Changing practice: moving to a specialist nurse-led service for BRCA gene testing.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • Additional Information
    • Affiliation:
      Breast Clinical Nurse Specialist and Specialist in Breast Family History, Nottingham Breast Institute, Nottingham University Hospitals NHS Trust
      Consultant Oncoplastic Breast Surgeon, Nottingham Breast Institute, Nottingham University Hospitals NHS Trust
      Associate Professor in Public Health, University of Nottingham
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Some 5–10% of all breast cancers are associated with a pathogenic variant in a breast cancer-associated gene (BRCA1/BRCA2). Historically, with referral to the Nottingham University Hospitals NHS Trust's clinical genetics department for genetic testing, waiting times were on average 12–14 weeks for an initial appointment and 4–6 months to obtain results from the date of testing. A specialist, nurse-led mainstreaming cancer genetics (MCG) service was set up in the trust's Nottingham Breast Institute (NBI) to: reduce waiting times for the initial consultation, counselling, consent and obtaining results for BRCA1/BRCA2 gene testing; and to ensure appropriate patients with breast cancer were offered genetic testing. Two breast clinical nurse specialists were trained so they could counsel, consent and give results for the BRCA1/BRCA2 gene testing directly to patients. Average waiting times for results from the time of testing were reduced to 35.8 days under the nurse-led service, which enabled oncologists and patients to consider individual treatment options at an earlier time. The MCG service reduced waiting times, resulting in an improved, more streamlined service for patients undergoing genetic testing. The MCG service extended the scope of practice of the breast nurse clinical specialists, embedded an expert advanced nursing role in the breast multidisciplinary team and developed nurse mentoring opportunities.
    • Journal Subset:
      Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland
    • ISSN:
      0966-0461
    • MEDLINE Info:
      NLM UID: 9212059
    • Publication Date:
      20200601
    • Publication Date:
      20200605
    • DOI:
      http://dx.doi.org/10.12968/bjon.2020.29.10.S6
    • Accession Number:
      143476464
  • Citations
    • ABNT:
      SCOTT, N. et al. Changing practice: moving to a specialist nurse-led service for BRCA gene testing. British Journal of Nursing, [s. l.], v. 29, n. 10, p. S6–S13, 2020. DOI 10.12968/bjon.2020.29.10.S6. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=143476464. Acesso em: 12 ago. 2020.
    • AMA:
      Scott N, O’Sullivan J, Asgeirsson K, Macmillan D, Wilson E. Changing practice: moving to a specialist nurse-led service for BRCA gene testing. British Journal of Nursing. 2020;29(10):S6-S13. doi:10.12968/bjon.2020.29.10.S6
    • APA:
      Scott, N., O’Sullivan, J., Asgeirsson, K., Macmillan, D., & Wilson, E. (2020). Changing practice: moving to a specialist nurse-led service for BRCA gene testing. British Journal of Nursing, 29(10), S6–S13. https://doi.org/10.12968/bjon.2020.29.10.S6
    • Chicago/Turabian: Author-Date:
      Scott, Nicola, Jackie O’Sullivan, Kristjan Asgeirsson, Douglas Macmillan, and Emma Wilson. 2020. “Changing Practice: Moving to a Specialist Nurse-Led Service for BRCA Gene Testing.” British Journal of Nursing 29 (10): S6–13. doi:10.12968/bjon.2020.29.10.S6.
    • Harvard:
      Scott, N. et al. (2020) ‘Changing practice: moving to a specialist nurse-led service for BRCA gene testing’, British Journal of Nursing, 29(10), pp. S6–S13. doi: 10.12968/bjon.2020.29.10.S6.
    • Harvard: Australian:
      Scott, N, O’Sullivan, J, Asgeirsson, K, Macmillan, D & Wilson, E 2020, ‘Changing practice: moving to a specialist nurse-led service for BRCA gene testing’, British Journal of Nursing, vol. 29, no. 10, pp. S6–S13, viewed 12 August 2020, .
    • MLA:
      Scott, Nicola, et al. “Changing Practice: Moving to a Specialist Nurse-Led Service for BRCA Gene Testing.” British Journal of Nursing, vol. 29, no. 10, May 2020, pp. S6–S13. EBSCOhost, doi:10.12968/bjon.2020.29.10.S6.
    • Chicago/Turabian: Humanities:
      Scott, Nicola, Jackie O’Sullivan, Kristjan Asgeirsson, Douglas Macmillan, and Emma Wilson. “Changing Practice: Moving to a Specialist Nurse-Led Service for BRCA Gene Testing.” British Journal of Nursing 29, no. 10 (May 28, 2020): S6–13. doi:10.12968/bjon.2020.29.10.S6.
    • Vancouver/ICMJE:
      Scott N, O’Sullivan J, Asgeirsson K, Macmillan D, Wilson E. Changing practice: moving to a specialist nurse-led service for BRCA gene testing. British Journal of Nursing [Internet]. 2020 May 28 [cited 2020 Aug 12];29(10):S6–13. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=143476464