Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Discipline of Behavioural and Social Sciences in Health, Faculty of Medicine and Health, The University of Sydney, PO Box 170, Lidcombe, New South Wales, Australia.
J Cancer Educ. 2022 Aug;37(4):1209-1219. doi: 10.1007/s13187-020-01942-8. Epub 2021 Jan 21.
Nurses play an important role in educating patients on breast cancer and have a positive influence in encouraging women to participate in breast screening. This current study aimed to use a train-the-trainer model to improve the level of knowledge of nurses on breast cancer and screening in Ras Al Khaimah, United Arab Emirates. The study also focused on the nurses' ability to train other nurses in assisting women to engage in breast screening. This interventional study used a mixed-method design. Seventeen female nurses (aged 28-60 years) were recruited from public and private health centers and participated in a breast cancer train-the-trainer workshop. They completed a survey before and after the workshop. The surveys included a series of open and closed questions to assess their knowledge of breast cancer symptoms, risk factors, diagnosis, and patient communication. The study found that nurse participants had good baseline knowledge of breast cancer topics, including breast self-examinations, clinical breast examinations, and mammography. Responses were deemed accurate if they answered open-ended questions without incorrect information and correct options were selected in the quantitative sections. However, training improved the detail and accuracy of the participant responses. Training also improved the confidence of nurse participants to teach other women and nurses how to perform breast self-examinations and provide breast cancer information. There were significant increases in nurse participants' knowledge of risk factors (p < 0.001, r = 0.6) and symptoms (p = 0.003, r = 0.5). The nurse participants perceived that health education was the best means of encouraging women to participate in breast screening.
护士在教育患者乳腺癌知识方面发挥着重要作用，并通过鼓励女性参与乳房筛查对其产生积极影响。本研究旨在采用培训师培训模式，提高阿联酋拉斯海马酋长国护士对乳腺癌和筛查的认知水平。本研究还侧重于护士培训其他护士协助女性参与乳房筛查的能力。这项干预性研究采用了混合方法设计。从公立和私立医疗中心招募了 17 名女性护士（年龄 28-60 岁），并让她们参加乳腺癌培训师培训研讨会。在研讨会前后，她们都填写了一份调查问卷。该问卷包括一系列开放式和封闭式问题，以评估她们对乳腺癌症状、危险因素、诊断和患者沟通的知识。研究发现，护士参与者对乳腺癌主题（包括乳房自我检查、临床乳房检查和乳房 X 光检查）有良好的基础知识。如果他们在开放式问题中没有回答错误信息且在定量部分选择了正确选项，则认为他们的回答是准确的。然而，培训提高了参与者回答问题的详细度和准确性。培训还提高了护士参与者教授其他女性和护士进行乳房自我检查以及提供乳腺癌信息的信心。护士参与者对危险因素（p<0.001，r=0.6）和症状（p=0.003，r=0.5）的认知有显著提高。护士参与者认为健康教育是鼓励女性参与乳房筛查的最佳手段。
