Nursing students’ attitudes towards cancer and affecting factors in Turkey: A descriptive study

Sevinç Kutlutürkan; Kamile Kırca; Elif Sözeri Öztürk

doi:10.14687/jhs.v20i2.6339

Authors

Sevinç Kutlutürkan Ankara University, Faculty of Nursing https://orcid.org/0000-0002-3230-0775
Kamile Kırca Kırıkkale University, Faculty of Health, https://orcid.org/0000-0001-7019-6107
Elif Sözeri Öztürk Gazi University, Faculty of Health https://orcid.org/0000-0001-7505-2794

DOI:

https://doi.org/10.14687/jhs.v20i2.6339

Keywords:

Nursing student; education; cancer; attitude; descriptive study.

Abstract

Aim:The aim of this study was to investigate the attitudes of nursing students towards cancer as well as affecting factors.

Method:This descriptive study was conducted with 949 nursing students at two state universities in Turkey. The population of this study included 1st, 2nd, 3rd, and 4th year students in the nursing programs in two universities in the academic year. In collecting data, “Demographic Information Form” and “Questionnaire for Measuring Attitudes Toward Cancer - Community Version” scales were used. The data were analysed by number, percentage, mean, standard deviation, Mann-Whitney U test, Kruskall-Wallis H test and linear regression analysis. Mann Whitney U test with Bonferroni correction was used as post-hoc test.

Findings: While 63.3% of the students were at the range of 17-20 years, 87.8 % of them were female and 36.8% of them were first year students. It was determined that 51.4% of the students participated in the care and treatment practices of a patient diagnosed with cancer during clinical practices. The mean score of the Questionnaire for Measuring Attitudes Toward Cancer was 3.23±0.47. In this study, a statistically significant relationship was found between the students’ year in the program and the subscale of impossibility of recovery, between gender and the scale, having an individual diagnosed with cancer among family members and his/her immediate environment with disclosure, and the dissemination of cancer diagnosis (p< 0.05). According to the stepwise method completed in the linear regression analysis, gender and informing a patient about his/her cancer diagnosis had a significant effect on the scale (p< 0.05).

Conclusions: In this study, the students were found to have negative attitudes toward cancer. In this regard, healthcare professionals should organise training programs in order to change negative thoughts and attitudes of the students during educational processes.

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Author Biographies

Sevinç Kutlutürkan, Ankara University, Faculty of Nursing

Assoc. Prof. Dr., [email protected],

Kamile Kırca, Kırıkkale University, Faculty of Health,

Assist. Prof. Dr., [email protected],

Elif Sözeri Öztürk, Gazi University, Faculty of Health

Assist. Prof. Dr., , [email protected],

References

AbdAllah, A. A., Hummeida, M. E., & Elmula, I. M. F. (2016). Awareness and attitudes of nursing students towards prevention of cervical cancer. Cervical Cancer, 1(1), 106. doi: 10.4172/2475-3173.1000106

Altre, R., & Chou, F. Y. (2021). Nursing Students' Knowledge and Attitude Toward Cancer Survivorship. Journal of cancer education: the official journal of the American Association for Cancer Education, 10.1007/s13187-020-01953-5. Advance online publication. https://doi.org/10.1007/s13187-020-01953-5

Badihian, S., Choi, E. K., Kim, I. R., Parnia, A., Manouchehri, N., Badihian, N., Tanha, J. M., Guallar, E., & Cho, J. (2017). Attitudes toward cancer and cancer patients in an urban Iranian population. The oncologist, 22(8), 944–950. https://doi.org/10.1634/theoncologist.2017-0073

Baykara Göçmen, Z. (2014). The Concept of Nursing Care. Turkish Journal of Bioethics,1(2), 92-99. https://doi.org/10.5505/tjob.2014.54264

Çelik, A., Özdemir, F., H., & Pasinlioğlu, T. (2014). Determining the perception level of nurses regarding spirituality and spiritual care and the factors that affect their perception level. Journal of Hacettepe University Faculty of Nursing, 1(3),1–12. https://dergipark.org.tr/tr/download/article-file/88646

