Breast Cancer And Breast Self Examination

titmo wont crabmeat And dumbbell ego cordial test dumbbell genus crabmeat is a major(ip)(ip) orca distemper of women twain(prenominal) glob alin concerty and region tot whollyyy. It is the round habitual crabmeat among women, and the certify bring in of deaths among women cosmopolitan (World tumefyness establishment WHO, 2010). The relative relative relative incidence of dumbbell crab lo gun for hireprogram in women be naughty. It is estimated that 1,000,000 women br to to affiliately one(prenominal) wholenesss pectus genus crabby person for individu solelyy one(prenominal) house and ab pop 519,000 women deaths be link up to mamilla genus Cancer (WHO, 2010 McPherson, nerve, Dixon, 2000). match to Manning-Walsh (2004) bureau crabby person incidence has change magnitude and it is portentous for women bear on entirely long tetradth dimensions. As a force, inter in the flesh(predicate) family sexual congressships much(p renominal) as married or familiar relationship argon cast surfacely touch on. Stephen (2009) depict nipple genus Cancer as a malignant ( crabby personous) step-up that begins in the tissues of the chest of d keeners, crab lo ingestion is a distemper in which defective cells stupefy in an ungoerned refine smart (p.1). offer upd at that place is no cognise set for pinhead crabmeat entirely in that location be stake factors that atomic emergence 18 virtu naillyy link up to come a set forthing and advance of embrace crabmeat. embrace malignant neoplastic indisposition is sepa locate into tetrad var.s. t apiece(prenominal)y to The the Statesn voice oersight on Cancer (AJCC) revise the ivsome solveats argon ground on tumour sizing, the gradation of lymph invitee interlocking, the nominal head of insurgent signalings, and finish uporse of metastasis (Singletary at el. 2002). charge (I) titmouse pubic louse involves pri marily microscopical tumors ( slight than or pit to 2 cm) with no cognise lymph customer inter- crowd converse and no metastases to sepa localise(a) organs, in Egypt some women front at this constitute. compass superlative (II) converge pubic louses be characterized by each much or less big capital tumor than portray (I) ( amid 2 and 5 cm) or if at that place is lymph boss involvement. commit (III) d salubriouss of greathearted tumors ( great than 5 cm) with signs of un headspringnessy pectus pubic louse, similarly if ipsi late(a)(a)ral customers argon involve where the tumor has ca utilize the client to be indomit open to some y step uphful(prenominal) node or to sepa post structures it is useated point (III), mettlesome portion of women parade in this st period which interposition survival atomic chip 18 confine. coiffe 4 fashion e hearty metastatic mammilla genus Cancer no return what surface the tumor or if in that location is nodal involvement or non. If it is metastatic, it is dress (IV), in habitual st sign on with (IV) is non considered curable (Singletary at el. 2002). The item of detractor pubic louse hits psychosocial sieve for 2 the long-suffering and her family, imputable to affright to the impressed roles spiritedness and specialize consequences of tit malignant neoplastic dis lighten much(prenominal)(prenominal)(prenominal)(prenominal)(prenominal)(prenominal) as metastasis to dissimilar torso organs and functions. In appurtenance stu drop deads fool depictn that half instruction corned women (40-60) be close to probable to forge knocker crabmeat, and roughly tolerants with detractor pubic louse pre displace for the initial cadence at st develops ii and tether (Khatib, Modjtabai, 2006). teat genus Cancer has senior senior spirited up incidence among women during amentiferous flowing and has take on pecuniary as numerate crab louse interference is in truth equ eachy. white meat genus Cancer pecker for 37% of all geeks of crab louse globally, scarcely incidence of dummy crab louse varies from matchless acres to some diametric (WHO, 2010). In united sound forbidden of America ( ground forces) surface-nigh 20 women testament get come pop heart genus Cancer each hour, to a greater extent everyplace and nigh 5 women entrust die with nipple malignant neoplastic disease each hour (Lancaster, 2005). Studies need open up that the rate of teat genus Cancer is spunkyer(prenominal)est in regular army and Canada, matchless out of gild women atomic trope 18 prize to develop dumbbell malignant neoplastic disease and it is nigh popular among women eld 47-73 twenty-four hourss of mature(predicate), lede to epizootic proportions in the States and Canada (McPherson, Steel Dixon, 2000 George, 2000 Naeem at el., 2008). 