Pearson, AlanJordan, Zoe LouiseMurphy, FredMunn, Zachary Read2014-06-182014-06-182013http://hdl.handle.net/2440/83507When presenting to an imaging department, the person who is to be imaged is often in a vulnerable state and out of their comfort zone. It is the role of the radiographer to produce a high quality image and facilitate patient care throughout the imaging process. However, often the radiographer’s primary focus is the technology, rather than the patient. This dissertation addresses the patient experience in medical imaging and radiographer practice change, with a particular focus in the MRI setting, through the conduct of two systematic reviews (one quantitative and one qualitative) and an action research project. The qualitative systematic review was conducted to explore how patients experienced medical imaging. The findings of the review highlight the diverse, unique and challenging ways in which people experience imaging with MRI and CT scanners. It was recommended from the review that all health professionals involved in imaging need to be aware of the different ways each patient may experience imaging, and provide them with ongoing support and information. The quantitative systematic review was conducted to assess interventions to reduce anxiety, claustrophobia, sedation and non-completions and improve satisfaction for patients undergoing medical imaging. Open MRI, newer MRI scanners, quieter machines, information in combination with psychological support or an anxiety reduction protocol, mock MRI, team training, prone scanning, AV systems, cognitive behavioural therapies, guided imagery, fragrance administration, patient positioning devices and paediatric preparation booklets were all found to have some positive effect on at least one outcome, whilst the findings for additional information were mixed. It was recommended form the review that interventions that can improve the patient experience (by reducing anxiety, claustrophobia etc) should be considered by health professionals involved in the medical imaging process. An action research project was initiated to implement the findings of these two systematic reviews into practice. During the course of this project, issues unique to the imaging department were identified and therefore the aim of the research broadened to include these as well. Through a process of engagement, discussion and reflection, the following changes were able to be achieved: improvements in patient satisfaction and anxiety, an increased focus on patient care by the staff, and changes in departmental practice. From the results of this research, a model for practice change in a medical imaging department and a model detailing the patient experience of medical imaging are proposed.medical imaging; diagnostic; MRI; patient experienceThesis20140605102200