Advanced Breast Examination Techniques in Nursing Practice: Evidence-Based Assessment, Early Detection, and Patient-Centered Education
Abstract
Background: Clinical breast examination (CBE) remains a vital component of women’s health assessment, complementing imaging and patient history. Nurses often serve as first-line evaluators, making proficiency in CBE essential for early detection of benign and malignant conditions.
Aim: To review advanced breast examination techniques in nursing practice, emphasizing evidence-based assessment, patient-centered communication, and guideline-informed care.
Methods: A comprehensive literature-based analysis was conducted, integrating anatomical and physiological principles, clinical indications, contraindications, preparation, and standardized examination techniques. Current screening guidelines from major organizations (NCCN, ACOG, ACS, USPSTF) were compared to highlight practice variability and risk-stratified recommendations.
Results: Findings underscore that CBE is indicated for symptomatic patients, abnormal imaging, and selected high-risk populations. While routine CBE as a universal screening tool is debated, its diagnostic value persists in correlating physical findings with imaging and guiding timely intervention. Effective preparation and structured palpation techniques improve accuracy and patient comfort. Documentation precision and interprofessional communication enhance continuity of care.
Conclusion: CBE remains clinically significant for early detection, symptom evaluation, and longitudinal surveillance. Nurses play a pivotal role in performing accurate exams, educating patients, and ensuring guideline-consistent practice. Integration of technical skill with empathetic communication fosters trust and improves outcomes.
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Copyright (c) 2025 Hanadi Rifadah Alenazi, Zahrah Hussein Shabani, Mada Mohammad Alotaibj, Amani Mithqab Khormi, Eid Awwadh Muti Almutairi, Anwar Ali Al-Khaldi, Rahaf Saoud Al-Khaldi, Wafa Mohammed Al-Harbi, Norah Saad Al-Mutairi, Afrah Qasem Funaykhir Al-Shammari, Zahra Hamadi Alshengiti
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