A qualitative analysis of staff-client interactions within a breast cancer assessment clinic

Nightingale, JM, Murphy, FJ ORCID: https://orcid.org/0000-0001-6147-7564, Eaton, C and Borgen, R 2016, 'A qualitative analysis of staff-client interactions within a breast cancer assessment clinic' , Radiography, 23 (1) , pp. 38-47.

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Breast screening clients recalled to an assessment clinic experience high levels of anxiety. The culture of the assessment clinic may impact upon client experience, which may influence their future re-engagement in screening. This study aimed to explore the culture of staff-client interactions within a breast cancer assessment clinic.
Materials and Methods
Following an ethnographic approach, twenty-three client journeys were observed, followed by semi-structured interviews with the clients. The observation and interview data were analysed to produce research themes, which were then explored within two focus groups to add a practitioner perspective.
Multiple staff-client interaction events were observed over a period of several weeks. Client interview feedback was overwhelmingly positive. Three recurrent and sequential themes emerged: breaking down barriers, preparing the ground and sign-posting. These themes outline the changing focus of staff-client interactions during the client’s clinic journey, encompassing how anxieties were expressed by clients, and responded to by practitioners.
This study was the first to explore in depth the staff-client interaction culture within a breast assessment clinic using an ethnographic approach. A new perspective on professional values and behaviours has been demonstrated via a model of staff-client interaction. The model documents the process of guiding the client from initial confusion and distress to an enhanced clarity of understanding. A recommendation most likely to have a positive impact on the client experience is the introduction of a client navigator role to guide the clients through what is often a lengthy, stressful and confusing process.

Item Type: Article
Schools: Schools > School of Health and Society > Centre for Health Sciences Research
Journal or Publication Title: Radiography
Publisher: Elsevier
ISSN: 1078-8174
Related URLs:
Funders: Non funded research
Depositing User: JM Nightingale
Date Deposited: 10 Nov 2016 16:11
Last Modified: 15 Feb 2022 21:24
URI: https://usir.salford.ac.uk/id/eprint/40741

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