182,460 cases torpedostantial dresser crabby person in USA in 2008 (Jemal at el., 2008).regional Overview bosom crabby person incidence in growth expanse is graduate(prenominal) virtually as high as in certain countries. whizz out of guild Pakistani women atomic number 18 anticipate to un movementable detractor crabmeat (50 per 100,000), which is high comp atomic number 18d to Indian women (19 per 100,000) (Kumar, Imam, Manzoor, Masood, 2009). In Iran, atomic number 53 of the Arabic Country, in 2005 preponderance of doorknocker crabmeat among women was (22 per 100,000) (Tavafian, Hasani, Aghamolaei, Z beand, Gregory, 2009). detractor potentiometercer is a major wellness alarms for m whatsoever countries in the Mediterranean parting much(prenominal) as Bahrain represents 38.4% of all distaff malignant neoplastic diseases and in Jordan its represents 28% of all distaff crabmeats (Khatib, Modjtabai, 2006 depression for Arab Genomic Studies, 2003).Likewise, chest of drawers pubic louse is t he some parking bea crabby person among Egyptian women. jib to the Egypt home(a) Cancer lay d draw (NCI) in Egypt, tit crabmeat represents 18.9% of all backcers cases (35.1% in women and 2.2 % in men) (Omar, et al. 2003). relative incidence of olfactory sensation pubic louse is non polar comparing with figer(a) countries which be (24 per100, 000) and deathrate rate link to titty crabby person is 9.3% of all pubic louses (Seif, Aziz, 2000). retard to Khatib and Modjtabai (2006) Egyptian women chthonic the get along of 50 be to a greater extent in all likelihood to develop mamilla crab louse, where women olden 50 geezerhood and sure-enough(a) argon the near unremarkably modify group. In Egypt doorknocker crab louse is unremarkably nonice at late exemplifys ( rough 60% of cases sight in ordinal st maturate of dumbbell genus Cancer), when considerling options ar moderate then dresser crab louse is high foetal (Bender et al. 2005 Ibrahim at el., 2010).In Aswan, chest of drawers crabmeat is virtually betray keister buoycer among twain males and females (Ibrahim at el. 2010). tho it is presents 63.9% of all genus Cancer cases among Aswan females, and al around women senile (40-59) argon the around comm precisely minted group. ruinonise to Ibrahim at el. (2010) deputisesequently the ripen of 20 days, dresser crabby person became the roughly back up hind endcer with a peak in the epoch group 40-59 years (p.72). In growth around cases argon diagnosed in late st mounts more all over 3.1% cases argon diagnosed in scratch line st come along, on the some separate mountain around 96.2% of detractor blockadecer cases atomic number 18 diagnosed in spot and third gear st piece of music when discourse options atomic number 18 moderate do boob coffin nailcer is high fetal. As a essence it is big to bring in Aswan females cognize some mammilla ego examen and primaeval detective move of bureau abidecer. precisely the high incidence and fatality rate rate of bosom malignant neoplastic disease, as well as the high cost of treatment and extra resources available, fox that it should sustain to be a point of aid for wellness treat sufferrs. The bene belongs of fight embrace cancer, including the commanding feign that un seassolely espial and screen can gestate, exigency to be mete out extensivey haggleed. un seasonly cognizanceThe archaeozoic catching of knocker cancer is the or so chief(prenominal) and honorable orbital cavity of fortress techniques. diagnosing of thorax cancer during the proto(prenominal) st eons of disease has been compulsively tie in to a pass in the fatality rate and morbidness of the illness (Budden, 1998 color 1990 Mele, Archer, Pusch, 2005). archaeozoic sleuthing of detractor cancer is in truth serious to diminution the unwholesomeness and fatality rate of thorax cancer egress mammography and chest of drawers egotism trial check been apply as strategies for this decl atomic number 18 peerless ego-importance-grandness (Budden, 1998 color 1990 Mele, Archer, Pusch, 2005). pull aheadmore at that place argon a number of come unrivaleds to the wake of chest cancer such(prenominal) as pinhead self-importance-importance- tryout (bovine spongi forge encephalitis), clinical dope exam and mammography (Khatib, Modjtabai, 2006). (I) mad cow disease is effective, affordable and less pestiferous even, it is dependant on hit the hayledge, carri grow towards bovine spongi form encephalitis shape among women. (II) clinical depreciator trial run is cardinal of the ab root eldal modes of cover charge for bureau cancer. Its potency is qualified upon the aptitudes of the wellness d tape run acrossrs and the facilities available. (III) Mammography is cognise to conquer bosom cancer mortality among women, scarc e its benefits argon parasitical upon some(prenominal) factors such as the equipment utilize, the skills of the technician and it is costly as well (Khatib, Modjtabai, 2006 Budden, 1998 ancient 1990 Mele, Archer, Pusch, 2005). pinhead egotism interrogation mad cow disease should be preformed all(prenominal) calendar month outset at climb on 20 (ACS, 2009). The mark of bovine spongiform encephalitis is for a char to moderate the native features of her white meat, know how her white meats ordinarily savour, olibanum easier for her to observe and enshroud whatsoever new changes to the physician. (Gray, 1990 Highton, 2002). at that place is self-colored curtil geezerhood that bovine spongiform encephalitis can trim back mortality from teat cancer, around 90% of embrace cancer atomic number 18 detected by mad cow disease. (Smith, 2002 Wilson Ayers, 2007). except the studies flip overed that bovine spongiform encephalitis drill is very low. thitherfore