{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T14:48:24Z","timestamp":1791816504837,"version":"4.3.4"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Nursing Knowledge"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Breast cancer survivors live with heterogeneous recurrence risks. Recurrence-related nursing guidance often combines follow-up, adherence, symptom monitoring, lifestyle behaviors, and fear management under broad self-care language, limiting precision for nursing assessment and language development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To analyze the concept of risk-informed self-care for recurrence risk reduction among breast cancer survivors and clarify its relevance for nursing language development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Walker and Avant's method guided the analysis. Literature searches were updated on 5 July 2026 in PubMed, CINAHL, Scopus, ScienceDirect, ProQuest, Google Scholar, and guideline sources. English-language literature from 2013\u20132026 was prioritized; older landmark theory and instrument sources were retained when conceptually necessary. Thirty-four core sources were mapped to concept uses, attributes, antecedents, consequences, empirical referents, and possible nursing language descriptors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The concept is defined as a supported process through which breast cancer survivors use credible recurrence-related information and survivorship recommendations to maintain treatment continuity, participate in appropriate surveillance, manage modifiable survivorship-related determinants, monitor symptoms proportionally, and seek help when needed. Five attributes were identified: risk-calibrated understanding, guideline-concordant treatment continuity and surveillance participation, management of modifiable survivorship-related determinants, proportional symptom monitoring and timely help-seeking, and adaptive self-care management decision-making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Risk-informed self-care for recurrence risk reduction offers a more precise construct than general survivor self-care. It may inform recurrence-related nursing assessment, diagnostic reasoning, care planning, documentation, outcomes evaluation, and future standardized nursing language development.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20473087261496446","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T14:21:50Z","timestamp":1791814910000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Risk-Informed Self-Care for Recurrence Risk Reduction among Breast Cancer Survivors: A Concept Analysis for Nursing Language Development"],"prefix":"10.1177","author":[{"given":"Dian","family":"Anggraini","sequence":"first","affiliation":[{"name":"Universitas Padjadjaran"},{"name":"Department of Medical Surgical Nursing, STIKep PPNI Jawa Barat, Bandung, West Java, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8515-7032","authenticated-orcid":false,"given":"Tuty","family":"Pahria","sequence":"additional","affiliation":[{"name":"Universitas Padjadjaran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hartiah","family":"Haroen","sequence":"additional","affiliation":[{"name":"Universitas Padjadjaran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pandji Irani","family":"Fianza","sequence":"additional","affiliation":[{"name":"Universitas Padjadjaran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/85.5.365"},{"key":"e_1_3_3_3_1","volume-title":"Breast cancer facts & figures 2024\u20132025","author":"American Cancer Society","year":"2024","unstructured":"American Cancer Society. (2024). Breast cancer facts & figures 2024\u20132025. 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