'The situation and the uncertainty about the coming result scared me but interaction with the radiographers helped me through': a qualitative study on patients' experiences of magnetic resonance imaging examinations. Issue 21 (14th October 2013)

• Record Type: Journal Article
• Authors: Carlsson, Sofia; Carlsson, Eva
• Is Part Of: Journal of clinical nursing. Volume 22:Issue 21/22(2013)
• Page Start: 3225
• Page End: 3234
• Publication Date: 2013-10-14
• Subjects: Nursing -- Periodicals; Clinical medicine -- Periodicals; 610.7305
• DOI: 10.1111/jocn.12416
• Languages: English
• ISSNs: 0962-1067

Abstract

<abstract abstract-type="main" id="jocn12416-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="jocn12416-sec-0001" sec-type="section"> <title>Aims and objectives</title> <p>To describe patients' expectations before and experiences during a head‐first magnetic resonance imaging scan.</p> </sec> <sec id="jocn12416-sec-0002" sec-type="section"> <title>Background</title> <p>Previous studies have reported that patients experience fear and anxiety leading to discomfort before, during and after magnetic resonance imaging scans. Frequent problems persist in producing high‐quality images due to motion artefacts. These results imply a need for improvement of patient conditions to allow for the added benefit of better diagnostic quality. Provision of extended written information has not appeared to reduce patients' stress, while interaction with staff has been described as the most important factor for reducing such feelings.</p> </sec> <sec id="jocn12416-sec-0003" sec-type="section"> <title>Design and methods</title> <p>A qualitative, phenomenological approach. Semi‐structured interviews were conducted, and data were analysed with systematic text condensation.</p> </sec> <sec id="jocn12416-sec-0004" sec-type="section"> <title>Results</title> <p>The experiences of the ten participants were encapsulated by the main theme: 'The situation and the uncertainty about the coming result scared me but interaction with the radiographers helped me through'. Subthemes were 'Prescan preparation', 'Mastering threats to self‐control' and 'Personal achievements by completing the scan'.</p> </sec> <sec id="jocn12416-sec-0005" sec-type="section"> <title>Conclusions</title> <p>Our study has provided a deeper understanding of the expectations before, and experiences during, a head‐first magnetic resonance imaging scan. Valuable insight into patients' apprehension about written and verbal information was obtained. The patients reported how they coped with the unfamiliar and stressful magnetic resonance imaging scanning procedure. A trustful dialogue with the radiographer was described as being crucial for patients' ability to manage fear, discomfort and feelings of loss of self‐control. We suggest a need for individualised information based on patient participation.</p> </sec> <sec id="jocn12416-sec-0006" sec-type="section"> <title>Relevance to clinical practice</title> <p>Radiographers, as well as nurses caring for patients who will undergo magnetic resonance imaging examinations, should recognise the difficulties inherent in written information. It is also of importance to adjust the patient–radiographer interaction to address patients' expressions of worries about the scanning procedure or the following result.</p> </sec> </abstract>