|
Volume 13, Issue 9 (September 2026), Pages: 123-129
----------------------------------------------
Original Research Paper
Enhancing breast cancer awareness through a nursing-led training program for Saudi university staff: A quasi-experimental study
Author(s):
Mohammed Elsayed Zaky 1, 2, *, Abeer Nuwayfi Alruwaili 3, Shaimaa Ahmed Awad Ali 1, 4, Fatma Zaghloul Mahmoud 5, 6, Shahenda A. Salih 7, Amira Abd El-Azeem Mohamed Yossif 8, Amoura Soliman Behairy 9, 10, Naglaa Hassan Abu ElZahab 5, Heba Tallah Elashmawy Mohamed Shaban 5, 6, Eman Said Abo El Ella Hassan 6, 11, Basma M. Korany 2, 9, Nermen Abdelftah Mohamed 8, 12, Shahira Mohamed Metwaly 13, Mohammed Ali Pessa 14, Shimaa Magdy Farghaly 1, 2
Affiliation(s):
1Department of Medical Surgical Nursing, College of Nursing, Jouf University, Sakaka, Saudi Arabia 2Department of Medical Surgical Nursing, Faculty of Nursing, Cairo University, Cairo, Egypt 3Department of Nursing Administration and Education, College of Nursing, Jouf University, Sakaka, Saudi Arabia 4Department of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt 5Department of Maternal & Child Health Nursing, College of Nursing, Majmaah University, Al Majmaah 11952, Saudi Arabia 6Department of Maternal and Newborn Health Nursing, Faculty of Nursing, Cairo University, Cairo, Egypt 7Department of Maternity and Child Health Nursing, College of Nursing, Jouf University, Sakaka, Saudi Arabia 8Department of Medical Surgical Nursing, College of Nursing, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia 9Department of Advanced Nursing Care, College of Nursing, Majmaah University, Al Majmaah 11952, Saudi Arabia 10Department of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Shebin Alkom, Egypt 11Department of Maternity and Child Health Nursing, Faculty of Nursing, University of Tabuk, Tabuk, Saudi Arabia 12Department of Adult Nursing, Faculty of Nursing, Kafrelsheikh University, Kafrelsheikh, Egypt 13Department of Community Health Nursing, Faculty of Nursing, October 6 University, October 6 City, Egypt 14Department of Nursing Administration, College of Nursing, Majmaah University, Al Majmaah 11952, Saudi Arabia
Full text
Full Text - PDF
* Corresponding Author.
Corresponding author's ORCID profile: https://orcid.org/0000-0002-4244-1459
Digital Object Identifier (DOI)
https://doi.org/10.21833/ijaas.2026.09.012
Abstract
Breast cancer is a major health problem worldwide, particularly in Saudi Arabia, where it is often diagnosed in younger women and at more advanced stages than in Western countries. Breast self-examination (BSE) is a low-cost method, but knowledge and practice remain limited. This study aimed to assess the effect of a nursing-led BSE education program on the knowledge and practice of non-medical female staff. A one-group pretest–posttest study was conducted with 60 female staff at Jouf University. The program was based on Roy’s Adaptation Model and included structured teaching sessions and practical demonstrations using a silicone breast model. Participants were assessed before the program, immediately afterward, and two months later. A validated knowledge test and a 20-item BSE checklist were used. Mean knowledge scores increased from 5.17 (SD = 1.74) at baseline to 9.18 (SD = 0.43) after the intervention. Mean practice scores increased from 1.53 (SD = 2.46) to 20.0 (SD = 5.6). Improvements remained at follow-up. Both outcomes showed statistical significance (p = 0.001). The findings suggest that nursing-led education may improve BSE knowledge and practical skills among female university staff.
© 2026 The Authors. Published by IASE.
