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Meme kanseri hastalarında Rozzano Locsin teknolojik yeterlilik teorisine dayalı tele hemşirelik bakımı

Yıl 2025, Cilt: 6 Sayı: 5, 609 - 613, 24.10.2025

Öz

Meme kanseri, kadınlarda en sık görülen malign hastalıklar arasında yer almakta ve tanı, tedavi ve bakım süreçlerinde multidisipliner yaklaşımlar gerektirmektedir. Hemşirelik bakımı, hastaların fiziksel, psikolojik ve sosyal ihtiyaçlarının karşılanmasında kritik bir rol oynar. Erken tanı, tedaviye uyum ve yaşam kalitesinin artırılmasında hemşirelik müdahaleleri, bireyselleştirilmiş bakım planları ile desteklenmektedir.
Günümüzde teknolojik gelişmeler, meme kanseri yönetiminde hem tanı hem de bakım süreçlerini dönüştürmektedir. Tele hemşirelik uygulamaları, hastaların tedavi sürecinde izlenmesini kolaylaştırmakta, eğitim ve danışmanlık hizmetlerini erişilebilir kılmakta ve bakımın sürekliliğini sağlamaktadır. Bu yaklaşımlar, hastaların ev ortamında güvenli ve etkili bakım almasını destekleyerek sağlık hizmetlerine erişimde eşitsizlikleri azaltmaktadır.
Rozzano Locsin’in Teknolojik Yeterlilik Teorisi, hemşirelerin teknolojiyi bilinçli ve yeterli bir şekilde kullanarak bakım sunma kapasitelerini artırmalarını vurgular. Teoriye göre hemşireler, teknolojik araçları kullanma becerilerini geliştirerek hasta güvenliği ve bakım kalitesini yükseltebilir. Tele hemşirelik girişimleri, bu teorinin pratikte uygulanmasına örnek teşkil eder; hemşireler, uzaktan izleme sistemleri, dijital eğitim platformları ve tele konsültasyonlarla hastalara etkin, güvenli ve kişiselleştirilmiş bakım sunabilirler.
Bu derleme, meme kanseri bakımında teknolojinin ve tele hemşirelik uygulamalarının önemini, hemşirelik teorisi çerçevesinde ele alarak literatürdeki güncel yaklaşımları özetlemektedir. Teknolojik yeterlilik temelli hemşirelik müdahaleleri, hasta merkezli bakımın kalitesini artırmakta ve meme kanseri yönetiminde geleceğe dönük stratejilerin geliştirilmesine temel oluşturmaktadır.

