Seminars in Oncology Nursing最新文献

{"title":"Psychometric Properties of the Turkish Adaptive Coping with Disease Scale in Adult Cancer Patients","authors":"Cansu Akdag Topal ,&nbsp;Reyyan Gurel ,&nbsp;Tugce Ucgun ,&nbsp;Betul Sahin Kılınc","doi":"10.1016/j.soncn.2025.151847","DOIUrl":"10.1016/j.soncn.2025.151847","url":null,"abstract":"<div><h3>Objectives</h3><div>We evaluated the psychometric properties of the Turkish version of the Adaptive Coping with Disease Scale (ACDS) questionnaire for Turkish patients with cancer.</div></div><div><h3>Methods</h3><div>A total of 175 patients with cancer aged 18 to 65 years were referred to a university hospital in Ankara, Türkiye. The patients, selected by convenience sampling in 2024, completed the Descriptive Form and Turkish versions of the ACDS questionnaire. The construct validity of the scale was assessed through confirmatory factor analysis and exploratory factor analysis. Pearson's correlation analysis was conducted to evaluate the relationships between item-total scores and item-subscale total scores. The reliability of the scale was determined using Cronbach's alpha coefficient. In addition, the scale language validity and test–retest reliability were evaluated. The data were analyzed using the IBM SPSS Statistics and AMOS 25.</div></div><div><h3>Results</h3><div>The scale demonstrated high validity (content validity index = 0.97, interclass coefficient = 0.721, <em>P</em> &lt; .001), indicating high stability and consistency of test scores over time. The comparative fit index confirmed the six-factor structure of the ACDS scale, excluding item 13. The Kaiser–Meyer–Olkin coefficient was 0.738, and Bartlett's test yielded a value of 2305.623 (<em>P</em> &lt; .001). Fit indices indicated a good model fit (<em>χ</em>²/degrees of freedom = 1.98, root mean square error of approximation = 0.074, comparative fit index = 0.815). The scale exhibited acceptable internal consistency, with an overall Cronbach's alpha of 0.78. The total explained variance ratio was 57.14%.</div></div><div><h3>Conclusions</h3><div>The Turkish version of ACDS in patients with cancer is a reliable and valid questionnaire that can be used in clinics and research.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses can use the ACDS to assess the level of disease-related stress experienced by patients with cancer. In addition, they can guide the patients to develop effective coping methods and a better quality of life.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151847"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Barriers and Inequalities in Access to Comprehensive Care for Pediatric Oncology Patients: A Systematic Review","authors":"Aycan Kucukkaya ,&nbsp;Polat Goktas ,&nbsp;Remziye Semerci Şahin","doi":"10.1016/j.soncn.2025.151852","DOIUrl":"10.1016/j.soncn.2025.151852","url":null,"abstract":"<div><h3>Objectives</h3><div>This systematic review aimed to explore and synthesize existing research on the barriers and inequalities in access to comprehensive care for pediatric oncology patients.</div></div><div><h3>Methods</h3><div>The search was conducted in five databases, including PubMed, Scopus, Web of Science, CINAHL, and APA PsycINFO in December 2024. This review followed PRISMA guidelines and included studies published up to December 2024. Study quality was assessed using Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a Variety of Fields.</div></div><div><h3>Results</h3><div>Thirteen articles in this systematic reviews identified key barriers to healthcare access, including inadequate infrastructure, workforce shortages, and financial constraints. Socioeconomic disparities, geographic inequities, and racial and ethnic inequalities further exacerbated these challenges. Lower family income was linked to worse outcomes, such as higher chronic graft-versus-host disease rates and late-stage cancer diagnoses. Cross-border residency, clinical trial underrepresentation, and insufficient clinician training also contributed to disparities. Proposed solutions included psychosocial screening, workforce development, financial toxicity mitigation, and policy reforms.</div></div><div><h3>Conclusions</h3><div>This review highlights the complex and multifaceted barriers affecting equitable access to comprehensive care for pediatric oncology patients. Using a multidimensional perspective, such as the National Institute on Minority Health and Health Disparities Research Framework, our findings suggest that disparities stem from interconnected social, economic, and systemic factors. Addressing these challenges requires a comprehensive, structural, and patient-centered approach to promote equitable healthcare access.</div></div><div><h3>Implications for Nursing Practice</h3><div>This review underlines the critical role of nursing advocacy, education, and interdisciplinary collaboration in promoting equitable care and addressing disparities within this vulnerable population.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151852"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the Influences of Cervical Screening Attendance among Women of Low Socioeconomic Position Using the Integrated Screening Action Model: A Qualitative Study","authors":"Sophie Mulcahy Symmons ,&nbsp;Amanda Drury ,&nbsp;Aoife De Brún","doi":"10.1016/j.soncn.2025.151891","DOIUrl":"10.1016/j.soncn.2025.151891","url":null,"abstract":"<div><h3>Objectives</h3><div>People of lower socioeconomic position have a higher incidence of cervical cancer and lower uptake of cervical screening. The Integrated Screening Action Model considers how an individual’s environment, capability, opportunity, and motivation influence screening engagement. This study explored the influences of attending cervical screening among women of low socioeconomic position living in Dublin, Ireland, between those who are underscreened and regularly screened.