title: How do nurses and teachers perform breast self-examination: are they reliable sources of information?
abstract: BACKGROUND
  Breast cancer is the most common cause of cancer-related deaths among women worldwide. The aim of the present study was to determine and compare knowledge, behavior and attitudes among female nurses and teachers concerning breast self-examination (BSE).
  
  
  METHODS
  Two-hundred and eighty nine women working in Aydin, Turkey (125 nurses and 164 teachers) were included in the study. The data were collected using a questionnaire designed to measure the knowledge, attitudes and behavior of the groups. Analysis involved percentiles, chi2 tests, t tests and factor analysis.
  
  
  RESULTS
  The knowledge of nurses about BSE was higher than that of teachers (81.5% versus 45.1%; p < 0.001). BSE practice parameters (i.e. age groups, indications, frequency) were similar (p > 0.05), whereas skills in performing self-examination were higher in nurses (p < 0.001). Fear of having breast cancer is the most frequent reason for performing BSE. Among nurses, the reasons for failure to perform BSE were the absence of prominent breast problems (82%) and forgetting (56.4%). The teachers who did not perform BSE said that the reasons were lack of knowledge on how to perform self-examination (68.9%) and absence of problems (54%). Both groups had unacceptable technical errors in the performance of BSE.
  
  
  CONCLUSIONS
  We conclude that nurses and teachers should be supported with information enabling them to accomplish their roles in the community. To improve BSE practice, it is crucial to coordinate continuous and planned education.
authors.affiliation: Psychiatric Nursing, Adnan Menderes University School of Health, Genclik Cad, No:7, Aydin, Turkey. demkr_fat@yahoo.com
authors.forename: Fatma
authors.initials: F
authors.lastname: Demirkiran
authors.forename: Nevin Akdolun
authors.initials: NA
authors.lastname: Balkaya
authors.forename: Sakine
authors.initials: S
authors.lastname: Memis
authors.forename: Gulengun
authors.initials: G
authors.lastname: Turk
authors.forename: Safiye
authors.initials: S
authors.lastname: Ozvurmaz
authors.forename: Pars
authors.initials: P
authors.lastname: Tuncyurek
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001943:Breast Neoplasms / Q000175:diagnosis*; D016504:Breast Self-Examination / Q000379:methods* / Q000523:psychology; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005180:Faculty, Medical; D005260:Female; D006266:Health Education / Q000592:standards* / Q000639:trends; D006801:Humans; D008875:Middle Aged; D009723:Nurse-Patient Relations; D009726:Nurses; D010817:Physician-Patient Relations; D018570:Risk Assessment; D014421:Turkey