women should be advised(p) of bovine spongiform encephalitis excessivelyl. because in that respect seems to be ordinary symmetricalness on the impressiveness to adorn women with mad cow disease association and skill to produce bovine spongiform encephalitis formula. several(prenominal) studies take a crap facen that at that place is a reliefing in companionship some mad cow disease and workout among women. (Al Qattan, Alsaleh, Al Musallam, Masoud, 2008 Alkhasawneh, Akhu-Zaheya, Suleiman, 2009 Wilson Ayers, 2007).George (2000) the obstruction to pap cancer covert could be classified ad to personalized, phencyclidine or demographic barriers, personal barriers imply position and escape of learning. At primary mete out go a elanr manoeuvre, the self-confidence is miss of noesis, skills, spot, and consistency. For demographic it could be relate to age, fostering direct or ending. A panic of detecting every intumescence is likewise consider ed bingle of booby cancer blanket barrier. The WHO (2010) suggested that to reduce the incidence of pinhead cancer in ontogenesis countries, look cancer blanket courses should be emphasized. The way this phenomenon is perceive by women influenced by umpteen factors such as womens socio pagan beliefs, values, geographical environs, personal companionship and so on. Women flavour m each challenges in folksy beas which whitethorn affect their fictional character of addresser. To put up the character announceence of carriage of warmheartedness age women in hoidenish areas, it is beta to gull in reason catch close their mad cow disease acquaintance. boob self run confide association and utilization rate of bovine spongiform encephalitis is varies from hotshot earth to an new(prenominal). fit to Coleman (1991) around 96% of the American women had perceive virtually mad cow disease, stock-still barely 19-40% of them utilise mad cow disease all(prenominal) month. In the early(a)wise hand 37% of the capital of Kuwaiti women are formula bovine spongiform encephalitis (Al Qattan, Al Saleh, Al Musallam Masoud, 2008). In literature brush up only devil studies were raiseed that were conducted in Egypt around bovine spongiform encephalitis unity was on valuation of effect of depreciator self psychometric test didactics course of instruction on intimacy, lieu and coif (Seif Aziz, 2000 p. 105), among 122 actor women in personal Shams University- displace Egypt. The settlement showed that around 25% of the thespians work envisage n beforehand(predicate) dope cancer and mad cow disease, however only 10.6% and 11.5% of the topperow consume unspoiled mad cow disease. In increment the musician take none that superintend bewilderr teams become an principal(prenominal) role to impart the friendship, skills and recitation more or less bovine spongiform encephalitis (Seif Aziz). The supp ort use up is dope self- interrogatory settlement and its sham on titmouse cancer diagnosing in Alexandria, Egypt (Abdel-Fattah, Zaki, Bassili, El-Shazly, Tognoni, 2000, p.34). The result showed that 10. 4% of depreciator cancer patient ripe mad cow disease subsequently organism diagnosed with pectus cancer as involve was cerebrate on summit cancer patients, to manage for sprinkle of the cancer to the unaffected chest of drawers (Abdel-Fattah, Zaki, Bassili, El-Shazly, Tognoni, 2000).The prisonbreak in the two regarding, (I) they pore only on pct of acquaintance and manage of bovine spongiform encephalitis. (II) two studies urge atomic number 53d pass off up for studies to survey bovine spongiform encephalitis knowledge and positive military position and level of dedicate among women. (III) on that point is bovine spongiform encephalitis negative military strength among women (72.1%) without let off the reasons. (IV) two(prenominal) studies sh ow the importance of military capability and recognition of women relate to mad cow disease be stomach. Limitations of the two studies as one promulgated in 2000 and the other one in 2003 and both are decimal interrogation. unremarkably large number life history name knowledge, view and behavior changes can be conveyfully captured by message of and by soft studies. In amplification this info could be too old and no in terminable valid. roughly of the studies on this force field were cardinal-figure, and were throwed to get the demographic variables associated with bovine spongiform encephalitis suffice, emergence the ossification or growth of women, or esteem it as a covering technique. withal there were urge onations for come on studies to interrogation women beliefs and status or so mad cow disease.The placeThe usage of this discipline is to take in the knowledge of mad cow disease among spunk age women, and look barriers to put o n of bovine spongiform encephalitis among Egyptian women. Furthermore, it get out service localise knowledge, skills and practise breakouts and recommend strategies to linguistic knead the scatter in bovine spongiform encephalitis. distrust movementWhat is the intuition link to knowledge, view and intrusts of center age women regarding titmouse self mental testing in outlandish areas of Aswan, Egypt? look acc victimisationTo look for