Table 3 Themes mapped onto NPT constructs

Coherence

Group CBT met a need for non-medicalised hot flushes/night sweats treatment

The intervention was perceived to have the ability to meet a patient need

Cognitive Participation

Surgeons, BCNs and patients were keen on the provision of nurse-delivered CBT to meet patient demand

There was mutual agreement amongst implementers that BCNs should lead the intervention

Collective Action

BCNs were a trusted source for the delivery of CBT but need multi-level support to operationalise the work

Multi-level factors enable the operational work (e.g. clinic cover)

Reflexive Monitoring

Some BCNs and patients continued to benefit beyond the intervention

There was a lasting application of the CBT skills learnt