Kaynakça

  • WHO. Launches New Roadmap on Breast Cancer. 3 February 2023.Accessed 19 February 2024, 2024. https://iris.who.int/bitstream/handle/ 10665/365784/9789240067134-eng.pdf?sequence=1
  • Tang X, An Y, Li C. Intelligent segmentation and recognition method of breast cancer based on digital image processing technology. Wireless Communications Mobile Computing. 2021;2021(1):2256316. doi:10.1155/ 2021/2256316
  • Bhushan A, Gonsalves A, Menon JU. Current state of breast cancer diagnosis, treatment, and theranostics. Pharmaceutics. 2021;13(5):723. doi:10.3390/pharmaceutics13050723
  • Feng S, Li J, Yan A, et al. Application of gene editing in triple-negative breast cancer research. Cell Biochemistry Function. 2025;43(1):e70044. doi:10.1002/cbf.70044
  • Yang A, Nadav D, Legler A, et al. An interventional pain algorithm for the treatment of postmastectomy pain syndrome: a single-center retrospective review. Pain Med. 2021;22(3):677-686. doi:10.1093/pm/pnaa343
  • Zhang X, Zhang Y, Xiong H. Application progress of MRI-IVIM, T1mapping and T2mapping in diagnosis and treatment of breast diseases. Int J Biol Life Sci. 2024;8(1):10-13. doi:10.54097/pkwysa27
  • Rodriguez-Ortega A, Ferro T, Perez X, et al. Self-assessment of a breast care nursing model within a breast unit: learning process and keys to improving breast care. J Clin Nurs. 2023;32(11-12):2722-2732. doi:10. 1111/jocn.16639
  • Smith AL, Boyle F, Lewis S. Potential inequities in availability of care from breast care nurses: a qualitative study reporting the experiences and perspectives of women with metastatic breast cancer in Australia. BMC Health Services Res. 2022;22(1):942. doi:10.1186/s12913-022-08269-8
  • Natarajan IV MK, Nalini S, Mohanraj J, Vishwanath U. The effect of education on knowledge regarding breast cancer related lymphedema risk reduction and prevention among nursing personnel. Cureus. 2023; 15(9):e45331. doi:10.7759/cureus.45331
  • Wojtanowska-KaczkaA M, Babuśka-RoczniakB M, RoczniakA W, Cipora AE. Comprehensive nursing care for a patient diagnosed with breast cancer Kompleksowa opieka pielęgniarska nad chorą z rozpoznaniem raka piersi. Pielęgniarstwo. 2020:179. doi:10.17219/pzp/ 126574
  • Devi GR, Fish LJ, Bennion A, et al. Identification of barriers at the primary care provider level to improve inflammatory breast cancer diagnosis and management. Preventive Med Rep. 2023;36:102519. doi:10. 1016/j.pmedr.2023.102519
  • Dowling M, Shewbridge A, Ryan C, et al. Development and implementation of an online education program on advanced breast cancer for European cancer nurses: ABC4Nurses project: a brief report. J Cancer Educ. 2023;38(5):1662-1666. doi:10.1007/s13187-023-02319-3
  • Abdelraof AM, Anwar MM, El Bahrawe RS. Assessment of the knowledge towards cancer cervix among nurse staff in health care facilities in Beni-Suef City, Egypt. Egyptian J Med Res. 2020;1(1):7-15. doi:10.21608/ejmr.2020.89057
  • Locsin RC. The co-existence of technology and caring in the theory of technological competency as caring in nursing. J Med Inves. 2017;64(1.2): 160-164. doi:10.2152/jmi.64.160
  • Krel C, Vrbnjak D, Bevc S, Štiglic G, Pajnkihar M. Technological competency as caring in nursing: a description, analysis and evaluation of the theory. Slovenian J Public Health. 2022;61(2):115. doi:10.2478/sjph-2022-0016
  • Nakano Y, Yokotani T, Betriana F, et al. Perceptions of nurse managers and staff nurses regarding technological competency as caring in nursing theory in general hospitals in Japan. Belitung Nurs J. 2021;7(6):467. doi: 10.33546/bnj.1767
  • International Council of Nurses (ICN) (2007). International competencies for telenursing. Geneva Switzerland: International Council of Nurses.
  • Sianturi N, Hariya RTS. Aplikasi teknologi telenursing dalam mencegah readmisi pasien penyakit kronik. J Telenurs (JOTING). 2023;5(1):1428-1437. doi:10.31539/joting.v5i1.5092
  • Christinelli HCB, Westphal G, Costa MAR, Okawa RTP, Nardo N, Fernandes CAM. Multiprofessional intervention and telenursing in the treatment of obese people in the COVID-19 pandemic: a pragmatic clinical trial. Revista Brasileira de Enfermagem. 2022;75(Suppl 2): e20210059. doi:10.1590/0034-7167-2021-0059