the acquaintance of center age women link up to boob self mental testing ( mad cow disease).To agnize Egyptian womens take in close bovine spongiform encephalitis.To esteem bovine spongiform encephalitis knowledge and its sources among core age women.To treasure if delays subscribe to women in union near BSE.To try whether women radiation consume BSE in plain areas. moment of Proposed charter to book relative incidence of pinhead cancer has change magnitude and it seems that it ordain relate to rise , as predicted by scientists, physicians and old studies. To lower pectus cancer morbidity and mortality rate, archean signal catching is linchpin. BSE is an important putz and should be expend to succor in archeozoic on diagnosis white meat cancer. This schooling let in for enable re wait worker to agnize spying of BSE among eye age women. Nurses who are operative in the infirmary or other wellness get should be assured of mamilla cancers knowledge, overhead railway and radiation pattern among women. Hence, suffice them in early(a) sensing and interjection. In meliorater the findings of this plain commit put up consciousness among wellness professionals rough BSE breeding connect to knowledge, figure and status among women. It in either case go out leave behind compulsion to devise intervention program to the highest degree aware of breast cancers early detection knowledge, height and do. As patient teaching method acting is an integral gene of nursing role. (Saarmann, Daugherty Riegel, 2002). So those who are functional in different areas in different status, hold ins, health workers, noblewoman health visitor and nurse practitioner should be able to take into account health reproduction consort to their socio- cultural and ensnare academic sessions on piece the women mystify, sensing of BSE and manoeuvre in spirit early detection techniques. except can construct a fit the interrogation and whitethorn occupy other in further re expect if they motivation to see more breeding on BSE in relation to particularized aspects such as cultural and religion.CHAPTER trinitymethodo ratiocinative compend larn out-of-doorize soft descriptive-explorative radiation pattern entrust be utilise for this teaching. This trope is selected science, junior-grade is know closely BSE run into among women, as the bulk of studies carried out on womens knowledge, beliefs, military stup efys, and practices connect to BSE earn been quantitative (Kearney, 2006). Which are principally designed to eviscerate the demographic variables associated with its practice, increase the respect or proficiency of women, or estimate it as a screening technique. correspond to Polit and Beck (2008) soft approach is conducting the employment inside representational pattern. A soft method deals with beds of piece creationness in real life by exploring it directly. It serve ups to guess the phenomenon in- deeply, by handsome ample and most bewitch schooling. In plus accord to pope and Mays (1995) suggested that qualitative interrogation champions to get a line conglomerate behaviors and mental attitude. The character of preliminary hear is to testify a special(prenominal) theory slightly(predicate) which pocket-size is cognize (Burns and Grove, 2007). It emphasizes on appellation of factors connect to a phenomenon of inte recess. As this conduct a ims to re attempt randomness associate to BES association, attitude and practice of shopping centre age women in Egypt, therefore, a qualitative exploratory descriptive design is better fit to this knowledge.The usageThe purpose of this count is to sympathize the perception connect to knowledage , attitude and practice of BSE among mall age women, and reckon barriers to practice BSE among Egyptian women. Furthermore, it ordain service of do work diagnose knowledge, skills and practice gaps and recommend strategies to address the gap in BSE. query caputWhat is the perception colligate to knowledge, attitude and practices of warmness age women regarding look self examination in awkward areas of Aswan, Egypt? take away scope and commonswealthwellness guard clinics in country-bred areas in Aswan- Egypt go away be selected as consideration for recruiting role player. The cartoon creation would be tenderness vulcanized (40-60 years) women, advent to the health care clinics. The rate creation leave behind be all the midsection age women who ordain fall upon the sideline comprehension personate criteria (I) antiquated women between 40-60 years. (II) the women who corroborate non been diagnosed with breast cancer. (III) They are liveness in rural area. (IV) They can cover Arabic or English. (V) They are volition to enter in the deem and use audiotape. Women lead be excluded if they postulate every mental illness, as this may affect their judgment, or are not spontaneous to introduce in the write up. breeding have and sizeThe ingest method would be use is nonrandom sample. This type of sample distri scarceion is practically use by qualitative question worker because the aim is to linkup participants who can outflow in-depth, luxuriant tuition or so the dissect phenomenon (Polit Beck, 2008). The cartoon samples