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Caring for patients with spinal metastasis during an MRI examination
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Lund University.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0002-5719-7102
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Halmstad University ; VID University, Norway.ORCID iD: 0000-0003-0017-5188
2018 (English)In: Radiography, ISSN 1078-8174, E-ISSN 1532-2831, Vol. 24, no 1, p. 79-83Article in journal (Refereed) Published
Abstract [en]

Introduction: Magnetic resonance imaging (MRI) is without question the best tool used for diagnosing and evaluating spinal metastasis. An MRI examination is known to be of great value for the treatment planning and survival of these patients. Radiographers have an important role in how the quality of care is experienced by the patients during an MRI examination. The purpose of the study was to describe the radiographers’ perceptions of caring for patients with spinal metastasis during an examination with MRI.

Methods: Phenomenography was used to analyze the data in this study. Ten radiographers, one male and nine females were interviewed about their perception of caring for patients with spinal metastasis during an MRI examination.

Results: The findings showed that the radiographers’ caring perspective influenced their approach towards what they consider to be essential in the care of patients with spinal metastasis. This can impact the extent of the adjustment to the care needs of the patients. Furthermore, the findings showed that there was a strong connection between the radiographers’ care approach and preparedness to personalize the care.

Conclusion: This study shows that it is important to be flexible when providing care for the patients. A person-centered care is achieved when the caring perspective is based on the patient’s view and adjustments are made in agreement with the patient.

Place, publisher, year, edition, pages
2018. Vol. 24, no 1, p. 79-83
Keyword [en]
MRI, Nurse-patient interaction, Care giving
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-65561DOI: 10.1016/j.radi.2017.06.001OAI: oai:DiVA.org:lnu-65561DiVA, id: diva2:1111869
Available from: 2017-06-19 Created: 2017-06-19 Last updated: 2018-04-19Bibliographically approved
In thesis
1. Hjälp mig att hjälpa dig!: – upplevelser och uppfattningar av undersökning med MRT för personer med metastaser i ryggen
Open this publication in new window or tab >>Hjälp mig att hjälpa dig!: – upplevelser och uppfattningar av undersökning med MRT för personer med metastaser i ryggen
2018 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aim: The overall aim was to explore how patients with spinal metastasesexperience a magnetic resonance imaging examination (MRI). Furthermore,the purpose was to investigate the radiographers’ perceptions of the patients’care needs and what measures can be taken to relieve the suffering associatedwith an MRI examination.

Methods: The design for all four studies was qualitative with content analysisused in Studies I, III and IV and a phenomenographic approach in Study II.

Main Findings: The results showed that the patients could experience worry,anxiety, insecurity and pain during an MRI examination. These adverse feelingscan be reduced by adjustments to the examination’s routines as well as byadjustments to the examination’s settings. A short break in the middle of theexamination can be beneficial if the patient is involved in the decision regardingthe break or other adjustments made in conjunction with the examination.Radiographers’ perceptions of the caring for patients were influenced by theircaring perspective and their approach towards what they consider to be essentialin the care of patients with spinal metastasis. The radiographers used theirintuition as a moral compass when they decided what, when and how to adjustthe different aspects of the MRI examination. A shortage of time can affect theextent of the adjustments that can be made as well as the establishment of acaring relationship with the patient.

Conclusions: The patients may feel a sense of security when they receive correctinformation prior to and during the examination. Patients want to influencetheir own care. The personalization and adjustments of the examinationroutines need to be performed in agreement with the patient. The radiographersshould not use intuition as the foundation for their care and assumptions aboutthe care needs of the patients should be avoided. The

Place, publisher, year, edition, pages
Växjö: Linnaeus University Press, 2018. p. 77
Series
Linnaeus University Dissertations ; 320/2018
Keyword
Magnetic resonance imaging, spinal metastasis, patient-centered care
National Category
Health Sciences
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-73039 (URN)978-91-88761-58-3 (ISBN)978-91-88761-59-0 (ISBN)
Public defence
2018-05-25, Myrdal, Hus K, Växjö, 10:30 (Swedish)
Opponent
Supervisors
Available from: 2018-04-19 Created: 2018-04-19 Last updated: 2018-04-19Bibliographically approved

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Strand, ThomasRask, MikaelRoxberg, Åsa

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