Nurse Navigation Program Based On Health Belief Model In Breast Cancer Screening (NaHeB-CaS)

This study, which is designed according to the experimental model with randomized pre-test and post-test control group, will be carried out with Syrian women who apply to Empowered Migrant Health Center in İstanbul province, Sultanbeyli district, where Syria citizens are immigranted. The population of the study consisted of all Syrian women aged 40-69 under temporary protection who came to the Empowered Migrant Health Center at the time of the research. The working group will be composed of 80 Syrian women who meet the selection criteria. According to the sources, the frequency of breast cancer screening in Turkey is taken as 15%; For the study at 95% confidence level, d=0,6 was taken and n=136 sample size was taken. Considering that there may be those who left during the research period, 14 women will be taken as substitutes and the sample will be completed to a total of 150 in order to increase the power of representing the universe. A personal questionnaire prepared by the researcher in line with the literature, Health Belief Model Scale, Mammography Self-Efficacy Scale, Champion Breast Cancer Fear Scale, Breast Self Examination Checklist Form, will be administered to Syrian women under temporary protection who applied to the empowered migrant health center and agreed to participate in the study.According to the sample pool formed by the women included in the study, the participants were assigned to 2 groups as experiment and control with the "Research Randomizer" program. Each group will be determined as 75 people. A 4-week training program will be applied to the experimental group. The women in the experimental group will be given a self-breast examination control calendar after their first training. Afterwards, motivational interviews will be held once a month for the second and third months. A "Nurse-managed screening consultancy telephone support line" will be established for Syrian women within the scope of the Nurse Navigation Program. Reminder phone calls will be made 4 times a week. Personal questionnaire, Health Belief Model Scale, Mammography Self-Efficacy Scale, Champion Breast Cancer Fear Scale, Breast Self Examination Checklist Form, Post-Training Screening Behavior Follow-up Form will be administered to the experimental and control groups as a post-test.

Sex

Female

Minimum age

40 Years

Maximum age

69 Years

Inclusion Criteria:

* Being between the ages of 40-69.
* Being a woman.
* Not having been diagnosed with breast cancer.
* Not doing BSE on a regular basis every month.
* Not having had CME and mammography in the last three years.
* Not to be pregnant, breastfeeding or postpartum.
* No history of breast cancer.
* Not having received training on breast cancer.
* To agree to participate in the research.
* Absence of a mental illness.
* Being literate, accessible and communicative.
* Not having a communication barrier
* Being registered with Sultanbeyli Empowered Migrant Health Center

Exclusion Criteria:

* Having a problem with breast cancer before.
* Having BSE, CBE or Mammography at regular intervals.
* Having had a mastectomy for any reason.