So-Mi (Department of Nursing, Wonju College of Medicine, Yonsei University.Institute of Genomic Cohort) ;
  • Kim, Bo-Hwan (Department of Nursing, Jesus University) ;
  • Park, Mi-Jeong (Department of Nursing, Daewon University College) ;
  • Ahn, Yang-Heui (Department of Nursing, Wonju College of Medicine, Yonsei University) ;
  • Chung, Chae-Weon (College of Nursing, Seoul National University.Research Institute of Nursing Science)
  • 박소미 (연세대학교 원주의과대학 간호학과.유전체 코호트 연구소) ;
  • 김보환 (예수대학교 간호학부) ;
  • 박미정 (대원대학 간호과) ;
  • 안양희 (연세대학교 원주의과대학 간호학과) ;
  • 정재원 (서울대학교 간호대학.간호과학연구소)
  • Received : 2010.01.16
  • Accepted : 2010.06.01
  • Published : 2010.06.20
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Abstract

Purpose: The study was done to examine the effects of cognition-behavior integrated breast cancer prevention education, in which a breast model with interchangeable nodules was utilized, on the self-competency of nursing students in performing breast cancer education. Methods: A nonequivalent control group non-synchronized design was used. A traditional lecture intervention was provided for 49 3rd year college of nursing students (control group) while the integrated breast cancer prevention education was given to 47 3rd year students in the same college one year later (experimental group). The integrated breast cancer prevention education was developed by the research team to strengthen the competency of cognitive and behavioral components in education on breast cancer. Results: Effects of the intervention were found to be significant through all study variables: knowledge about breast cancer (t=7.79, p <.001), breast cancer risk awareness (t=2.05, p <.05), self-competency of breast self-exam (t=8.27, p <.001), and intention to teach breast self-exam (t=3.87, p <.001). Conclusion: The integrated breast cancer prevention education was useful to improve not only knowledge about breast cancer but competency in performing breast examination for nursing students who acquired technical skills from various simulation nodules. As the program helped the students to be prepared as confident educators, future application of the module is recommended for academic curricula.