This is an open access article under the CC BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Keywords
Breast self-examination, Nursing education, Knowledge assessment, Health education, Breast cancer awareness
Article history
Received 12 May 2026, Received in revised form 26 August 2026, Accepted 21 September 2026
Acknowledgment
The authors would like to express their sincere gratitude to all female non-medical staff members who voluntarily participated in this study. Their time, cooperation, and active engagement during the educational sessions and follow-up assessments were essential to the successful completion of this research.
Compliance with ethical standards
Ethical considerations
Ethical approval was btained from The Local Committee of Bioethics (LCBE), Jouf University NO (6-04-45). All procedures involving human participants were conducted in accordance with the ethical standards of the institutional and/or national research committee, and with the 1964 Helsinki Declaration and its later amendments.
Conflict of interest: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Citation:
Zaky ME, Alruwaili AN, Ali SAA, Mahmoud FZ, Salih SA, Yossif AAEAM, Behairy AS, ElZahab NHA, Shaban HTEM, Hassan ESAEE, Korany BM, Mohamed NA, Metwaly SM, Pessa MA, and Farghaly SM (2026). Enhancing breast cancer awareness through a nursing-led training program for Saudi university staff: A quasi-experimental study. International Journal of Advanced and Applied Sciences, 13(9): 123-129
Permanent Link to this page
----------------------------------------------
References (18)- Abo Al-Shiekh SS, Ibrahim MA, and Alajerami YS (2021). Breast cancer knowledge and practice of breast self‐examination among female university students, Gaza. The Scientific World Journal, 2021: 6640324. https://doi.org/10.1155/2021/6640324 [Google Scholar] PMid:34007246 PMCid:PMC8100409
- Ahmed SAEM and Shrief SE (2019). The effect of health promotion program on female breast self-examination knowledge and practice. Egyptian Nursing Journal, 16(1): 25-35. https://doi.org/10.4103/ENJ.ENJ_24_18 [Google Scholar]
- Akhtari-Zavare M, Ghanbari-Baghestan A, Latiff LA, Matinnia N, and Hoseini M (2014). Knowledge of breast cancer and breast self-examination practice among Iranian women in Hamedan, Iran. Asian Pacific Journal of Cancer Prevention, 15(16): 6531–6534. https://doi.org/10.7314/APJCP.2014.15.16.6531 [Google Scholar] PMid:25169482
- Albeshan S, Shubayr N, and Alashban Y (2023). Assessment of knowledge and awareness about breast self-examination among university female students in Saudi Arabia. Breast Cancer: Targets and Therapy, 15: 91–99. https://doi.org/10.2147/BCTT.S396903 [Google Scholar] PMid:36755689 PMCid:PMC9900142
- Almeshari M, Alzamil Y, Alyahyawi A, Abanomy A, Althmali O, Al-Enezi MSGSC, Osman H, and Khandaker MU (2023). Awareness level, knowledge and attitude towards breast cancer among staff and students of Hail University, Saudi Arabia. PLOS ONE, 18(3): e0282916. https://doi.org/10.1371/journal.pone.0282916 [Google Scholar] PMid:36921002 PMCid:PMC10016680
- Almohanna H, Almsned F, Alharbi H, Al Dossary N, Alrasheed A, Alzayer R, and Alwosaibai K (2025). A comprehensive epidemiological analysis of breast cancer in the Eastern Province of Saudi Arabia. Scientific Reports, 15: 20816. https://doi.org/10.1038/s41598-025-05276-7 [Google Scholar] PMid:40592998 PMCid:PMC12216766
- Alomair AN, Felemban DG, Felemban MS, Awadain JA, Altowairqi AS, Alfawzan NF, Almazayen FM, Korkoman AJ, and Alrusayyis NS (2020). Knowledge, attitude, and practice of breast self-examination toward breast cancer among female students at King Saud University in Riyadh, Saudi Arabia. International Journal of Medicine in Developing Countries, 4(2): 429-434. https://doi.org/10.24911/IJMDC.51-1576668182 [Google Scholar]
