Healthcare professionals' experiences of caring for women with false‐positive screening test results in the National Health Service Breast Screening Programme

• Published in: Health expectations : an international journal of public participation in health care and health policy 2024-04, Vol.27 (2), p.e14023-n/a
• Main Authors: Long, Hannah A., Brooks, Joanna M., Maxwell, Anthony J., Peters, Sarah, Harvie, Michelle, French, David P.
• Format: Article
• Language: English
• Subjects: Allied Health Personnel; Anxiety; Biopsy; Breast; Breast cancer; Breast Neoplasms - diagnosis; breast screening; Citizen participation; Clinical nursing; Communication; Communication strategies; Constraint modelling; Data processing; Delivery of Health Care; False positive results; false‐positive screening test results; Female; Health care; Health Personnel; Health services; Humans; Information processing; interview; Interviews; Mammography; Mammography - psychology; Medical personnel; Medical screening; Nurse specialists; Original; Patient-centered care; Patients; Professionals; Public involvement; qualitative; Qualitative Research; Questionnaires; Radiographers; Radiologists; Radiology; Scripts; Specialists; State Medicine; Tests; Training; Women; Womens health
• ISSN: 1369-6513; 1369-7625; 1369-7625
• DOI: 10.1111/hex.14023

Background Understanding healthcare professionals' (HCPs) experiences of caring for women with false‐positive screening test results in the National Health Service Breast Screening Programme (NHSBSP) is important for reducing the impact of such results. Methods Interviews were undertaken with 12 HCPs from a single NHSBSP unit, including advanced radiographer practitioners, breast radiographers, breast radiologists, clinical nurse specialists (CNSs), and a radiology healthcare assistant. Data were analysed thematically using Template Analysis. Results Two themes were produced: (1) Gauging and navigating women's anxiety during screening assessment was an inevitable and necessary task for all participants. CNSs were perceived as particularly adept at this, while breast radiographers reported a lack of adequate formal training. (2) Controlling the delivery of information to women (including amount, type and timing of information). HCPs reported various communication strategies to facilitate women's information processing and retention during a distressing time. Conclusions Women's anxiety could be reduced through dedicated CNS support, but this should not replace support from other HCPs. Breast radiographers may benefit from more training to emotionally support recalled women. While HCPs emphasised taking a patient‐centred communication approach, the use of other strategies (e.g., standardised scripts) and the constraints of the ‘one‐stop shop’ model pose challenges to such an approach. Patient and Public Contribution During the study design, two Patient and Public Involvement members (women with false‐positive‐breast screening test results) were consulted to gain an understanding of patient perspectives and experiences of being recalled specifically in the NHSBSP. Their feedback informed the formulations of the research aim, objectives and the direction of the interview guide.