Keywords

References

  1. Agars, J., & McMurray, A. (1993). An evaluation of comparative strategies for teaching breast self examination. Journal of Advanced Nursing, 18(10), 1595-1603. https://doi.org/10.1046/j.1365-2648.1993.18101595.x
  2. Bandura, A. (1986). Social foundation of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.
  3. Bech, M., Sorensen, J., & Lauridsen, J. (2005). Eliciting women's preferences for a training program in breast self-examination: A conjoint ranking experiment. Value Health, 8(4), 479-487. https://doi.org/10.1111/j.1524-4733.2005.00039.x
  4. Choi, K. O. (1996). Effectiveness of teaching in accordance with the teaching program types for the breast self-examination. Unpublished doctoral dissertation, Kyung Hee University, Seoul.
  5. Han, M. Y., & Chung, C. W. (2006). Breast cancer screening behaviors in working women. Korean Journal of Women Health Nursing, 12(4), 363-370.
  6. Hur, H. K., Kim, G. Y., Kim, C. H., Park, J. K., Ko, S. B., & Park, S. M. (2009). Effects of an integrated breast health program according to stages of breast cancer risk appraisal. Journal of Korean Society for Health Education and Promotion, 26(1), 15-26.
  7. Hur, H. K., & Park, S. M. (2004). Difference of decisional balance and confidence in the stage of adoption for breast self exam in married women. Journal of Korean Academy of Adult Nursing, 16(3), 493-501.
  8. Jemal, A., Siegel, R., Ward, E., Murray, T., Xu, J., Smigal, C., & Thun, M. J. (2006). Cancer statistics 2006. CA: A Cancer Journal for Clinicians, 56(2), 106-130. https://doi.org/10.3322/canjclin.56.2.106
  9. Kang, S. H., & Jeon, H, J. (2007). Prognosis of breast cancer occurring in patients below the age of 35 years compared with groups above the age of 36 years. Journal of the Korean Surgical Society, 72(2), 101-106.
  10. Kim, E. G. (2003). Factors influencing on the compliance of breast self-examination among women and nurse. Unpublished master's thesis, Pusan National University, Busan.
  11. Klein, D. A., Burr, L., & Stone, W. J. (2005). Making physical activity stick: What can we learn from regular exercisers? ACSM's Health & Fitness Journal, 9(4), 19-25. https://doi.org/10.1097/00135124-200507000-00008
  12. Krutli, D. (1991). Preventive health. The Queensland Nurse, 10(3), 9-11.
  13. Kyrkjebo, J . M., & Hage, I. (2005). What we know and what they do: Nursing students' experiences of improvement knowledge in clinical practice. Nurse Education Today, 25(3), 167-175. https://doi.org/10.1016/j.nedt.2004.11.008
  14. Lee, C. Y., Kim, H. S., Ko, I. S., & Ham, O. K. (2003). Evaluation of a community based program for breast self examination offered by the community health nurse practitioners in Korea. Journal of Korean Academy of Nursing, 33(8), 1119-1126. https://doi.org/10.4040/jkan.2003.33.8.1119
  15. Lee, E. H., Kim, J. S., & Song, M. S. (2002). Translation and validation of Champion's Health Belief Model Scale with Korean women. Cancer Nursing, 25(5), 391-395. https://doi.org/10.1097/00002820-200210000-00010
  16. Lee, T. (2007). Development of educational program for the early breast cancer examination. Unpublished master's thesis, Eulji University, Daejeon.
  17. Lee, Y. W., Lee, E. H., Shin, K. B., & Song, M. S. (2004). A comparative study of Korean and Korean-American women in their health beliefs related to breast cancer and the performance of breast self-examination. Journal of Korean Academy of Nursing, 34(2), 307-314.
  18. Ludwick, R. (1988). Breast examination in the older adult. Cancer Nursing, 11(2), 99-102.
  19. McAllister, M., Moyle, W., & Iselin, G. (2006). Solution focused nursing: An evaluation of current practice. Nurse Education Today, 26(5), 439-437. https://doi.org/10.1016/j.nedt.2005.12.004
  20. Muramoto, M. L., Campbell, J ., & Salazar, Z. (2003). Provider training and education in disease management: Current and innovative technology. Disease Management & Health Outcomes, 11(10), 633-645. https://doi.org/10.2165/00115677-200311100-00003
  21. National Cancer Information Center (2008). Korean Cancer Statistics. Retrieved August 30, 2009, from http://www.cancer.go.kr/cms/index.html.
  22. National Cancer Information Center (2009). What is the national cancer early screening? Retrieved April 9, 2009, from https://ncs.ncc.re.kr/ncsapps/ncs_info/ncs_info.jsp.
  23. Park, S. M., Hur, H. K., Park, M. J., & Song, H. Y. (2007). Effects of action oriented breast self-examination (BSE) education on knowledge, self-efficacy, and performance competence in nursing students. Korean Journal of Women Health Nursing, 12(1), 47-52.
  24. Park, S. M., Song, H. Y., Hur, H. K., & Kim, G. (2009). Effects of a cognition-oriented breast self examination intervention for Korean women and their spouses. Public Health Nursing, 26(3), 259-268. https://doi.org/10.1111/j.1525-1446.2009.00778.x
  25. Shapiro, T. J., & Clark, P. M. (1995). Breast cancer: What the primary care provider needs to know. The Nurse Practitioner, 20(3), 36, 39-40, 42.
  26. Skinner, C. S., Arfken, C. L., & Sykes, R. K. (1998). Knowledge, perceptions, and mammography stage of adoption among older urban women. American Journal of Preventive Medicine, 14(1), 54-63. https://doi.org/10.1016/S0749-3797(97)00008-1
  27. Suh, Y. O. (2003). The difference of women's knowledge, attitudes and practice education after education for breast self-examination. Journal of Korean Academy of Adult Nursing, 15(1), 5-13.
  28. Soyer, M. T., Ciceklioglu, M., & Ceber, E. (2007). Breast cancer awareness and practice of breast self examination among primary health care nurses: Influencing factors and effects of an in-service education. Journal of Clinical Nursing, 16(4), 707-715. https://doi.org/10.1111/j.1365-2702.2006.01644.x
  29. Thomas, B., Stamler, L., Lafreniere, K. D., & Delahunt, T. D. (2002). Breast health educational interventions: Changes in beliefs and practices of working women. AAOHN Journal: official journal of the American Association of Occupational Health Nurses, 50(10), 460-467.
  30. Yang, N. Y., & Moon, S. Y. (2009). Knowledge, self-efficacy and compliance on breast self examination among female college students in Gyeonggi province. Journal of Korean Society for Health Education and Promotion, 26(1), 27-37.

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