A Bibliometric Analysis of the 36-Year History of Cancer Nursing (1987-2023).

BACKGROUND: Bibliometric analysis is an effective method for evaluating the publication characteristics and development of a journal. To our knowledge, this study is the first such analysis of the publications in Cancer Nursing . OBJECTIVE: This study aimed to analyze the publication characteristics and evolution of Cancer Nursing over a period of 36 years since its inception. METHODS: Bibliometric analysis was carried out on 3095 publications. Data were collected from the Web of Science Core Collection database on September 15, 2023. Data analysis was conducted with Web of Science Core Collection, VOSviewer, and Bibliometrix package in R software. RESULTS: The results showed a steady increase in the citation and publication structure of Cancer Nursing . "Quality of life" was at the center of the studies, and "quality of life," "women," and "breast cancer" were identified as trend topics. The United States was both at the center of the cooperation network and was the country that contributed the most publications to the journal. CONCLUSION: Cancer Nursing has had an increasing contribution to and impact on cancer nursing in terms of the quality and citations of published articles. It was noted that the journal's network of collaboration has expanded globally and that its thematic diversity is high. Although quality of life, women, and breast cancer have been reported extensively, more studies addressing the concepts of "children," "support," and "needs" are needed in the journal. IMPLICATIONS FOR PRACTICE: This study not only enriches global readers in the field of cancer nursing but may also be beneficial in providing input to guide future research.

Comparison of mammography behaviors, health beliefs, and fear levels of women with and without familial breast cancer history.

This comparative descriptive study compared mammography behaviors, health beliefs, and fear levels of Turkish women aged 40-69 years, who had or did not have a familial breast cancer history (FBCH). The sample included first-degree female relatives (n = 350) of 220 female patients who had received breast cancer treatment at Akdeniz University Hospital and first-degree female relatives of women who did not have a FBCH (n = 300) who had applied to a Family Health Center (FHC) in Antalya. Data were collected between October 2015 and March 2016. The percentage of women who regularly had a mammography was 38% in women with a FBCH and 15.3% in women without a FBCH. Women with a FBCH had higher susceptibility, seriousness, health motivation, mammography self-efficacy perception, and fear of breast cancer, and lower perception of mammography barriers than women without a FBCH. The frequency of having mammography in women with and without a FBCH increased with increased susceptibility perception and was higher in women with a FBCH than in women without a FBCH. Additionally, being single increased mammography screening behavior in those with FBCH. Trainings on screenings should emphasize risks of breast cancer and mammography barriers of the married ones should be reduced.

Breast Cancer Screening Behaviors of First Degree Relatives of Women Receiving Breast Cancer Treatment and the Affecting Factors.

OBJECTIVE: First-degree relatives of women with breast cancer are under higher risk when compared with the general population. The aim of this study is to evaluate breast cancer screening behaviors of women who are first-degree relatives of women with breast cancer and factors affecting these behaviors. MATERIALS AND METHODS: This descriptive study included 240 patient relatives, who agreed to participate in the study through contact with first-degree relatives of 133 patients who were receiving breast cancer treatment at the Oncology and Chemotherapy unit of an university hospital in Turkey. Data were collected using the "Descriptive Characteristics Form," which consisted of socio-demographic characteristics, health history, breast cancer risk level and health beliefs as well as the "Breast Cancer Screening Behavior Evaluation Form". RESULTS: Out of the subjects, 17% reported doing breast self examination (BSE), 18% reported getting clinic breast examination (CBE) and 17% reported getting mammography. Logistic regression analysis showed that perceived susceptibility increased BSE by 0.57 times and increased mammography by 0.77 times. Physical exercise increased CBE by 0.21 times and increased mammography by 0.13 times. CONCLUSIONS: It was found that women with familial breast cancer history (FBCH) had lower participation in screening behaviors. Higher susceptibility perception and regular physical exercise are the determinant variables. Women with a higher susceptibility can be led towards the screening and their participation can be increased. In women with family history, the development of healthy lifestyle behaviors like physical exercise should be supported.

Elapsed Time Between the First Symptoms of Breast Cancer and Medical Help-Seeking Behavior and the Affecting Factors.

