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Preston S, Strudwick RM, Cox WAS. Medical Image sharing: What do the public see when reviewing radiographs? A pilot study. J Med Imaging Radiat Sci 2024:101423. [PMID: 38760315 DOI: 10.1016/j.jmir.2024.04.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2024] [Revised: 04/11/2024] [Accepted: 04/25/2024] [Indexed: 05/19/2024]
Abstract
INTRODUCTION Policymakers wish to extend access to medical records, including medical imaging. Appreciating how patients might review radiographs could be key to establishing future training needs for healthcare professionals and how image sharing could be integrated into practice. METHOD A pilot study in the UK using a survey was distributed to adult participants via the online research platform Prolific. All subjects were without prior professional healthcare experience. Participants reviewed ten radiographs (single projection only) and were asked a two-stage question. Firstly, if the radiograph was 'normal' or 'abnormal' and secondly, if they had answered 'abnormal', to identify the abnormality from a pre-determined list featuring generic terms for pathologies. RESULTS Fifty participants completed the survey. A mean of 65.8 % of participants were able to correctly identify if radiographs were normal or abnormal. Results in relation to the identification of a pathology were not as positive, but still notable with a mean of 46.4 % correctly identifying abnormalities. Qualitative data demonstrated that members of the public are enthralled with reviewing radiographs and intrigued to understand their performance in identifying abnormalities. CONCLUSION In the pilot, members of the public could identify if a radiograph is normal or abnormal to a reasonable standard. Further detailed interpretation of images requires supportive intervention. This pilot study suggests that patients can participate in image sharing as part of their care. Image sharing may be beneficial to the therapeutic relationship, aiding patient understanding and enhancing consultations between healthcare professional and patient. Further research is indicated.
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Affiliation(s)
- Scott Preston
- The Open University, Milton Keynes, MK7 6AA, United Kingdom.
| | - Ruth M Strudwick
- The University of Suffolk, Waterfront Building, Ipswich, Suffolk, United Kingdom
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Hudson DM, Heales C, Vine SJ. Radiographer Perspectives on current occurrence and management of claustrophobia in MRI. Radiography (Lond) 2021; 28:154-161. [PMID: 34657799 DOI: 10.1016/j.radi.2021.09.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 08/26/2021] [Accepted: 09/20/2021] [Indexed: 12/15/2022]
Abstract
INTRODUCTION Magnetic Resonance Imaging (MRI) is well known to be a source of anxiety for patients, commonly appearing as claustrophobia. One of the main reasons for this is due to the physical nature of the scanner itself. Despite technological improvements, there is lacking evidence on whether these improvements have resulted in a reduction in claustrophobia and anxiety in the clinical setting. Background anxiety associated with the current COVID-19 pandemic may also have shown an increase in prevalence. Therefore, the aim of this study was to survey MRI radiographers on their perspectives on the occurrence and management of claustrophobia in modern day clinical practice. METHODS Following ethical approval, an online survey was used to gather the opinions of MRI radiographers. This used closed ranking questions as well as open responses to gain insight into how this issue may be presenting in practice, preferences in management, and barriers to providing support. RESULTS Responses provide an up-to-date view on how radiographers perceive both displays of anxiety and associated impacts on patient outcome, the considered sources of anxiety, the use and effectiveness of support strategies, barriers to providing this support, and views on how COVID-19 has impacted on practice. CONCLUSION The study provides a current view from radiographers on their experience of claustrophobia in practice. It shows that this remains a regular part of practice within the modality. Therefore, for MRI radiographers managing this is an essential component of their role. Communication and interaction with the patient are recognised as important, although time is a barrier to always being able to provide patient centred care. IMPLICATIONS FOR PRACTICE Ongoing support is needed for both patients and radiographers to improve experience within MRI.