</div></div><div><h3>Methods</h3><div>Semistructured interviews were conducted with those who self-reported regularly attending screening or were underscreened, no university-level education, low-income employment or not working, aged 25 to 65 years, and living in Dublin. Participants were recruited via community organizations. A framework analysis was used to explore influences between regularly screened and underscreened participants.</div></div><div><h3>Results</h3><div>Sixteen participants were interviewed, and eight were underscreened. Regularly screened participants articulated their motivation to stay well, while underscreened participants appeared to avoid the potential of bad news, which was mediated by fear. Underscreened participants seemed to have limited social support and opportunity to consider screening, whereas regularly screened participants reflected that their peers supported them to attend, and in turn, they supported others (e.g., mothers being role models for daughters). The capability to attend screening was restricted for underscreened participants who often reported not knowing how to book a screening.</div></div><div><h3>Conclusion</h3><div>The study highlights varied barriers and facilitators between those who are underscreened and regularly attend screening. Social opportunity was a major influencing factor in promoting screening and should be considered when designing interventions to promote screening in the community. Communications on screening must use understandable language. Understanding what is important to women when promoting screening uptake is essential to develop interventions that reflect their needs.</div></div><div><h3>Implications for Practice</h3><div>Women appreciate reminders and trust information from health care professionals. Health care professionals may need training for opportunistic screening and to promote the availability of cervical screening in registered health care facilities.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151891"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses’ Influence in Promotion of Cancer Health Equity in the World Health Organization Western Pacific region","authors":"Winnie Kwok Wei So ,&nbsp;Dorothy Ngo Sheung Chan ,&nbsp;Aprille Campos Banayat ,&nbsp;Ping Lei Chui ,&nbsp;Thi Khanh Nguyen ,&nbsp;Aomei Shen ,&nbsp;Alyssa Jenny Emocling Tupaz","doi":"10.1016/j.soncn.2025.151887","DOIUrl":"10.1016/j.soncn.2025.151887","url":null,"abstract":"<div><h3>Purpose</h3><div>Nurses are instrumental in reducing cancer health disparities, ensuring that every individual can access cancer care services they need without experiencing financial hardship. This commentary reveals nurses’ influence in promoting cancer health equity using examples from 4 low- and middle-income (LMIC) Western Pacific countries: China, Malaysia, the Philippines, and Vietnam.</div></div><div><h3>Methods/sources</h3><div>Literature searches were performed using search engine and databases available to the authors such as PubMed and Google search engine. The searches were conducted in 2024. Keywords used for literature search were “caner health disparities,” “health equity,” “national cancer control plan,” “cancer prevention,” “early detection of cancer,” “cancer diagnosis,” “cancer treatment,” “cancer survivorship,” “palliative care,” “childhood cancer,” “nurses” roles,” “lower-and-middle-income countries,” “LMICs,” “China,” “Malaysia,” “Philippines,” “Vietnam.” Moreover, the Global Cancer Observatory (GCO) website was accessed to find the updated statistics about the cancer burden in the Western Pacific Region countries.</div></div><div><h3>Findings</h3><div>Each example identifies major factors that contribute to cancer health disparities, challenges that nurses and other health professionals face, and innovative strategies that are used to overcome these difficulties.</div></div><div><h3>Conclusions &amp; Implications</h3><div>These examples reflect the urgent need to optimize LMIC nurses’ potential to promote cancer health equity in the Western Pacific region.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151887"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment Decision-Making in West African Women With Breast Cancer: A Critical Ethnography","authors":"Amanda Shewbridge ,&nbsp;Theresa Wiseman ,&nbsp;Alison Richardson","doi":"10.1016/j.soncn.2025.151878","DOIUrl":"10.1016/j.soncn.2025.151878","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to understand and characterize how culture affected behavior and decision-making about treatment and care in West African women with breast cancer living in the United Kingdom.</div></div><div><h3>Methods</h3><div>A critical ethnographic design was used with a sample consisting of 32 West African women, 27 supporters, and 18 health care professionals. Data were collected through 263 hours of participant observation and 98 informal and 10 formal interviews in a London cancer unit. Study materials and approach were informed by patient and public involvement group recommendations. Data were analyzed using an adapted Carspecken critical ethnographic approach.