  • Mamnuah M, Trihidayat N, Isnaeni Y. Telenursing applications in treatment compliance among patients with mental disorders. J Health Technol Assessment Midwifery. 2023;6(1):56-62. doi:10.31101/jhtam.2525
  • Sato D, Shimoyama M. Effectiveness of a telenursing system to prevent the exacerbation of symptoms in patients with cancer undergoing outpatient chemotherapy. Open J Nurs. 2021;11(6):466-476. 10.4236/ojn. 2021.116040
  • Shaikh K, Krishnan S, Thanki R. Artificial intelligence in breast cancer early detection and diagnosis. Springer, Switzerland. 2021.
  • Hopstaken JS, Verweij L, van Laarhoven CJ, Blijlevens NM, Stommel MW, Hermens RP. Effect of digital care platforms on quality of care for oncological patients and barriers and facilitators for their implementation: systematic review. J Med Internet Res. 2021;23(9): e28869. doi:10.2196/28869
  • Hussain Rawther SC, Pai MS, Fernandes DJ, Mathew S, Chakrabarty J, Devi ES. Specialist nurse initiated interventions in breast cancer care: a systematic review of randomised controlled trials. J Clin Nurs. 2020; 29(13-14):2161-2180. doi:10.1111/jocn.15268
  • Aydın Z. Onkolojide semptom yönetimi. In: Temiz G, Eroğlu N, Akın S, ed. Onkoloji Hemşireliğinde Semptom Yönetimi. Nobel; 2022.
  • Komariah M, Qadous SG, Firdaus MKZH, et al. The psychological experiences of using Islamic philosophy approach among women’s with advanced breast cancer in Indonesia. Open Access Macedonian J Med Sci. 2021;9(T6):133-137. doi:10.3889/oamjms.2021.7320
  • Temiz G. Semptom yönetiminde hemşirenin rolü. Temiz G, Eroğlu N, Akın S, ed. Onkoloji Hemşireliğinde Semptom Yönetimi. Ankara: Nobel. 2022.
  • Brown T, Cruickshank S, Noblet M. Specialist breast care nurses for support of women with breast cancer. Cochrane Database Syst Rev. 2021; 2(2):CD005634. doi:10.1002/14651858.CD005634.pub3
  • Memnun Seven R, Paşalak Şİ, Selçukbirick F. A mobile application for symptom management in patients with breast cancer. Oncol Nurs Society. 2022:409-420. doi:10.1188/22.ONF.409-420
  • 30.Luo X, Chen Y, Chen J, et al. Effectiveness of mobile health-based self-management interventions in breast cancer patients: a meta-analysis. Support Care Cancer. 2022;30(3):2853-2876. doi:10.1007/s00520- 021-06568-0
  • Suchodolska G, Senkus E. Mobile applications for early breast cancer chemotherapy-related symptoms reporting and management: a scoping review. Cancer Treat Rev. 2022;105:102364. doi:10.1016/j.ctrv.2022. 102364
  • Shi N, Wong AK, Wong FK, Sha L. Mobile health application-based interventions to improve self-management of chemotherapy-related symptoms among people with breast cancer who are undergoing chemotherapy: a systematic review. Oncologist. 2023;28(4):e175-e182. doi:10.1093/oncolo/oyac267
  • Baysal E. Onkoloji hemşireliği ve teknoloji. Hemşirelik ve teknoloji, Kemer AS, Asiltürk A, (editörler). Nobel Tıp Kitabevleri, İstanbul. 2023.
  • McVey C. Telenursing: a concept analysis. CIN: Computers, Informatics, Nursing. 2023;41(5):275-280. doi:10.1097/CIN.0000000000000973
  • Kılıç D, Ata G. Sağlığın korunması, geliştirilmesi ve teknoloji. Hemşirelik ve teknoloji, Kemer AS, Asiltürk A, (editörler). Nobel Tıp Kitabevleri, İstanbul. 2023.
  • Ebrahimabadi M, Rafiei F, Nejat N. Can tele-nursing affect the supportive care needs of patients with cancer undergoing chemotherapy? A randomized controlled trial follow-up study. Support Care Cancer. 2021; 29(10):5865-5872. doi:10.1007/s00520-021-06056-5
  • Pepito JA, Locsin RC, Constantino RE. Caring for older persons in a technologically advanced nursing future. Health. 2019;11(5):439-463. doi:10.4236/health.2019.115039
  • Locsin R. Advancing the theory of technological competency as caring in nursing: the universal technological domain. J Med Invest. 2019; 66(1.2):1. doi:10.2152/jmi.66.1
  • Li Y, Kongsuwan W. Predictors of nurses’ caring practice for critically ill patients in critical technological environments: a cross-sectional survey study. Belitung Nurs J. 2021;7(6):476. doi:10.33546/bnj.1794