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Affiliation(s)
| | - C Heales
- Medical Imaging, College of Medicine and Health, Exeter University, Exeter, UK
| | - S J Vine
- College of Sports and Health Sciences, Exeter University, Exeter, UK
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Bleiker J, Knapp K, Morgan-Trimmer S, Hopkins S. What Medical Imaging Professionals Talk About When They Talk About Compassion. J Med Imaging Radiat Sci 2020; 51:S44-S52. [DOI: 10.1016/j.jmir.2020.08.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 08/05/2020] [Accepted: 08/10/2020] [Indexed: 12/30/2022]
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Bray L, Horowicz E, Preston K, Carter B. Using participatory drama workshops to explore children's beliefs, understandings and experiences of coming to hospital for clinical procedures. J Child Health Care 2019:1367493519883087. [PMID: 31640399 DOI: 10.1177/1367493519883087] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Children attending hospital for a clinical procedure such as a scan or blood test can experience anxiety and uncertainty. Children who are informed and supported before and during procedures tend to have a more positive experience. Despite this, there is a lack of empirical evidence directly from children around how they would like to be supported before, during and after a procedure. This qualitative study used improvised drama workshops to investigate children's (n = 15, aged 7-14 years) perceptions and opinions of attending hospital for a procedure and what would help them have a positive encounter. Children portrayed themselves as having a small presence during a hospital procedure, depicted by the two themes of 'having to be brave but feeling scared inside' and 'wanting to get involved but being too afraid to ask'. Within both themes, children described how the directive and reassuring language and actions used by health professionals and parents marginalized their contributions. This study shows that children attending hospital for procedures value the opportunity to have a presence and active role, to express their emotions, join in interactions and be involved in making choices about their care.
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Affiliation(s)
- Lucy Bray
- Faculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, UK
| | - Ed Horowicz
- Faculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, UK
| | | | - Bernie Carter
- Faculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, UK
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Broom A, Kirby E, Gibson AF, Post JJ, Broom J. Myth, Manners, and Medical Ritual: Defensive Medicine and the Fetish of Antibiotics. QUALITATIVE HEALTH RESEARCH 2017; 27:1994-2005. [PMID: 28737082 DOI: 10.1177/1049732317721478] [Citation(s) in RCA: 37] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Given the global crisis of antimicrobial resistance, the continued misuse of antibiotics is perplexing, particularly despite persistent attempts to curb usage. This issue extends beyond traditional "wastage" areas, of livestock and community medicine, to hospitals, raising questions regarding the current principles of hospital practice. Drawing on five focus group discussions, we explore why doctors act in the ways they do regarding antibiotics, revealing how practices are done, justified, and perpetuated. We posit that antibiotic misuse is better understood in terms of social relations of fear, survival and a desire for autonomy; everyday rituals, performances, and forms of professional etiquette; and the mixed obligations evident in the health sector. Moreover, that antibiotic misuse presents as a case study of the broader problematic of defensive medicine. We argue that the impending global antibiotic crisis will involve understanding how medicine is built around certain logics of practice, many that are highly resistant to change.
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Affiliation(s)
- Alex Broom
- 1 University of New South Wales, Sydney, New South Wales, Australia
| | - Emma Kirby
- 1 University of New South Wales, Sydney, New South Wales, Australia
| | | | - Jeffrey J Post
- 2 Prince of Wales Hospital, Sydney, New South Wales, Australia
| | - Jennifer Broom
- 3 Sunshine Coast University Hospital, Birtinya, Queensland, Australia
- 4 University of Queensland, Queensland, Australia
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Lundén M, Lundgren S, Morrison-Helme M, Lepp M. Professional development for radiographers and post graduate nurses in radiological interventions: Building teamwork and collaboration through drama. Radiography (Lond) 2017; 23:330-336. [DOI: 10.1016/j.radi.2017.06.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2017] [Revised: 06/17/2017] [Accepted: 06/24/2017] [Indexed: 11/26/2022]
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Nightingale JM, Murphy F, Eaton C, Borgen R. A qualitative analysis of staff-client interactions within a breast cancer assessment clinic. Radiography (Lond) 2016; 23:38-47. [PMID: 28290339 DOI: 10.1016/j.radi.2016.08.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2016] [Revised: 07/30/2016] [Accepted: 08/15/2016] [Indexed: 10/21/2022]
Abstract
OBJECTIVES Breast screening clients recalled to an assessment clinic experience high levels of anxiety. The culture of the assessment clinic may impact upon client experience, which may influence their future re-engagement in screening. This study aimed to explore the culture of staff-client interactions within a breast cancer assessment clinic. MATERIALS AND METHODS Following an ethnographic approach, twenty-three client journeys were observed, followed by semi-structured interviews with the clients. The observation and interview data were analysed to produce research themes, which were then explored within two focus groups to add a practitioner perspective. RESULTS Multiple staff-client interaction events were observed over a period of several weeks. Client interview feedback was overwhelmingly positive. Three recurrent and sequential themes emerged: breaking down barriers, preparing the ground and sign-posting. These themes outline the changing focus of staff-client interactions during the client's clinic journey, encompassing how anxieties were expressed by clients, and responded to by practitioners. CONCLUSION This study was the first to explore in depth the staff-client interaction culture within a breast assessment clinic using an ethnographic approach. A new perspective on professional values and behaviours has been demonstrated via a model of staff-client interaction. The model documents the process of guiding the client from initial confusion and distress to an enhanced clarity of understanding. A recommendation most likely to have a positive impact on the client experience is the introduction of a client navigator role to guide the clients through what is often a lengthy, stressful and confusing process.
