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dc.contributor.authorCruickshank, Susanne
dc.contributor.authorSteele, Emma
dc.contributor.authorFenlon, Debbie
dc.contributor.authorArnes, Jo
dc.contributor.authorBanks, Elspeth
dc.contributor.authorHumphris, Gerald
dc.identifier.citationCruickshank , S , Steele , E , Fenlon , D , Arnes , J , Banks , E & Humphris , G 2020 , ' Specialist breast cancer nurses' views on implementing a fear of cancer recurrence intervention in practice : a mixed methods study ' , Supportive Care in Cancer , vol. 28 , no. 1 , pp. 201–210 .
dc.identifier.otherPURE: 258222839
dc.identifier.otherPURE UUID: b8cb41e4-c641-4120-bc68-b5fd958d6604
dc.identifier.otherScopus: 85064684148
dc.identifier.otherORCID: /0000-0002-4601-8834/work/64033936
dc.description.abstractIntroduction: Fear of cancer recurrence (FCR) in people with breast cancer affects treatment recovery, quality of life, service utilisation and relationships. Our aim was to investigate how Specialist Breast Cancer Nurses (SBCN) respond to their patients’ fears of cancer recurrence and analyse SBCN’s views about embedding a new psychological intervention, the Mini-AFTERc, into their consultations. Method: A mixed methods sequential design was used, informed by normalisation process theory. Phase 1: UK SBCNs were emailed a web-based survey to investigate how breast cancer survivors’ FCR is currently identified and managed, and their willingness to utilise the Mini-AFTERc. Phase 2: a purposive sample of respondents (n=20) were interviewed to augment phase 1 responses, and explore views on the importance of addressing FCR, interest in the Mini-AFTERc intervention, its content, skills required and challenges to delivering the intervention. Results: Ninety nurses responded to the survey. When SBCN’s were asked to identify the proportion of patients experiencing FCR in their caseload, there was no consensus on the size of the problem or unmet need. They estimated that 20-100% people experience moderate FCR and 10-70% severe FCR. The interviews identified that clinical conversations are focused primarily on giving information about signs and symptoms of recurrence rather than addressing the psychological aspects of fear. Conclusion: Findings indicate wide variability in how FCR was identified, assessed and supported by a sample of UK SBCNs. The introduction of a structured intervention into practice was viewed favourably and has implications for nursing and health professional ways of working in all cancer services.
dc.relation.ispartofSupportive Care in Canceren
dc.rightsCopyright © The Author(s) 2019. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.en
dc.subjectBreast canceren
dc.subjectFear of cancer recurrenceen
dc.subjectNormalisation processen
dc.subjectMixed methodsen
dc.subjectMini-AFTERc interventionen
dc.subjectNurse specialisten
dc.subjectRC0254 Neoplasms. Tumors. Oncology (including Cancer)en
dc.subjectRT Nursingen
dc.titleSpecialist breast cancer nurses' views on implementing a fear of cancer recurrence intervention in practice : a mixed methods studyen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews.Sir James Mackenzie Institute for Early Diagnosisen
dc.contributor.institutionUniversity of St Andrews.Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews.WHO Collaborating Centre for International Child & Adolescent Health Policyen
dc.contributor.institutionUniversity of St Andrews.Health Psychologyen
dc.contributor.institutionUniversity of St Andrews.St Andrews Sustainability Instituteen
dc.contributor.institutionUniversity of St Andrews.School of Medicineen
dc.description.statusPeer revieweden

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