Face-to-face Information and Emotional Support from Trained Nurses Reduce Pain During Screening Mammography: Results from a Randomized Controlled Trial

Fernández-Feito, Ana; Lana, Alberto; Cabello-Gutiérrez, Lourdes; Franco‐Correia, Sara; Cernuda, R.F. Baldonedo; Mosteiro-Díaz, Pilar

doi:10.1016/j.pmn.2015.07.008

Cited by 16 publications

(9 citation statements)

References 26 publications

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“…However, such an intervention would need careful development and testing, including an assessment of the resources required and the feasibility of providing them. A randomised controlled trial in Spain has shown that a nursing intervention involving additional support on arrival for the screening appointment and during the mammogram can reduce reported mammographic pain (Fernández‐Feito et al., ). However, the findings may not be generalisable to the UK because of differences in mammographer training.…”

Section: Discussionmentioning

confidence: 99%

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Client and practitioner perspectives on the screening mammography experience

2016

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Mammography can be painful and unpleasant, but effective interventions to improve the experience remain scarce. As a first step towards more effective interventions, we aimed to achieve a thorough, contemporary understanding of thoughts, feelings and behaviours which affect and arise from mammography experiences. Research and professional experience suggest that the interaction between client and practitioner may be paramount in determining the quality of a client's experience. Therefore, this study aimed to capture the perspectives of clients and mammography staff from UK breast screening programmes. Thematic analysis of semi‐structured qualitative in‐depth interviews with 22 clients and 18 staff revealed that clients had positive attitudes to breast screening and mostly low knowledge about potential harms. Staff data indicated that some women attend for breast screening under pressure from others. Pain and coping with it were prominent themes, with wide variations in pain experiences. Clients recognised differences in mammographers’ abilities to put them at ease. Staff difficulties included empowering clients within the confines of a taxing technique, and maintaining compassionate care when under strain. Future intervention development should focus on the information and support needs of women prior to the appointment and on effectively training and supporting mammographers to deal with challenging encounters.

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Section: Discussionmentioning

confidence: 99%

“…Feito et al, 2015). However, the findings may not be generalisable to the UK because of differences in mammographer training.…”

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confidence: 81%

Client and practitioner perspectives on the screening mammography experience

2016

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“…Interventionist should consider an individual’s expectations during mammography and provide reassurance to help allay fear regarding the procedure. This type of information has demonstrably decreased the severity of perceived pain during mammography (Fernández-Feito et al, 2015; Papas & Klassen, 2005).…”

Section: Discussionmentioning

confidence: 99%

Regular Mammography Screening Among African American (AA) Women: Qualitative Application of the PEN-3 Framework

et al. 2018

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Introduction: Breast cancer mortality rates among African American (AA) women are at 29.2 deaths per 100,000 persons compared with 20.6 deaths per 100,000 persons among Caucasian women. Regular mammography screening may significantly reduce breast cancer mortality and narrow this disparity. This study guided by PEN-3 model aims to explore the relationships and expectations domain and identify perceptions, enablers, and nurturers of regular mammography among AA women. Method: As part of an intervention study, in-depth interviews were conducted with 39 AA women recruited from the emergency department of a public university hospital. Results: Women’s perceptions included fear and limited knowledge. Enablers identified were cost, socioeconomic, and race-related discrimination, and health care previous experiences. Nurturers identified included observation of family experiences and lack of health-related social support. Discussion: Findings underscore the need to develop culturally tailored interventions to address the issues salient to this population.

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“…The nurses from the Faculty of Medicine and Health Sciences were doctors, university teachers in subjects related to women's health and with experience in screening programmes for cervical cancer and breast cancer. The PhD thesis of one of the researchers was based on the effectiveness of an intervention to decrease pain during mammograms (Fernández et al, 2015). In addition, she was the tutor of the final degree project of the nursing student who collaborated in this study on this subject.…”

Section: Methodsmentioning

confidence: 99%

A mixed‐methods study to evaluate the acceptability of information leaflets for breast cancer screening

Fernández-Feito

Canga-Gutiérrez²,

Paz-Zulueta

2021

Journal of Clinical Nursing

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Aims and objectives To obtain feedback regarding the comprehension and acceptability of an information leaflet on breast cancer screening among women. Background Women usually receive a leaflet inviting them to participate in breast cancer screening programmes for early detection of breast cancer. These leaflets include relevant information about mammograms to aid with decision‐making. It is important to know how the target population perceives these leaflets, as this may influence the attitude towards breast cancer screening. Design A mixed‐methods study (concurrent triangulation design). Methods Participants were 41 women aged between 40–60 years in the north of Spain. The leaflet included information about breast cancer, mammograms, benefits/risks of screening, and the breast cancer mortality and survival rates in relation to screening. Three written methods were used to assess the leaflet: a readability assessment (Flesch Index) and two comprehension assessments (Cloze and multiple‐choice questions). In addition, 26 semi‐structured interviews were conducted to explore the women's opinions regarding comprehension, acceptability and the contribution of the leaflet as a decision aid. The COREQ checklist was used to guarantee the quality and rigour of the qualitative study. Results Overall, women found the leaflet fairly easy to read and most understood the content. Some women found the information on mortality alarming, difficult to understand and a cause for rejection. The leaflet was viewed as a decision aid, although further information was requested on mammograms, the need for complementary tests and the risks and symptoms of breast cancer. Conclusion The leaflet was accepted by women and, overall, easy to understand. The participation of the target population enabled the content and format of the leaflet to be adjusted to their needs. Relevance for clinical practice Nurses can contribute towards improving the breast cancer screening leaflets, considering women's perceptions surrounding screening.

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Face-to-face Information and Emotional Support from Trained Nurses Reduce Pain During Screening Mammography: Results from a Randomized Controlled Trial

Cited by 16 publications

References 26 publications

Client and practitioner perspectives on the screening mammography experience

Client and practitioner perspectives on the screening mammography experience

Regular Mammography Screening Among African American (AA) Women: Qualitative Application of the PEN-3 Framework

A mixed‐methods study to evaluate the acceptability of information leaflets for breast cancer screening

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