Knowledge and Practice Regarding Breast Self-Examination (BSE) among Nursing Students Working in A Tertiary Care Hospital Lahore, Pakistan: An Observational Descriptive Cross Sectional Study

Main Article Content

Surrya Shahid
Shahid Anjum
Gulshan Umbreen
Chanda Jabeen

Abstract

Background: Breast self-examination (BSE) is a simple, quick, and cost-free method crucial for the early detection of breast cancer, which significantly reduces morbidity and mortality. Health Sciences students, particularly those in nursing, are ideally positioned to serve as role models and educators on this practice.


Objective: The objective of this study was to assess the knowledge and practice of BSE among nursing students at a tertiary care hospital in Lahore, with a view to identifying gaps that could be addressed through targeted educational programs.


Methods: This observational descriptive cross-sectional study engaged nursing students from various academic levels at a tertiary care hospital in Lahore. Participants were selected through convenience sampling. Adherence to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement was ensured. Data were collected via a self-administered structured questionnaire and analyzed using SPSS software version 26, focusing on frequencies and percentages of categorical variables.


Results: Of the participants, 63.76% demonstrated a high level of knowledge about BSE, scoring ≥75%. In contrast, 36.23% scored below 75%, indicating a low level of knowledge. Practice of BSE was limited, with only 47% (n=65) of the participants engaging in the practice, and the majority, 53% (n=73), not practicing at all.


Conclusion: Although nursing students show a good understanding of BSE, a significant gap exists between their knowledge and actual practice. This discrepancy highlights the need for enhanced educational interventions to encourage regular BSE practice, which is essential for the effectiveness of breast cancer screening and early detection efforts.

Article Details

How to Cite
Shahid, S., Anjum, S., Umbreen, G., & Jabeen, C. (2024). Knowledge and Practice Regarding Breast Self-Examination (BSE) among Nursing Students Working in A Tertiary Care Hospital Lahore, Pakistan: An Observational Descriptive Cross Sectional Study. Journal of Health and Rehabilitation Research, 4(2), 388–393. https://doi.org/10.61919/jhrr.v4i2.809
Section
Articles
Author Biographies

Surrya Shahid, Sharif City College of Nursing

Assistant Professor, MPH, Post RN, RN, RM, Sharif City College of Nursing, 

Shahid Anjum, Shalamar Hospital Lahore

Senior Nurse Manager, Registered Nurse, RN, Specialization ICU-CCU. Shalamar Hospital Lahore

Gulshan Umbreen, Gulfreen Nursing College Lahore.

PhD Scholar Epidemiology and Public Health, University of Veterinary and Animal Sciences, Lahore, Pakistan. MPhil, Post RN, RM. Senior Nursing Lecturer, Gulfreen Nursing College Lahore.

Chanda Jabeen, Bahria College of Nursing.

Assistant Professor, PhD Scholar Epidemiology and Public Health, University of Veterinary and Animal Sciences, Lahore, Pakistan. MPhil, RN, RM. Bahria College of Nursing.

References

Akram M, Iqbal M, Daniyal M, Khan AU. Awareness and current knowledge of breast cancer. Biological research. 2017;50:1-23.

Milosevic M, Jankovic D, Milenkovic A, Stojanov D. Early diagnosis and detection of breast cancer. Technology and Health Care. 2018;26(4):729-59.

Organization WH. Breast cancer: prevention and control. http://www.who int/cancer/detection/breastcancer/en/print html. 2010.

Sohail S, Alam SN. Breast cancer in Pakistan-awareness and early detection. 2007.

Zaheer S, Shah N, Maqbool SA, Soomro NM. Estimates of past and future time trends in age-specific breast cancer incidence among women in Karachi, Pakistan: 2004–2025. BMC public health. 2019;19:1-9.

Edgar L, Glackin M, Hughes C, Ann Rogers KM. Factors influencing participation in breast cancer screening. British Journal of Nursing. 2013;22(17):1021-6.

Gøtzsche PC. Mammography screening: truth, lies, and controversy. The Lancet. 2012;380(9838):218.

Khaliq IH, Mahmood HZ, Sarfraz MD, Gondal KM, Zaman S. Pathways to care for patients in Pakistan experiencing signs or symptoms of breast cancer. The Breast. 2019;46:40-7.

