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Nursing staff can improve breast cancer screening uptake

Shannon Copeland 21 Feb 2025

Shannon Copeland, PhD Researcher and member of the Cancer Care Forum Committee, explains why it is important for nursing staff to participate in breast cancer screening and encourage their colleagues and patients to do the same, as NHS England launch a campaign to increase screening uptake.

Breast cancer remains a significant global health concern and stands as the most common cancer among women in the United Kingdom. Despite these statistics, attendance at breast cancer screening has fallen below that of other cancer programmes. This decline can be attributed to several factors, such as the disruption caused by the COVID-19 pandemic, limited healthcare access in certain geographical areas, and a lack of awareness and education about the critical importance of breast cancer screening. Additionally, misconceptions and fears around the screening process itself can further deter participation.

Mammography is a cornerstone in the early detection of breast cancer and offers an invaluable tool in identifying the disease at a stage when it is most treatable. Early detection through regular screening can substantially reduce mortality rates and lead to better treatment outcomes. Moreover, early detection and subsequent treatment are often more cost-effective, minimising both the personal and financial burdens associated with advanced cancer care. Yet, despite the clear benefits, screening participation is low, even among health care workers.

As nurses, we occupy a unique and influential position within the health care landscape. Beyond providing direct patient care, we are educators, advocates, and role models. One crucial area where our influence can make a significant impact is in promoting breast cancer awareness and encouraging regular screening. Nurses are ideally positioned to break down barriers and make screening more accessible and less intimidating. However, despite being at the forefront of health care, nursing staff themselves face several obstacles that may prevent them from participating in breast cancer screening, including time constraints, demanding work schedules, and assumptions over our own level of risk. To address these challenges, it's essential to foster proactive workplace cultures that prioritise nurses' health and well-being, enabling them to effectively care for others.

Breast cancer screening is one of the most effective methods for early detection, significantly improving survival rates. While nurses are dedicated to caring for others, we must also prioritise our own health. Attending regular breast cancer screenings underscores the importance of early detection. Nurses are not immune to the risks of breast cancer, and regular screening helps identify potential issues early when treatment options are most effective. Our participation in screening sends a powerful message to colleagues, patients, and communities: early detection saves lives.

While attending screening appointments is critical, breast awareness plays an equally vital role. Nurses can be instrumental in educating both themselves and others about recognizing changes in breast tissue, such as lumps, changes in shape or size, and unusual skin textures. By being attuned to these signs, we are better equipped to encourage patients to act swiftly if they notice something unusual. Resources from organisations like Coppafeel! provide valuable guidance on performing self-checks and raising awareness of breast cancer signs and symptoms.

Clearly nursing staff possess the ability to influence behaviour and inspire action. By advocating for regular screening, we can encourage those around us to follow suit. Regular discussions about the importance of breast screening and self-awareness with patients help create a culture of openness. Cancer is everyone's business and cancer awareness should be an integral part of every health care conversation.
Shannon Copeland

Shannon Copeland

Cancer Forum Committee Forum member

PhD Researcher

Shannon is currently exploring the supportive care needs for people undergoing chemotherapy for breast cancer.

Page last updated - 21/02/2025