Tele-nursing care based on Rozzano Locsin's theory of technological competency in breast cancer patients

Yıl 2025, Cilt: 6 Sayı: 5, 609 - 613, 24.10.2025

Öz

Breast cancer is among the most common malignant diseases in women, necessitating multidisciplinary approaches in its diagnosis, treatment, and care processes. Nursing care plays a critical role in meeting the physical, psychological, and social needs of patients. Nursing interventions, supported by individualized care plans, are pivotal for early diagnosis, treatment adherence, and enhancing quality of life. Technological advancements today are transforming both diagnostic and care processes in breast cancer management. Tele-nursing applications facilitate the monitoring of patients during their treatment, make education and counseling services more accessible, and ensure the continuity of care. These approaches support patients in receiving safe and effective care within their home environments, thereby reducing inequalities in access to healthcare services. Rozzano Locsin's theory of technological competency as caring in nursing emphasizes that nurses can enhance their capacity to provide care by using technology consciously and competently. According to the theory, nurses can improve patient safety and the quality of care by developing their skills in using technological tools. Tele-nursing initiatives exemplify the practical application of this theory; through remote monitoring systems, digital education platforms, and tele-consultations, nurses can offer patients effective, safe, and personalized care. This review summarizes current approaches in the literature by examining the importance of technology and tele-nursing applications in breast cancer care within the framework of a nursing theory. Nursing interventions based on technological competency enhance the quality of patient-centered care and provide a foundation for developing future strategies in breast cancer management.

