Supporting claustrophobic patients during magnetic resonance imaging examination- the radiographer perspective.

INTRODUCTION: Some patients cannot complete their magnetic resonance imaging (MRI) examinations because of claustrophobia. Evidence showed that supportive instruction is an effective intervention used to assist claustrophobic patients in MRI. However, the effectiveness of this intervention depends on the experience and education level of the MRI radiographer. This study aimed to understand the views of MRI radiographers on supporting claustrophobic patients and develop a guide to improve the effectiveness of the intervention. METHODS: A qualitative descriptive approach utilising focus group discussion was considered suitable. A purposive sampling method was used to enrol eligible participants into the study. The study was advertised in print newspapers and on social media platforms. There were seven MRI radiographers in the focus group discussion. The conversation was recorded and transcribed for analysis, with content analysis employed to group the data into relevant codes and categories. RESULTS: The radiographer's understanding of claustrophobia and knowledge of the interventions used to support claustrophobic patients were the key elements that influenced claustrophobic patients' experience in MRI. However, there were some factors inhibiting the radiographer's ability to support these patients. These factors include insufficient appointment slots, availability of supportive tools and support with developing communication skills. CONCLUSION: Communication and identifying anxiety signs are essential for MRI radiographers to address patient anxiety during examinations. This might increase the MRI examination completion rate and give the patient a positive experience in the department. IMPLICATIONS FOR PRACTICE: MRI radiographers can better understand how to support claustrophobic patients. Also, the guide developed from the data could help improve consistency in the use of supportive instruction in clinical practice.

Supporting claustrophobic patients during Magnetic Resonance Imaging examination- the patient perspective.

INTRODUCTION: Magnetic Resonance Imaging (MRI) is a common imaging modality used to diagnose disease and monitor treatment. However, some patients cannot complete their MRI examination as a result of claustrophobia. The recent developments in the MRI scanner design may have reduced the incidence of claustrophobia in MRI. This study aimed to explore the claustrophobic patients' experience to better understand how to support them. METHODS: A qualitative descriptive approach using focus groups was deemed appropriate for the study. The research was advertised in a print newspaper and on social media platforms for eligible participants to contact the researcher. Six claustrophobic patients were recruited to the focus group meeting. The discussion was audio recorded and transcribed. Content analysis was used to analyse the data into code and categories. RESULTS: Four themes emerged from the data analysis, which included examination preparation, information provision, coping mechanisms and MR scanner design. Participants reported that the confined space in the MRI scanner bore is responsible for their anxiety during MRI. However, the majority of the participants believe that they would be able to complete the examination if, in advance of their scan, they were shown the MRI scanner and what they would be required to do. CONCLUSION: Several coping mechanisms were shared by the participants on how they were able to complete their MRI examination despite their claustrophobia. MRI radiographers should endeavour to use these mechanisms to support their patients in practice. Also, the findings emphasise the importance of virtual reality and clear communication with patients in preparing them for their MRI examinations. IMPLICATIONS FOR PRACTICE: The findings of this study may be used to enhance claustrophobic patients' experience in MRI. It also identified those aspects of the MRI examination that matter most to patients with claustrophobia in order to provide a suitable intervention to support these patients.