</div></div><div><h3>Results</h3><div>Three main themes were developed from the data: cultural knowledge, beliefs, and values; otherness; and cultural curiosity. West African women described a range of meanings and beliefs about their breast cancer diagnoses and treatments. They felt “Other” from, and were seen as “Other” by, their communities and health care teams. The clinical team exhibited varying levels of cultural curiosity, which evolved over time.</div></div><div><h3>Conclusion</h3><div>Cultural beliefs concerning cancer and its treatment were so strong that they led to some women refusing, delaying, or interrupting treatment. Nurses must seek to understand and value the perspectives and beliefs of people from unfamiliar cultures and consider how services might be made more flexible to meet their specific needs.</div></div><div><h3>Implications for Nursing Practice</h3><div>By being culturally curious and gaining understanding about how a woman's culture affects decisions about treatment and care, health care professionals began to understand that patients are more able to accept optimum treatment if adjustments are made to the service.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151878"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Low-Risk Febrile Neutropenia Management: An Audit of Practice in a UK Cancer Center","authors":"Matthew Fowler ,&nbsp;Andrea Nagy ,&nbsp;James Donaldson ,&nbsp;Julie Thompson ,&nbsp;AnnMarie Walton ,&nbsp;Mary Affronti","doi":"10.1016/j.soncn.2025.151892","DOIUrl":"10.1016/j.soncn.2025.151892","url":null,"abstract":"<div><h3>Background</h3><div>Febrile neutropenia (FN) is a known complication of chemotherapy. Guidelines from American Society of Clinical Oncology and National Institute for Health and Care Excellence support outpatient management for low-risk FN patients; however, implementation varies across United Kingdom (UK) cancer centers. While some centers have adopted outpatient pathways, others continue to rely on inpatient care, leading to inequities in FN management. Standardized use of risk stratification tools, such as the Multinational Association of Supportive Care in Cancer (MASCC) and Clinical Index of Stable Febrile Neutropenia (CISNE) scores, is essential for equitable FN management. Globally, oncology nurses play a critical role in optimizing FN care to reduce hospital admissions in low-risk patients.</div></div><div><h3>Objectives</h3><div>This retrospective study aimed to determine the proportion of FN patients classified as low risk using the MASCC and CISNE scores, evaluate their clinical outcomes, and assess the feasibility of outpatient management.</div></div><div><h3>Methods</h3><div>A retrospective audit of adult patients with solid tumors admitted with FN was conducted at a UK NHS cancer center over a 6-month period. Data on MASCC/CISNE scores, clinical outcomes, length of stay, and antibiotic use were extracted from electronic records. Statistical analyses, including Mann–Whitney <em>U</em> and Kruskal–Wallis tests, were performed. A cost analysis estimated potential financial savings from outpatient management.</div></div><div><h3>Results</h3><div>Of 18 FN admissions, 11 (61.1%) were classified as low risk by MASCC, and 6 (54.5%) of these were also low risk by CISNE. No adverse events were observed. The median length of stay was shorter for MASCC low-risk patients <em>v</em> high-risk patients (6 <em>v</em> 8 days, <em>P</em> = .043). Estimated cost savings were approximately £30,000 over 6 months. Some UK centers have successfully implemented outpatient FN pathways, but variation in risk stratification and systemic inequities exist.</div></div><div><h3>Conclusions</h3><div>Oncology nurses are key to standardizing FN risk assessment and advocating for equitable outpatient FN care. Addressing disparities in low-risk FN management may optimize healthcare resources and improve patient experience.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151892"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor Regarding “Nursing Care Throughout the Chimeric Antigen Receptor T-Cell Therapy Process for Multiple Myeloma”","authors":"Lúcia Bacalhau,&nbsp;Patrícia Pontifice-Sousa","doi":"10.1016/j.soncn.2025.151846","DOIUrl":"10.1016/j.soncn.2025.151846","url":null,"abstract":"","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151846"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Living With and Beyond” the Terms “Patient\" and “Survivor”: A Lived Experience Discussion of Terms Used by Young Adults With Cancer","authors":"Stewart O'Callaghan ,&nbsp;Carmen Monge-Montero ,&nbsp;Katie Rizvi","doi":"10.1016/j.soncn.2025.151890","DOIUrl":"10.1016/j.soncn.2025.151890","url":null,"abstract":"<div><h3>Objectives</h3><div>This paper explores the contexts and acceptability of common and emerging terms used to refer to oneself when facing cancer, including “patient,” “survivor,” and the newer terms “living with and beyond” and “lived experience.”</div></div><div><h3>Methods</h3><div>The discussion is informed by social identity theory, literature review, advocacy work, and lived cancer experience from the authors.