Çetinkaya, B. , Altundağ, S. & Azak, A. (2007). Spiritual care and nursing. Meandros Medical and Dental Journal, 8(1),47-50. Retrieved from https://dergipark.org.tr/tr/pub/meandrosmdj/issue/44007/542027

Chapple, A., Ziebland, S., & McPherson, A. (2004). Stigma, shame, and blame experienced by patients with lung cancer: qualitative study. BMJ (Clinical research ed.), 328(7454), 1470. https://doi.org/10.1136/bmj.38111.639734.7C

Charalambous, A., & Kaite, C. (2013). Undergraduate nursing students caring for cancer patients: hermeneutic phenomenological insights of their experiences. BMC health services research, 13, 63. https://doi.org/10.1186/1472-6963-13-63

Cho, J., Smith, K., Choi, E. K., Kim, I. R., Chang, Y. J., Park, H. Y., Guallar, E., & Shim, Y. M. (2013). Public attitudes toward cancer and cancer patients: a national survey in Korea. Psycho-oncology, 22(3), 605–613. https://doi.org/10.1002/pon.3041

Dönmez, S., Öztürk, R., Kısa, S., Karaoz Weller, B., & Zeyneloğlu, S. (2019). Knowledge and perception of female nursing students about human papillomavirus (HPV), cervical cancer, and attitudes toward HPV vaccination. Journal of American college health : J of ACH, 67(5), 410–417. https://doi.org/10.1080/07448481.2018.1484364

Greene, K., & Banerjee, S. C. (2006). Disease-related stigma: comparing predictors of AIDS and cancer stigma. Journal of homosexuality, 50(4), 185–209. https://doi.org/10.1300/J082v50n04_08

Kapucu, S., & Bulut, H. D. (2018). Nursing Students' Perspectives on Assisting Cancer Patients. Asia-Pacific journal of oncology nursing, 5(1), 99–106. https://doi.org/10.4103/apjon.apjon_44_17

Kaur, R. (2015). Cultural beliefs, cancer and stigma: experiences of patients from Punjab (India). Studies on Ethno-Medicine, 9(2), 247-254. https://doi.org/10.1080/09735070.2015.11905442

Kav, S., Citak, E. A., Akman, A., & Erdemir, F. (2013). Nursing students' perceptions towards cancer and caring for cancer patients in Turkey. Nurse education in practice, 13(1), 4–10. https://doi.org/10.1016/j.nepr.2012.05.010

Dhamani K. A. (2014). Spirituality and nursing: an Ismaili perspective on holistic nursing care. Journal of holistic nursing: official journal of the American Holistic Nurses' Association, 32(4), 341–346. https://doi.org/10.1177/0898010114527183

King-Okoye, M., & Arber, A. (2014). 'It stays with me': the experiences of second- and third-year student nurses when caring for patients with cancer. European journal of cancer care, 23(4), 441–449. https://doi.org/10.1111/ecc.12139

Knapp, S., Marziliano, A., & Moyer, A. (2014). Identity threat and stigma in cancer patients. Health psychology open, 1(1), 2055102914552281. https://doi.org/10.1177/2055102914552281

Köktürk Dalcali, B., & Taş, A. S. (2021). What Intern Nursing Students in Turkey Think About Death and End-of-Life Care? A Qualitative Exploration. Journal of religion and health, 60(6), 4417–4434. https://doi.org/10.1007/s10943-021-01330-6

Komprood S. R. (2013). Nursing student attitudes toward oncology nursing: an evidence-based literature review. Clinical journal of oncology nursing, 17(1), E21–E28. https://doi.org/10.1188/13.CJON.E21-E28

Lavdaniti M. (2015). Perceptions and health beliefs of Greek nursing students about breast self-examination: A descriptive study. International journal of nursing practice, 21(6), 882–888. https://doi.org/10.1111/ijn.12323

Meraviglia, M., Sutter, R., & Gaskamp, C. D. (2008). Providing spiritual care to terminally ill older adults. Journal of gerontological nursing, 34(7), 8–14. https://doi.org/10.3928/00989134-20080701-08