Kaynakça

  • WHO. Launches New Roadmap on Breast Cancer. 3 February 2023.Accessed 19 February 2024, 2024. https://iris.who.int/bitstream/handle/ 10665/365784/9789240067134-eng.pdf?sequence=1
  • Tang X, An Y, Li C. Intelligent segmentation and recognition method of breast cancer based on digital image processing technology. Wireless Communications Mobile Computing. 2021;2021(1):2256316. doi:10.1155/ 2021/2256316
  • Bhushan A, Gonsalves A, Menon JU. Current state of breast cancer diagnosis, treatment, and theranostics. Pharmaceutics. 2021;13(5):723. doi:10.3390/pharmaceutics13050723
  • Feng S, Li J, Yan A, et al. Application of gene editing in triple-negative breast cancer research. Cell Biochemistry Function. 2025;43(1):e70044. doi:10.1002/cbf.70044
  • Yang A, Nadav D, Legler A, et al. An interventional pain algorithm for the treatment of postmastectomy pain syndrome: a single-center retrospective review. Pain Med. 2021;22(3):677-686. doi:10.1093/pm/pnaa343
  • Zhang X, Zhang Y, Xiong H. Application progress of MRI-IVIM, T1mapping and T2mapping in diagnosis and treatment of breast diseases. Int J Biol Life Sci. 2024;8(1):10-13. doi:10.54097/pkwysa27
  • Rodriguez-Ortega A, Ferro T, Perez X, et al. Self-assessment of a breast care nursing model within a breast unit: learning process and keys to improving breast care. J Clin Nurs. 2023;32(11-12):2722-2732. doi:10. 1111/jocn.16639
  • Smith AL, Boyle F, Lewis S. Potential inequities in availability of care from breast care nurses: a qualitative study reporting the experiences and perspectives of women with metastatic breast cancer in Australia. BMC Health Services Res. 2022;22(1):942. doi:10.1186/s12913-022-08269-8
  • Natarajan IV MK, Nalini S, Mohanraj J, Vishwanath U. The effect of education on knowledge regarding breast cancer related lymphedema risk reduction and prevention among nursing personnel. Cureus. 2023; 15(9):e45331. doi:10.7759/cureus.45331
  • Wojtanowska-KaczkaA M, Babuśka-RoczniakB M, RoczniakA W, Cipora AE. Comprehensive nursing care for a patient diagnosed with breast cancer Kompleksowa opieka pielęgniarska nad chorą z rozpoznaniem raka piersi. Pielęgniarstwo. 2020:179. doi:10.17219/pzp/ 126574
  • Devi GR, Fish LJ, Bennion A, et al. Identification of barriers at the primary care provider level to improve inflammatory breast cancer diagnosis and management. Preventive Med Rep. 2023;36:102519. doi:10. 1016/j.pmedr.2023.102519
  • Dowling M, Shewbridge A, Ryan C, et al. Development and implementation of an online education program on advanced breast cancer for European cancer nurses: ABC4Nurses project: a brief report. J Cancer Educ. 2023;38(5):1662-1666. doi:10.1007/s13187-023-02319-3
  • Abdelraof AM, Anwar MM, El Bahrawe RS. Assessment of the knowledge towards cancer cervix among nurse staff in health care facilities in Beni-Suef City, Egypt. Egyptian J Med Res. 2020;1(1):7-15. doi:10.21608/ejmr.2020.89057
  • Locsin RC. The co-existence of technology and caring in the theory of technological competency as caring in nursing. J Med Inves. 2017;64(1.2): 160-164. doi:10.2152/jmi.64.160
  • Krel C, Vrbnjak D, Bevc S, Štiglic G, Pajnkihar M. Technological competency as caring in nursing: a description, analysis and evaluation of the theory. Slovenian J Public Health. 2022;61(2):115. doi:10.2478/sjph-2022-0016
  • Nakano Y, Yokotani T, Betriana F, et al. Perceptions of nurse managers and staff nurses regarding technological competency as caring in nursing theory in general hospitals in Japan. Belitung Nurs J. 2021;7(6):467. doi: 10.33546/bnj.1767
  • International Council of Nurses (ICN) (2007). International competencies for telenursing. Geneva Switzerland: International Council of Nurses.
  • Sianturi N, Hariya RTS. Aplikasi teknologi telenursing dalam mencegah readmisi pasien penyakit kronik. J Telenurs (JOTING). 2023;5(1):1428-1437. doi:10.31539/joting.v5i1.5092
  • Christinelli HCB, Westphal G, Costa MAR, Okawa RTP, Nardo N, Fernandes CAM. Multiprofessional intervention and telenursing in the treatment of obese people in the COVID-19 pandemic: a pragmatic clinical trial. Revista Brasileira de Enfermagem. 2022;75(Suppl 2): e20210059. doi:10.1590/0034-7167-2021-0059
  • Mamnuah M, Trihidayat N, Isnaeni Y. Telenursing applications in treatment compliance among patients with mental disorders. J Health Technol Assessment Midwifery. 2023;6(1):56-62. doi:10.31101/jhtam.2525