BACKGROUND: Many studies have determined that the time between women's realization of first symptoms and seeking help from a healthcare professional is more than 1 month. The situation is defined as delay in medical help-seeking behavior (MHSB). OBJECTIVE: The purpose of this study was to determine the time elapsed between the first symptoms of breast cancer and MHSB, as well as the factors contributing to the delay. METHODS: In this descriptive study, the data were collected from 132 patients who received a diagnosis of breast cancer and are receiving treatment in the Oncology Clinic of Akdeniz University Hospital. The questionnaire used in the study was structured in 3 parts: sociodemographic characteristics, breast cancer history/screening behaviors, and psychological factors affecting MHSB. The elapsed time between patients' first symptoms and MHSB was classified into "normal" when it was less than 1 month, "delay" when it was between 1 and 3 months, "long-term delay" when it was more than 3 months, and "very serious delay" when it was more than 6 months. RESULTS: A total of 59.8% were classified as normal, 16.7% as delayed, 5.3% as a long-term delay, and 18.2% as a very serious delay after first symptoms. The delay in MHSB time was affected 18.55 times by "not caring/minding," 10.73 times by "fear," 7.13 times by "having more important problems," and 4.23 times by "realization of first symptoms" by themselves. CONCLUSION: Psychological factors were the most important determinants in delay. The MHSB time was less if those first realizing the symptoms were healthcare professionals. IMPLICATIONS FOR PRACTICE: Healthcare professionals should direct women to screenings and train them to interpret symptoms correctly.

Validity and Reliability of the Turkish Version of the Nurse Cultural Competence Scale.

PURPOSE: Measuring the cultural competence of nurses is becoming an increasingly important aspect to assess the quality care for individuals in multicultural populations such as Turkey. The purpose is to adapt the Nurse Cultural Competence Scale (NCCS) into the Turkish language and to determine its validity and reliability. DESIGN: A total of 235 nurses were included in the methodological study in Antalya, Turkey. The NCCS-Turkish (NCCS-T) form was used after linguistics and psychometric measurements. RESULTS: Cronbach's α value was .96, which demonstrated high reliability, and item-total correlations were between .66 and .81.Test-retest reliability correlation was .90. The content validity index was .98, and the 20 items of the NCCS-T loading on one factor varied between .70 and .83, explaining 59.02% of the variance. CONCLUSIONS: Psychometric properties of the NCCS-T were highly reliable and valid. IMPLICATIONS FOR PRACTICE: The scale can be used in the cross-cultural studies to compare nurses' cultural competency.

Effects of Interventions Based on Health Behavior Models on Breast Cancer Screening Behaviors of Migrant Women in Turkey.

BACKGROUND: Antalya is a city receiving internal and external migration in Turkey, including migrant women in need of developing breast cancer screening behaviors. OBJECTIVE: The aim of this study was to develop breast cancer screening behaviors of migrant women through nursing interventions based on the Health Belief Model and the Health Promotion Model. METHODS: This quasi-experimental study was conducted with 200 women (100 women in the intervention group, 100 women in the control group) in Antalya. The intervention group received training, consultancy service, and reminders and was followed up at 3 and 6 months after interventions. RESULTS: The rates of breast self-examination, clinical breast examination and mammography were higher at months 3 and 6 in women in the intervention group compared with the women in the control group. In the intervention group, perceptions of susceptibility and barriers decreased after the interventions, and benefit, health motivation, and self-efficacy perceptions increased. According to month 6 data, in the intervention group, the decrease of each unit in perception of barriers increased the rate of breast self-examination 0.8 times and the rate of mammography 0.7 times. An increase of each unit in health motivation increased the rate of clinical breast examination 1.3 times and the rate of mammography 1.5 times. CONCLUSION: Interventions based on health behavior models positively affected breast cancer screening behaviors of migrant women. Health motivations and perceptions of barriers are determinants in performing the screening behaviors. IMPLICATIONS FOR PRACTICE: Migrant women should be supported more by healthcare professionals regarding recognition of breast health and disease and in transportation to screening centers in their new location.

Barriers and facilitators to breast cancer screening among migrant women within Turkey.

AIM: The purpose of this study was to examine facilitators and barriers that migrant women in Turkey identified related to breast self-examination, clinical breast examination, and mammography. DESIGN: Focus group method was conducted with 39 women. An interview guide based on the Health Belief Model (HBM) and the Health Promotion Model (HPM) was used. RESULTS: Three main themes became apparent as a result of data analysis: (a) knowledge and awareness about breast cancer, (b) personal factors, and (c) medical service provider and social environment. CONCLUSIONS: Focus groups conducted in line with HBM and HPM were effective in explaining barriers and facilitators toward participation of women in screening behaviors. Lack of information, indifference, and cultural factors are the most important barriers of women. RECOMMENDATIONS FOR PRACTICE: The study will shed light on health care professionals working in primary health care organizations for developing the health training programs and consulting strategies in order to increase breast cancer screening practices of migrant women.