</div></div><div><h3>Results</h3><div>The term “patient” is recognized for its semantic relevance and widespread usage, but also its limitations for those with chronic or metastatic cancers, and people post-treatment. “Survivor” has similar prevalence and is noted for its community-driven emergence, however it lacks consensus on its qualifying definition and invokes “struggle language” which is not readily accepted by all. These two terms are contrasted with the more recent “lived experience” and “living with and beyond” phrasing seen in America and Western Europe. These terms map onto a larger variety of individual cancer experiences and recognize the agency of the individual. However, these terms are limited by their lack of clear translation into other languages and their comparatively complex phrasing.</div></div><div><h3>Conclusion</h3><div>It is recognized that heterogeneity in patient preference for social identity-based terms in cancer will persist, but as professionals, there is a duty to acknowledge and support the development of new terms for self-identification within the cancer community, especially when it presents a potential for improved autonomy, agency, and individuality.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses play an important role in supporting psychological wellbeing of people with a lived cancer experience which can be facilitated through individualized approaches to cancer-specific social identity terms.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151890"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oncology Nursing Interventions for Breast Cancer patients: Critical Appraisal of Systematic Reviews","authors":"Elaine Barros Ferreira ,&nbsp;Amanda Gomes de Menêses ,&nbsp;Bruna Nogueira dos Santos ,&nbsp;Paloma Gomes ,&nbsp;Paula Elaine Diniz dos Reis ,&nbsp;Renata Cristina de Campos Pereira Silveira","doi":"10.1016/j.soncn.2025.151884","DOIUrl":"10.1016/j.soncn.2025.151884","url":null,"abstract":"<div><h3>Purpose</h3><div>This review aimed to evaluate the methodological quality of systematic reviews focusing on oncology nursing interventions for breast cancer patients.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted to identify systematic reviews and meta-analyses published from 2009. The methodological quality of the included reviews was evaluated using the AMSTAR-2 tool.</div></div><div><h3>Results</h3><div>Eighteen studies, comprising 11 meta-analyses, met the inclusion criteria. Forty-four percent of the studies solely focused on patients with breast cancer, while 56% of the reviews incorporated samples with various cancer types alongside breast cancer. AMSTAR-2 assessment revealed quality as critical low (n = 14) and low (n = 2) scores. Only 1 study was rated moderate quality, and 1 was rated high quality.</div></div><div><h3>Conclusions</h3><div>This review highlights the potential for significant bias in systematic reviews and meta-analyses informing breast cancer care decisions in oncology nursing. We recommend that researchers adhere to established guidelines such as PRISMA and AMSTAR-2.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151884"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Mediating Role of Mammography Self-Efficacy in the Effect of Cancer Attitudes on Fear of Breast Cancer in Women","authors":"Didem Kandemir ,&nbsp;Serpil Yüksel ,&nbsp;Yalçin Kanbay ,&nbsp;Zeynep Temiz ,&nbsp;Gülay Altun Uğras ,&nbsp;Neriman Akyolcu","doi":"10.1016/j.soncn.2025.151896","DOIUrl":"10.1016/j.soncn.2025.151896","url":null,"abstract":"<div><h3>Objectives</h3><div>To determine the relationship between the attitudes toward cancer and the fear of breast cancer of women aged 40 to 69 and to examine the mediating role of mammography self-efficacy in this relationship.</div></div><div><h3>Methods</h3><div>This descriptive and cross-sectional study was conducted involving 551 women between May and October 2023. Data were collected using the “Champion Breast Cancer Fear Scale,” “Cancer Measuring Attitudes Survey,” and “Mammography Self-Efficacy Scale.” Statistical analysis was performed using the Statistical Package for Social Sciences version 26.0, Process Macro program, and AMOS 24 package program.</div></div><div><h3>Results</h3><div>The effect of attitude toward cancer on mammography self-efficacy, which is a mediating variable, was found to be negative and significant (<em>P</em> &lt; .001). It was determined that the effect of mammography self-efficacy on the outcome variable, fear of breast cancer, was positive and significant. Furthermore, the direct effect of attitude toward cancer on the outcome variable, fear of breast cancer, was positive and significant (<em>P</em> &lt; .05). Additionally, mammography self-efficacy was found to mediate the relationship between cancer-related attitudes and fear of breast cancer.</div></div><div><h3>Conclusions</h3><div>This study has indicated that as women’s negative attitudes toward cancer increase, their mammography self-efficacy levels decrease; that as breast cancer fears increase, mammography self-efficacy levels increase, and that as negative attitudes toward cancer increase, breast cancer fears increase. Additionally, the mediating role of the mammography self-efficacy variable in the relationship between attitude toward cancer and fear of breast cancer was found to have a low-magnitude effect.</div></div><div><h3>Implications for Nursing Practice</h3><div>These results provide a valuable framework for developing educational interventions aimed at improving early diagnosis behaviors and emphasizing the importance of activating programs aimed at increasing self-efficacy and reducing barriers to access to mammography, especially in women with low socio-economic levels.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151896"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}