What are the Key Components of an Advanced Nurse Practitioner (ANP) Led High-Risk Family History Breast Clinic? A Scoping Review.

Objectives: To identify what is known in the existing literature about the key components of an advanced nurse practitioner led high-risk family history breast clinic.

Methods: This scoping review adheres the Joanna Briggs Institute scoping review framework and reported in line with the PRISMA Extension for Scoping Reviews (PRISMA-ScR) checklist. A systematic search of 4 databases including CINAHL, PubMed, Scopus and PsychINFO and sources of grey literature was conducted in October 2024 and December 2024. Data was extracted, synthesised and presented in narrative and table format.

Results: Seven papers met the inclusion criteria. Two themes emerged from the literature, risk assessment to determine breast cancer risk and the psychological impact of risk realisation on the patient and the nurse.

Conclusion: This scoping review aimed to identify the key components of an advanced nurse practitioner led high risk family history breast clinic. Two key components emerged from the literature namely risk assessment and the psychological impact of risk realisation. This review also identifies the recommended clinical outcomes following the identification of women at high risk for developing breast cancer. This review also aimed to identify the gaps in the literature regarding the role of the nurse within these clinics. The management of women identified to have psychological distress as a consequence of risk realisation.

Implications for nursing practice: Advanced nurse practitioners are well placed to lead the care of women at high-risk of developing breast cancer utilising a holistic approach, in conjunction with the multidisciplinary team.