Evidence map›Paper›PMID 33004391›Full record

ArticleBMJ open2020

Qualitative exploration of health professionals' experiences of communicating positive newborn bloodspot screening results for nine conditions in England.

Jane Chudleigh, Holly Chinnery, Jim R Bonham, Ellinor Olander, Louise Moody, Alan Simpson, Stephen Morris, Fiona Ulph, Mandy Bryon, Kevin Southern

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  17. Psychological Impact of NBS for CF.International journal of neonatal screening · 2020
    Review
  18. Processing Newborn Bloodspot Screening Results for CF.International journal of neonatal screening · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 1 country.

Jane ChudleighSchool of Health Sciences, City University, London, UK j.chudleigh@city.ac.uk.ORCID 0000-0002-7334-8708
Holly ChinneryFaculty of Sports, Health and Applied Science, St Mary's University Twickenham, Twickenham, London, UK.
Jim R BonhamDivision of Pharmacy, Diagnostics and Genetics, Sheffield Children's NHS Foundation Trust, Sheffield, UK.
Ellinor OlanderSchool of Health Sciences, City University London, London, UK.
Louise MoodyCentre for Arts, Memory and Communities, Coventry University, Coventry, West Midlands, UK.
Alan SimpsonFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.
Stephen MorrisPrimary Care Unit, University of Cambridge School of Clinical Medicine, Cambridge, Cambridgeshire, UK.ORCID 0000-0002-5828-3563
Fiona UlphFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, University of Manchester, Manchester, UK.
Mandy BryonPaediatric Psychology and Play Services, Great Ormond Street Hospital For Children NHS Foundation Trust, London, UK.
Kevin SouthernPaediatrics, Institute of Child Health, Merseyside, UK.
City, University of London · GBCoventry University · GBGreat Ormond Street Hospital for Children NHS Foundation Trust · GBKing's College London · GBSheffield Children's NHS Foundation Trust · GBSt Mary's University Twickenham London · GBUniversity of Cambridge · GBUniversity of Manchester · GB

Funding

Department of Health 16/52/25
6 · The paper itself

Abstract

objectiveTo explore health professionals' experiences of communicating positive newborn bloodspot screening (NBS) results, highlight differences, share good practice and make recommendations for future research.

designQualitative exploratory design was employed using semi-structured interviews

settingThree National Health Service provider organisations in England

participantsSeventeen health professionals involved in communicating positive newborn bloodspot screening results to parents for all nine conditions currently included in the newborn bloodspot screening programme in England.

resultsFindings indicated variation in approaches to communicating positive newborn bloodspot screening results to parents, largely influenced by resources available and the lack of clear guidance. Health professionals emphasised the importance of communicating results to families in a way that is sensitive to their needs. However, many challenges hindered communication including logistical considerations; difficulty contacting the family and other health professionals; language barriers; parental reactions; resource considerations; lack of training; and insufficient time.

conclusionHealth professionals invest a lot of time and energy trying to ensure communication of positive newborn bloodspot screening results to families is done well. However, there continues to be great variation in the way these results are communicated to parents and this is largely influenced by resources available but also the lack of concrete guidance. How best to support health professionals undertaking this challenging and emotive task requires further exploration. We recommend evaluation of a more cohesive approach that meets the needs of parents and staff while being sensitive to the subtleties of each condition. TRIAL REGISTRATION NUMBER: ISRCTN15330120.

Indexed as

Neonatal ScreeningState MedicineEnglandHealth PersonnelHumansInfant, NewbornParentscystic fibrosise.g. irongeneticshaematologyother metabolicpaediatricsporphyria

Identifiers

PMID33004391
PMCPMC7534703
OpenAlexW3090070562

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.