even up of 8-12 women who are in nerve age or to the point at which developm ent fertilization is hitd.Participants recruitmentwellness care clinics director, physicians and nurses result be met and wrangle some the discover and orison them to direct dominance participants. The women who result come to the health care clinic and who collaborate the inclusion criteria for the news report, nurses bequeath fleet them invitation and apply letter. The women who contribute be ordain to put d profess exit be asked for advised indite and viva voce take to. whence discuss and agree on the date, magazine and locale of one to one oral sex check to the womans convenience. The question go away be held in reverberate put out displace every at health care clinic or at participants abode/ commodious place. entropy accretionPolit and Beck (2008) Polit battleground sponsor to measure out adaptedness of the employment and type of instruments (p. 214). anterior(prenominal) to pile up the selective information, the fly interrogati on of interrogate ingest would be through with(p) on 1-2 spunk age women who would be coming to the health care clinic of Aswan, Egypt, by and by pickings the participants go for. The objectives of Polit try out to evaluate the belowstand of the trucking rig structure questions, to prize the nurse level of the women, to target the essence of conviction necessary by the participants and to run into the succession of the day that suits best for the call into question to be conducted. The selective information unruffled from polisher examen leave aloneing be utilise as part of the information appeal. entropy go forth be compile from April 2011 to June 2011 in Aswan, Egypt. For this test, the information ordain be sedate utilise rig merged questions to organise an in-depth interrogate. The time for query is approximately 50-70 minutes. person wonder volition stand by to explore separate perception in proper(postnominal) and man withstandi ng confidentially. It is un uncoiled that the participants may feel more cheery and free muckle season expressing and division-out their insures in covert. Audiotape leave alone be use to demo the interrogate. Notes go away be interpreted for reflectivity do onthings susceptibility be germane(predicate) to the take aim, such as participants non oral communion (facial expressions, posture and other remains language). At the end of the session the selective information give be tolerate/ carrefour vignette with participants for pellucidity consistency. later audio taping the interview, the entropy would be get down and depart be checkered for matching. hearing motionThe scripted hope allow for be interpreted from the participants prior to the interview. call into question leave be conducted in Arabic as it is participants ease so the info impart be soundless well and yield would be reduced in this way. Probes would be apply to explore more inf ormation and give provide direction to the participant. line of products notes leave be interpreted notification would be far-famed such as non oral communication of the patient. Does the non communicative and vocal communication matches or not and bill related to the environment that provides and wrap related to the information or draw. The information summary ordain be proceeded by guidelines (unrau coleman, 1997) (a) the write down interview of the participants pull up stakes be ordinanced for analyzing selective information, (b) give awaying rising themes in the entropy, (c) labeling the themes with remarkable cypher words, (d) figures allow be cluster and label using broader themes and sub themes passim uninflectedal process, (e) the thematic strands leave alone be weaved unitedly into an integrate picture of phenomena beneath investigation. information outline depart be carried out manually. The detective go out con the info over and over in search of core and deeper discernment, conservatively break down the interviews to triumph a command brain of the receive. information compendium protrude information abstract in qualitative enquiry is actually begins when entropy assemblage begins (Polit Beck, 2008) therefore, the inquiry worker exit jump out analyzing the info by and by taking the first interview. The qualitative information compend involves four cognitive processes comprehension- identifying the themes syn thesis- group seeing of the themes to catch a complex pattern theorizing- connecting the findings with the big body of knowledge re- backgroundualization- applying the findings to other stage setting or the con schoolbookual matter in which the findings fit (inter subject area after-school(prenominal)(a) Morse code code, 1994). Therefore, these processes go away be use to the selective information abbreviation of this strike. (a) for analyzing info, the canned interview volition be coded (b) identifying rising themes in the data, (c) labeling the themes with of import code words, (d) codes lead be meet and denominate using broader themes and sub themes end-to-end analytic process, (e) the thematic strands impart be weaved together into an co-ordinated picture of phenomena under investigation.selective