Park, J. H., Park, E. C., Park, J. H., Kim, S. G., & Lee, S. Y. (2008). Job loss and re-employment of cancer patients in Korean employees: a nationwide retrospective cohort study. Journal of clinical oncology: official journal of the American Society of

Clinical Oncology, 26(8), 1302–1309. https://doi.org/10.1200/JCO.2007.14.2984

Sanford, J., Townsend-Rocchiccioli, J., Quiett, K., & Trimm, D. (2011). "I see my mother's face": student nurse experiences caring for cancer patients. European journal of oncology nursing : the official journal of European Oncology Nursing Society, 15(1), 46–52. https://doi.org/10.1016/j.ejon.2010.05.010

Sharour, L. A., Suleiman, K., Yehya, D., Al-Kaladeh, M., Malak, M., Subih, K. M., & Salameh, A. B. (2017). Nurses’ students’ attitudes toward death and caring for dying cancer patients during their placement. Euromediterranean Biomedical Journal, 12(40), 189-193. https://doi.org/10.3269/1970-5492.2017.12.40

Sherman, D.W.,& Free, D.C. (2019).Culture and spirituality as domains of quality palliative care. Matzo, M.,& Sherman, D.W. (eds). Palliative Care Nursing. (109-145). New York: Springer Publishing Company

Stergiou-Kita, M., Pritlove, C., & Kirsh, B. (2016). The "Big C"-stigma, cancer, and workplace discrimination. Journal of cancer survivorship: research and practice, 10(6), 1035–1050. https://doi.org/10.1007/s11764-016-0547-2

Arda Sürücü, H., Anuş Topdemir, E., Baksi, A., & Büyükkaya Besen, D. (2021). Empathic approach to reducing the negative attitudes of nursing undergraduate students towards cancer. Nurse education today, 105, 105039. https://doi.org/10.1016/j.nedt.2021.105039

Tavşanlı, N.G., Çeçen, D., Tayhan, E., & Kahraman, G.(2016). Emotions and Attitudes of Caregivers towards Cancer Patients. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal, 3(4),470-475. Retrieved from https://dergipark.org.tr/en/pub/cbusbed/issue/26662/280101

Union for International Cancer Control. (2019). How to talk about cancer. Available at: https://www.worldcancerday.org/sites/default/files/2018-09/WCD19_How%20To%20Guide_Talk%20about%20cancer_FA_ENG.pdf (Accessed 20 March, 2020).

Uysal, N , Ceylan, E , Koç, A . (2019). Nursing Students’ Attitudes on Care of Dying Individuals. Gümüşhane University Journal of Health Sciences, 8(1), 98-105. Retrieved from https://dergipark.org.tr/tr/pub/gumussagbil/issue/43947/450621

Vahabi M. (2010). Iranian women's perception and beliefs about breast cancer. Health care for women international, 31(9), 817–830. https://doi.org/10.1080/07399331003725515

Wood, A. W., Barden, S., Terk, M., & Cesaretti, J. (2017). The influence of stigma on the quality of life for prostate cancer survivors. Journal of psychosocial oncology, 35(4), 451–467. https://doi.org/10.1080/07347332.2017.1307896

Yakar, H. K., Oguz, S., Öktem, N., & Yürük, S. (2020). Nursing Students' Awareness about the Warning Signs of Cancer. Asia-Pacific journal of oncology nursing, 8(1), 81–85. https://doi.org/10.4103/apjon.apjon_34_20

Yildiz, H., & Akansel, N. (2011). Beginning level nursing students' experiences with cancer patients in their first clinical placement: a qualitative appraisal in Turkey. Asian Pacific journal of cancer prevention : APJCP, 12(10), 2611–2615.

Yılmaz, M., Dişsiz, G., Göçmen, F., Usluoğlu, AK., &Alacacıoğlu, A. (2017). The Study Turkish Version of Validation and Reliability of a Questionnaire for Measuring Attitudes Toward Cancer (Cancer Stigma)- Community Version. Journal of Anatolia Nursing and Health Sciences, 20(2), 99-106. Retrieved from https://dergipark.org.tr/en/pub/ataunihem/issue/31359/342623