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首页> 外文期刊>Western journal of nursing research >Processes inherent in mammography-screening decisions of rarely or never-screened women.
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Processes inherent in mammography-screening decisions of rarely or never-screened women.

机译：很少或从未接受筛查的女性进行乳房X线筛查决策的固有过程。

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摘要

Breast cancer is a significant cause of mortality and morbidity. A strong association exists between survival and early detection through regular mammography. Impoverished women underuse this life-saving screening, resulting in a disproportionate cancer burden. The study purpose is to discover the process of rarely or never-screened women's mammography-screening decisions. The sample consists of five rural, low-income, uninsured, and rarely or never-screened women. Grounded theory methodology is used to generate a new theoretical explanation of mammography-screening decision making. Findings include the central conceptual categories, intuitive dominance and intuitive certainty, which contribute toward an intuitive decision-making default. This intuitive thinking style weaves throughout two interrelated categories: (a) scarce, supportive, relational resources for learning and (b) dichotomous health care-seeking behaviors. Implications focus on a nontraditional client assessment whereby nurses can facilitate relational-based knowledge construction. Recommendations for future research include examination of the process of integrating intuition with reasoned thought for more fully informed decisions.
机译：乳腺癌是死亡率和发病率的重要原因。生存与通过常规乳腺X线摄影术早期发现之间存在密切的关联。贫困妇女没有使用这种挽救生命的检查方法，导致癌症负担过大。该研究的目的是发现很少或从未进行过筛查的女性乳房X线筛查决策过程。样本包括五名农村，低收入，没有保险，很少或从未接受筛查的妇女。扎根的理论方法被用来为乳腺X线摄影筛查决策提供新的理论解释。研究结果包括核心概念类别，直觉上的支配力和直觉上的确定性，这有助于直觉式的决策失误。这种直观的思维方式贯穿两个相互关联的类别：（a）缺乏学习资源，支持性资源和相关资源，以及（b）寻求医疗保健的二分行为。含义集中在非传统的客户评估上，护士可以通过该评估来促进基于关系的知识构建。对未来研究的建议包括检查将直觉与理性思维相结合的过程，以便做出更充分的知情决策。

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