Managing the unmanageable: A qualitative study exploring sonographer experiences of and training in unexpected and difficult news delivery

Abstract Introduction Ultrasound is used to diagnose pregnancy complications such as miscarriage and fetal health conditions. Within the UK, findings identified during ultrasound examination are delivered by sonographers standard. However, little known about experiences of when delivering unexpected news (DUN), impact this has on them, or their preferences for training delivery. Methods Qualitative interviews were completed with fourteen analysed using an inductive thematic approach. Key themes identified. Results Participants said that obstetric often involves ‘managing’ patient encounter, including: navigating (unrealistic) expectations; handling own responses findings; managing interaction moderating emotional expression communication practices deliver patient-centred empathic care. Persistent uncertainty outcomes, prognosis reactions, alongside high workloads, frequent siloed working, makes DUN challenging sonographers. was experienced emotionally burdensome, employed personal coping strategies reduce stress/burnout. greatest mitigation stress/burnout support from peers, though accessing challenging. Peers also described key sources learning, especially through observation. Conclusion Challenges associated enduring experience Facilitating regular ongoing would enable cope negative aspect role, including burden DUN. Implications practice Long lists prioritised deal demand services. sonographer wellbeing needs be a priority avoid stress burnout. This means facilitating protected time access colleagues, multidisciplinary working where possible, Training focusing practices, dealing burdens role beneficial.