Gulzar F, Akhtar MS, Sadiq R, Bashir S, Jamil S, Baig SM. Identifying the reasons for delayed presentation of Pakistani breast cancer patients at a tertiary care hospital. Cancer management and research. 2019:1087-96.

Abera H, Mengistu D, Bedaso A. Effectiveness of planned teaching intervention on knowledge and practice of breast self-examination among first year midwifery students. PloS one. 2017;12(9):e0184636.

Dagne AH, Ayele AD, Assefa EM. Assessment of breast self-examination practice and associated factors among female workers in Debre Tabor Town public health facilities, North West Ethiopia, 2018: Cross-sectional study. PloS one. 2019;14(8):e0221356.

Shallo SA, Boru JD. Breast self-examination practice and associated factors among female healthcare workers in West Shoa Zone, Western Ethiopia 2019: a cross-sectional study. BMC research notes. 2019;12:1-6.

Mansha M, Saleem M, Wasim M, Tariq M. Prevalence of known risk factors in women diagnosed with breast cancer at Inmol Hospital, Lahore, Punjab. Asian Pacific journal of cancer prevention. 2016;17(2):563-8.

Shaukat U, Ismail M, Mehmood N. Epidemiology, major risk factors and genetic predisposition for breast cancer in the Pakistani population. Asian Pacific journal of cancer prevention. 2013;14(10):5625-9.

Kalliguddi S, Sharma S, Gore CA. Knowledge, attitude, and practice of breast self-examination amongst female IT professionals in Silicon Valley of India. Journal of family medicine and primary care. 2019;8(2):568.

Umbreen G, Rehman A, Avais M, Jabeen C, Sadiq S, Maqsood R, et al. Knowledge, Attitude, Practice and Barriers Associated with Influenza Vaccination among Health Care Professionals Working at Tertiary Care Hospitals in Lahore, Pakistan: A Multicenter Analytical Cross-Sectional Study. Vaccines. 2023;11(1):136.

Desta F, Workicho A, Atomsa A, Workneh D, Tebeje B. Knowledge, practice and associated factors of breast self examination among female students of the College of Public Health and Medical Science, Jimma University, Ethiopia. Am J Health Res. 2018;6(2):44-50.

Kasa AS, Minibel A, Bantie GM. Knowledge, attitude and preventive practice towards tuberculosis among clients visiting public health facilities. BMC research notes. 2019;12(1):1-6.

Akhtari-Zavare M, Juni MH, Said SM, Ismail IZ. Beliefs and behavior of Malaysia undergraduate female students in a public university toward breast self-examination practice. Asian Pacific journal of cancer prevention. 2013;14(1):57-61.

Umbreen G, Jabeen C, Riaz MS. BREAST SELF-EXAMINATION (BSE);: KNOWLEDGE, ATTITUDE AND PRACTICE AMONG POST RN NURSING STUDENTS IN LAHORE. The Professional Medical Journal. 2017;24(03):453-7.

Ahmed A, Zahid I, Ladiwala ZFR, Sheikh R, Memon AS. Breast self-examination awareness and practices in young women in developing countries: A survey of female students in Karachi, Pakistan. Journal of education and health promotion. 2018;7.

Ayed A, Eqtait F, Harazneh L, Fashafsheh I, Nazzal S, Talahmeh B, et al. Breast Self-Examination in Terms of Knowledge, Attitude, and Practice among Nursing Students of Arab American University/Jenin. Journal of Education and Practice. 2015;6(4):37-47.

Rasool S, Iqbal M, Siddiqui A, Ahsan R, Mukhtar S, Naqvi S. Knowledge, attitude, practice towards breast cancer and breast self-examination among female undergraduate students in Karachi, Pakistan. Journal of Advances in Medicine and Medical Research. 2019;29(9):1-11.

Nemenqani DM, Abdelmaqsoud SH, Al-Malki A-HA, Oraija AA, Al-Otaibi EM. Knowledge, attitude and practice of breast self examination and breast cancer among female medical students in Taif, Saudi Arabia. Open Journal of Preventive Medicine. 2014;4(02):69-77.

Asmare K, Birhanu Y, Wako Z. Knowledge, attitude, practice towards breast self-examination and associated factors among women in Gondar town, Northwest Ethiopia, 2021: a community-based study. BMC Women's Health. 2022;22(1):174.