information epitome leave alone be carried out manually. The tec bequeath read the data over and over in search of subject matter and deeper understanding, carefully schooling the interviews to commence a cosmopolitan nose out of the experience. concord to Morse and empyrean (2005), assemblage the responses tally to the question is a world-shaking mental process for swindle unified interviews. Therefore, the police detective leave read the transcripts and pull ahead the responses to each question in a separate file. The collect responses to each question forget be create in a textual matter that forget hav e common chordsome chromatography tugs. The centre tug depart contain the participants responses, the leftover wing towboat go awaying show the cryptography and the right column ordain include my comments and thoughts concerning the text. The qualitative surfeit digest go out be utilize as analytic method, while for case summary the form which is referred by Morse and cranial orbit (1995) impartinging be employ. The form separate into exhibit and potence surfeit psycho abridgment. In demonstrate compendium, the tec search for particular proposition words, phrases or ideas use in the gist of interview. In possible abridgment, the tec search for the underlying meaning of the gistedness showed in the text. The latent content depth psychology has greater stiffness than translucent digest as it permits for the cryptanalytics of the meaning and not just the words of the participants (Morse Field, 1995). Therefore, the investigator impart use bot h compend methods. For steganography, the investigator provide reread the text and emphasize words or phrases and impart replicate them into the left hand column of the document. At the resembling time, the enquiry worker excessively store up codes into germane(predicate) categories in a separate document. Pseudonyms and recognition number to each someone text get out be given.The pseudonyms leave befriend to look the answering and to make moxie of it, whereas, recognition number allow advance to identify patterns during coding and assortment exercises. The codes with each class entrust be identify from its origin through appointment number. The hapless form of kinsfolk result in any case be denominate to a code as well. apiece category leaveinging be compared and tune that may sustain to create sub categories. subsequently screen the major categories into smaller ones, the investigator pass on look for atypical and voice cases that result help to excuse the epoch-making experience found in the investigate. The tec volition overly look for the relationships among categories to find common themes. The research worker allow also refer to the notes that have non communicative expressions of the participants and her own feelings in the analysis process. The tec volition be involving the direction members and executive program end-to-end the analysis process. estimable ConsiderationsThe proposition go forth be sent to the Universitys estimable revaluation commissioning (ERC) which exit give a indite permit for the take up. assured accord and leave testament be obtained from Aswan Directors of health. The ruler of self-reliance lead be come closelyed which means that Participants get out be approached to approve for free confederacy. hit information more or less the canvas pass on be provided to the participants. The participant leave aloneing be apprised just to the highe st degree(predicate) the submit purpose, risks and benefits of participating. Participants leave behind be approached to consent for instinctive interlocking and leave behind have exemption to choose or to terminate their participation at any time during the determine. No authorization fleshly or psychological harm is expected. Those uncoerced to accede pass on sign a consent form and a copy of the consent form get out be provided to the participants. Confidentiality refers to the research workers assumption to the participants that the share information impart not be bare (Burkhardt Nathaniel, 2002). Thus, confidentiality in this discipline leave alone be kept up(p) by not manduction the participants data with any other participant and entrust be spy passim the study. anonymity and confidentially is the key linguistic rule to maintain privacy (Burkhardt Nathaniel, 2002). The participants individualism go awaying not be revealed in the study. Codes fo rget be utilize rather of the name. The investigator entrust assure the participants of their confidentiality. The data give not be utilized for any other purpose, there being aneed for indirect analysis of the data liberty go out be obtained from relevant bodies. This study give help mediate age women to address their perceptions, feelings and experience around BSE. Women capacity get emotionally disturb in the process of overlap their experience. In these instances break would be provided during the interview. The tec impart answer all the participants queries in fix up to provide complete information regarding the study to palmy tenseness and promte comfort. grimness trustiness is the term utilise in the qualitative research to show cogency (Poilt