- Conte L, De Nunzio G, Lupo R, Mieli M, Lezzi A, Vitale E, Carriero MC, Calabrò A, Carvello M, Rubbi I, and Federico M (2023). Breast cancer prevention: The key role of population screening, breast self-examination (BSE) and technological tools. Survey of Italian women. Journal of Cancer Education, 38: 1728-1742. https://doi.org/10.1007/s13187-023-02327-3 [Google Scholar] PMid:37400725 PMCid:PMC10509132
- Husna PH, Nurtanti S, Handayani S, Ratnasari NY, Ambarwati R, and Susanto T (2019). Breast self-examination education for skill and behavior. Education for Health, 32(2): 101-102. https://doi.org/10.4103/efh.EfH_226_18 [Google Scholar] PMid:31745006
- Hussein D, Gashaw K, Geleta TA, Girma D, Geleta LA, and Oyato BT (2023). Exploring enablers and barriers to breast self-examination among women in the North Shewa Zone, Oromia, Ethiopia: A qualitative study. Scientific Reports, 13: 17455. https://doi.org/10.1038/s41598-023-44808-x [Google Scholar] PMid:37838805 PMCid:PMC10576758
- Manisha BK and Kaphle HP (2023). Breast self-examination: Knowledge, practice and associated factors among 20 to 49 years aged women in Butwal sub-metropolitan, Rupandehi, Nepal. PLOS ONE, 18(6): e0286676. https://doi.org/10.1371/journal.pone.0286676 [Google Scholar] PMid:37267248 PMCid:PMC10237491
- Mekonnen BD (2020). Breast self-examination practice and associated factors among female healthcare workers in Ethiopia: A systematic review and meta-analysis. PLOS ONE, 15(11): e0241961. https://doi.org/10.1371/journal.pone.0241961 [Google Scholar] PMid:33170880 PMCid:PMC7654829
- Mihret MS, Gudayu TW, Abebe AS, Tarekegn EG, Abebe SK, Abduselam MA, Shiferaw TD, and Kebede GW (2021). Knowledge and practice on breast self‐examination and associated factors among summer class social science undergraduate female students in the University of Gondar, Northwest Ethiopia. Journal of Cancer Epidemiology, 2021: 8162047. https://doi.org/10.1155/2021/8162047 [Google Scholar] PMid:33927761 PMCid:PMC8053048
- Miller CJ, Smith SN, and Pugatch M (2020). Experimental and quasi-experimental designs in implementation research. Psychiatry Research, 283: 112452. https://doi.org/10.1016/j.psychres.2019.06.027 [Google Scholar] PMid:31255320 PMCid:PMC6923620
- Mubarik S, Yu Y, Wang F, Malik SS, Liu X, Fawad M, Shi F, and Yu C (2022). Epidemiological and sociodemographic transitions of female breast cancer incidence, death, case fatality and DALYs in 21 world regions and globally, from 1990 to 2017: An age-period-cohort analysis. Journal of Advanced Research, 37: 185–196. https://doi.org/10.1016/j.jare.2021.07.012 [Google Scholar] PMid:35499053 PMCid:PMC9039678
- Qurrotunnada F and Rochmawati E (2026). Quality of life in breast and gynecological cancer: A review of systematic reviews, 1985–2025. Asia‐Pacific Journal of Clinical Oncology, 22(5): 726-743. https://doi.org/10.1111/ajco.70052 [Google Scholar] PMid:41241763 PMCid:PMC13569033
- Somdatta P and Baridalyne N (2008). Awareness of breast cancer in women of an urban resettlement colony. Indian Journal of Cancer, 45(4): 149-153. https://doi.org/10.4103/0019-509X.44662 [Google Scholar] PMid:19112202
- Yeshitila YG, Kassa GM, Gebeyehu S, Memiah P, and Desta M (2021). Breast self-examination practice and its determinants among women in Ethiopia: A systematic review and meta-analysis. PLOS ONE, 16(1): e0245252. https://doi.org/10.1371/journal.pone.0245252 [Google Scholar] PMid:33444380 PMCid:PMC7808636
|