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An intervention-based study of how MRI is perceived by patients with spinal metastasis after adjustments to the examination procedures
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0003-0740-0130
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.ORCID iD: 0000-0003-0017-5188
2018 (English)In: Journal of Radiology Nursing, ISSN 1546-0843, E-ISSN 1555-9912, p. 1-7Article in journal (Refereed) Epub ahead of print
Abstract [en]

The aim was to explore magnetic resonance imaging (MRI) experiences of patients with spinal metastasis after adjustments to the examination procedures have been made in accordance with the findings from a previous study. MRI is an important medical technology, which is considered to be the first choice of examination method when diagnosing and evaluating spinal metastatic tumors. It is a challenge to care for patients who experience anxiety and pain during an MRI. However, several aspects of the examination can be adjusted to improve the care for these patients. Findings from previous research were used to develop a care intervention, the effects of which are explored in this study. Qualitative deductive-inductive content analysis was used in this study. Eleven patients with spinal metastasis were interviewed about their experiences of going through an MRI scan based on an intervention designed in accordance with the findings from previous research. The findings showed that adjustments to the examination often were perceived as beneficial. However, patients needed to be involved in the decisions that influenced their own care. Time was an important component that affected the need for being prepared as well as the degree of personalization of the examination. This study shows that patients need to be seen as unique individuals, and they need to be able to influence the care that is given to them. The personalization of and adjustments to the examination routines need to be carried out in agreement with the patient.

Place, publisher, year, edition, pages
Elsevier, 2018. p. 1-7
Keyword [en]
Magnetic resonance imaging, Neoplasm metastasis, Patient experience
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-73037DOI: 10.1016/j.jradnu.2018.02.001OAI: oai:DiVA.org:lnu-73037DiVA, id: diva2:1198833
Available from: 2018-04-19 Created: 2018-04-19 Last updated: 2018-04-19
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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