  • Sato D, Shimoyama M. Effectiveness of a telenursing system to prevent the exacerbation of symptoms in patients with cancer undergoing outpatient chemotherapy. Open J Nurs. 2021;11(6):466-476. 10.4236/ojn. 2021.116040
  • Shaikh K, Krishnan S, Thanki R. Artificial intelligence in breast cancer early detection and diagnosis. Springer, Switzerland. 2021.
  • Hopstaken JS, Verweij L, van Laarhoven CJ, Blijlevens NM, Stommel MW, Hermens RP. Effect of digital care platforms on quality of care for oncological patients and barriers and facilitators for their implementation: systematic review. J Med Internet Res. 2021;23(9): e28869. doi:10.2196/28869
  • Hussain Rawther SC, Pai MS, Fernandes DJ, Mathew S, Chakrabarty J, Devi ES. Specialist nurse initiated interventions in breast cancer care: a systematic review of randomised controlled trials. J Clin Nurs. 2020; 29(13-14):2161-2180. doi:10.1111/jocn.15268
  • Aydın Z. Onkolojide semptom yönetimi. In: Temiz G, Eroğlu N, Akın S, ed. Onkoloji Hemşireliğinde Semptom Yönetimi. Nobel; 2022.
  • Komariah M, Qadous SG, Firdaus MKZH, et al. The psychological experiences of using Islamic philosophy approach among women’s with advanced breast cancer in Indonesia. Open Access Macedonian J Med Sci. 2021;9(T6):133-137. doi:10.3889/oamjms.2021.7320
  • Temiz G. Semptom yönetiminde hemşirenin rolü. Temiz G, Eroğlu N, Akın S, ed. Onkoloji Hemşireliğinde Semptom Yönetimi. Ankara: Nobel. 2022.
  • Brown T, Cruickshank S, Noblet M. Specialist breast care nurses for support of women with breast cancer. Cochrane Database Syst Rev. 2021; 2(2):CD005634. doi:10.1002/14651858.CD005634.pub3
  • Memnun Seven R, Paşalak Şİ, Selçukbirick F. A mobile application for symptom management in patients with breast cancer. Oncol Nurs Society. 2022:409-420. doi:10.1188/22.ONF.409-420
  • 30.Luo X, Chen Y, Chen J, et al. Effectiveness of mobile health-based self-management interventions in breast cancer patients: a meta-analysis. Support Care Cancer. 2022;30(3):2853-2876. doi:10.1007/s00520- 021-06568-0
  • Suchodolska G, Senkus E. Mobile applications for early breast cancer chemotherapy-related symptoms reporting and management: a scoping review. Cancer Treat Rev. 2022;105:102364. doi:10.1016/j.ctrv.2022. 102364
  • Shi N, Wong AK, Wong FK, Sha L. Mobile health application-based interventions to improve self-management of chemotherapy-related symptoms among people with breast cancer who are undergoing chemotherapy: a systematic review. Oncologist. 2023;28(4):e175-e182. doi:10.1093/oncolo/oyac267
  • Baysal E. Onkoloji hemşireliği ve teknoloji. Hemşirelik ve teknoloji, Kemer AS, Asiltürk A, (editörler). Nobel Tıp Kitabevleri, İstanbul. 2023.
  • McVey C. Telenursing: a concept analysis. CIN: Computers, Informatics, Nursing. 2023;41(5):275-280. doi:10.1097/CIN.0000000000000973
  • Kılıç D, Ata G. Sağlığın korunması, geliştirilmesi ve teknoloji. Hemşirelik ve teknoloji, Kemer AS, Asiltürk A, (editörler). Nobel Tıp Kitabevleri, İstanbul. 2023.
  • Ebrahimabadi M, Rafiei F, Nejat N. Can tele-nursing affect the supportive care needs of patients with cancer undergoing chemotherapy? A randomized controlled trial follow-up study. Support Care Cancer. 2021; 29(10):5865-5872. doi:10.1007/s00520-021-06056-5
  • Pepito JA, Locsin RC, Constantino RE. Caring for older persons in a technologically advanced nursing future. Health. 2019;11(5):439-463. doi:10.4236/health.2019.115039
  • Locsin R. Advancing the theory of technological competency as caring in nursing: the universal technological domain. J Med Invest. 2019; 66(1.2):1. doi:10.2152/jmi.66.1
  • Li Y, Kongsuwan W. Predictors of nurses’ caring practice for critically ill patients in critical technological environments: a cross-sectional survey study. Belitung Nurs J. 2021;7(6):476. doi:10.33546/bnj.1794
Toplam 39 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Dahili Hastalıklar Hemşireliği
Bölüm Review [en] Derleme [tr]
Yazarlar

Nisa Yavuzer Bayrak 0000-0003-2795-4907

Elanur Yılmaz Karabulutlu 0000-0001-5798-853X

Yayımlanma Tarihi 24 Ekim 2025
Gönderilme Tarihi 20 Eylül 2025
Kabul Tarihi 12 Ekim 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 6 Sayı: 5

Kaynak Göster

AMA Yavuzer Bayrak N, Yılmaz Karabulutlu E. Tele-nursing care based on Rozzano Locsin’s theory of technological competency in breast cancer patients. J Med Palliat Care / JOMPAC / Jompac. Ekim 2025;6(5):609-613.

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