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Affiliation(s)
| | - F Murphy
- University of Salford, United Kingdom
| | - C Eaton
- University of Salford, United Kingdom
| | - R Borgen
- East Lancashire Hospitals NHS Trust, United Kingdom
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Bleiker J, Knapp K, Hopkins S, Johnston G. Compassionate care in radiography recruitment, education and training: A post-Francis Report review of the current literature and patient perspectives. Radiography (Lond) 2016. [DOI: 10.1016/j.radi.2015.12.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Hewis J. Do MRI Patients Tweet? Thematic Analysis of Patient Tweets About Their MRI Experience. J Med Imaging Radiat Sci 2015; 46:396-402. [DOI: 10.1016/j.jmir.2015.08.003] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2015] [Revised: 08/20/2015] [Accepted: 08/21/2015] [Indexed: 11/24/2022]
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Compression force behaviours: An exploration of the beliefs and values influencing the application of breast compression during screening mammography. Radiography (Lond) 2015. [DOI: 10.1016/j.radi.2014.05.009] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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‘On their side’: Focus group findings regarding the role of MRI radiographers and patient care. Radiography (Lond) 2014. [DOI: 10.1016/j.radi.2014.03.011] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Törnroos S, Ahonen SM. Conception of man in diagnostic radiography research – A discourse analysis of research articles from the journal radiography. Radiography (Lond) 2014. [DOI: 10.1016/j.radi.2014.02.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Munn Z, Pearson A, Jordan Z, Murphy F, Pilkington D. Action research in radiography: What it is and how it can be conducted. J Med Radiat Sci 2013; 60:47-52. [PMID: 26229607 PMCID: PMC4175801 DOI: 10.1002/jmrs.8] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2012] [Revised: 01/08/2013] [Accepted: 02/10/2013] [Indexed: 11/10/2022] Open
Abstract
Action research is a form of research that investigates and describes a social or work situation with the aim of achieving a change which results in improvement. This article emphasizes the potential for action research to be a useful research method in radiography. A search was conducted to determine the extent to which action research has been utilized in radiography. Although action research has been used in a number of health-care settings, there are no published examples of action research being utilized in a clinical medical imaging department. Action research is discussed in detail, along with an example guide for an action research study. Action research has been identified as a useful way to affect change, to involve radiographers in the research process, and to introduce evidence-based practice to radiography.
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Affiliation(s)
- Zachary Munn
- The Joanna Briggs Institute, Faculty of Health Sciences, The University of Adelaide Adelaide, South Australia, Australia
| | - Alan Pearson
- The Joanna Briggs Institute, Faculty of Health Sciences, The University of Adelaide Adelaide, South Australia, Australia
| | - Zoe Jordan
- The Joanna Briggs Institute, Faculty of Health Sciences, The University of Adelaide Adelaide, South Australia, Australia
| | - Frederick Murphy
- Directorate of Radiography, School of Health Sciences, University of Salford Salford, Lancashire, United Kingdom
| | - Diana Pilkington
- Magnetic Resonance Imaging Department, Royal Adelaide Hospital Adelaide, South Australia, Australia
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Munn Z, Jordan Z. The patient experience of high technology medical imaging: A systematic review of the qualitative evidence. Radiography (Lond) 2011. [DOI: 10.1016/j.radi.2011.06.004] [Citation(s) in RCA: 68] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Reeves PJ. Research in medical imaging and the role of the consultant radiographer: A discussion. Radiography (Lond) 2008. [DOI: 10.1016/j.radi.2008.11.004] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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