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  • Title: Nipple-Areola Tattoos: Making the Right Referral.
    Author: DiCenso D, Fischer-Cartlidge E.
    Journal: Oncol Nurs Forum; 2015 Nov; 42(6):E376-81. PubMed ID: 26488844.
    Abstract:
    PURPOSE/OBJECTIVES: To examine oncology care providers' knowledge of tattooing options for patients who have elected to have breast reconstruction as part of their breast cancer treatment. 
. DESIGN: Cross-sectional survey. SETTING: A large metropolitan cancer center in New York and various locations across the United States
. SAMPLE: 68 oncology care providers who work with women with breast cancer, distributed into two groups. METHODS: Descriptive statistics were used to summarize online survey responses for the two groups, with inferential comparisons made with logistic regression models
. MAIN RESEARCH VARIABLES: Healthcare profession, discussion of reconstructive tattoo options with patients, knowledge of providers of reconstructive tattoos outside of traditional healthcare settings, and recommendations made to patients
. FINDINGS: RNs were significantly less likely to recommend a professional tattoo artist to a patient than non-RNs, despite a similar proportion of both groups believing that a tattoo artist would provide the patient with a better tattoo than healthcare providers (HCPs). CONCLUSIONS: Additional research is needed to identify education deficits in HCPs regarding tattoo reconstruction options. HCPs are recommending potentially substandard options for nipple-areola tattooing, even though many believe that tattoo artists, who are outside of the traditional healthcare setting, could provide better outcomes for patients. IMPLICATIONS FOR NURSING: Nurses and other HCPs require additional education about nipple-areola tattoo options for patients following breast cancer surgery
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