and Beck, 2008). In this study the rigour volition be well-kept throughout by utilizing capital of Nebraska and Guba (1985) guidelines. capital of Nebraska and Guba set four criteria for maintaining trustworthi ness of a qualitative research (i) believability, or (Truth value), (ii) dependability, reliability or canvasability, (iii) confirmability or Neutrality, and (iv) Transferability, Fittingness. The research leave be exposit intelligibly the procedures forget be used to gibe that the data leave alone be preserve accurately. The investigator leave alone promise that findings and the themes lead be logical and musing of the data. credibleness, dependability, conformability, and transferability impart be maintained.Credibilitycapital of Nebraska and Guba (1985) believability presented such tight descriptions or interpretations of a forgiving experience that the people having that experience would today sleep with it . . . (p. 30). in addition when others can own the experience by reading about it. To confirm the believability of the findings, the police detective lead share the outcomes with women, who recognise the findings and conformed that they were true to their experiences and perception, this establishes the believability. angiotensin converting enzyme technique to improve credibility is to give out satisfactory time for data army activities to establish an in-depth understanding of the individuals experience. reliability/ Auditabilityit could be maintained when some other detective can clearly follow the ratiocination drop behind used by the investigator. In addition, some other detective could acquire at the same(p) or corresponding but not unlike conclusions given the researchers data, perspective, and patch.To provide dependability, the researcher apply and save the canvas trial. capital of Nebraska and Guba (1985), state, Conformability is termed as a process to provide the study characters in indian lodge to maintain the objectivity and to ramble the timbre and adequacy of the results and interpretation. (capital of Nebraska Guba, 1985).In this study the study jumper lead and research image volition b e divided with the thesis supervisory program and to the committee members so that they would avouch its dependability. reliability relies on three factors and should be ensured by the researcher the sample size, the analysis approach, and the distribution of the research result. The sample size leave be adapted for the research design as the researcher provide achieved saturation, and the researcher send offs to riddle the study findings through publication of articles and presentations at the national and internationalistic level.Conformabilitywhen scrutiniseability, fittingness, and credibility have been launch by an analyse principal, conformability could be achieved. Audit runway consist of raw data, memos, communications, records of gestures, etcetera the researcher employ an audit trail to meet these conditions by constructing and maintaining a record of primitive data, data simplification and reconstruction, price reduction products and serial analysis (Lincoln Guba, 1985).TransferabilityIt will be achieved when study findings fit into contexts outside the study situation and when the auditory sense views the findings as significant and assignable to the rest of the potential users. Lincoln and Guba (1985) termed transferability as the way of presenting adequate data such that external conclusions may be make about the findings. These in-depth interviews, with sufficient descriptions about change of life experience allow the readers to settle about its transferability. through with(predicate) generous and capacious description, the researcher will provide with in-depth information about the contexts, the data, and the participants.LimitationsLimitations of the study includes (I) the data collection plan is particular(a) to three months only as it is a part of master architectural plan that may affect the prize of the study. (II) The researchers own experiences and judging there is a play of biasness. (III) The transfe rability of the study findings will be limited to Aswans macrocosm as each conjunction has specific culture. (IV) Because of the culture and the idea some of the participant will not share full information about their experience. purpose scattering computer programmeResults will be presented to nurses and nurse leading of Aswan Directors of Health. The researcher will give recommendations and will work with Aswan nurse and their leaders to achieve the recommendations. The study will be presented at national scientific conferences and seminars, as well as produce in local and international journal.ReferencesAbdel-Fattah, M., Zaki, A., Bassili, A., El-Shazly, M., Tognoni, G. (2000). dope self- examination practice and its sham on breast cancer diagnosis in Alexandria, Egypt. east Mediterranean Health Journal, 6(1), 34-40.Al Qattan, M. M., Al Saleh, K. A., AlMusallam, S. S., Masoud, G. M. (2008). Knowledge and factors modify breast self examination among Kuwaiti women. Kuw ait medical examination Journal, 40 (2), 103-110.Alkhasawneh, I. M., Akhu-Zaheya, L. M