Experiences with screening for atrial fibrillation: a qualitative study in general practice

Area of Science:

• Cardiology
• Primary Care Medicine
• Health Services Research

Background:

• Guidelines advocate for atrial fibrillation (AF) screening.
• AF screening is not yet standard practice in general practices (GPs).

Purpose of the Study:

• To explore primary care professionals' experiences with AF screening methods.
• To identify challenges in implementing AF screening in daily practice.

Main Methods:

• Qualitative study utilizing semi-structured interviews.
• Thematic analysis of interviews with 15 GPs, nurse practitioners, and HCAs across seven practices.

Main Results:

• Pulse palpation, automated BP monitors with AF detection, and single-lead ECGs are practical screening tools.
• Participants trusted pulse palpation over device algorithms.
• Integration is hindered by the workload and the time-consuming follow-up 12-lead ECG.

Conclusions:

• Pulse palpation, automated BP monitors, and single-lead ECGs can support AF screening in general practice.
• Implementation strategies should minimize disruption to consultations, particularly avoiding unplanned 12-lead ECGs.