Caring for the deaf and hard-of-hearing patients during magnetic resonance imaging (MRI): A phenomenological study of MRI radiographers' experiences.

Abstract

Introduction: Hearing loss is a widespread disability, and unfortunately, deaf and hard-of-hearing (DHH) patients often experience unequal healthcare and unmet needs. People with the condition are predisposed to anxiety, fatigue and depression. Communication barriers are a major issue, particularly during magnetic resonance imaging (MRI) scans where clear radiographer-patient communication is crucial for safety and quality imaging. This study aimed to understand the experiences of MRI Radiographers in providing care to DHH patients for MRI scans.

Methods: A qualitative descriptive phenomenological study design using purposive sampling to gain in-depth insights. The study comprised seven MRI radiographers working clinically at a public hospital in England. Data was collected through semi-structured face-to-face interviews. Audio recordings were transcribed using Microsoft 365 software. The transcripts were coded into categories and further on, into themes using the inductive approach of thematic analysis.

Results: The study revealed five key themes: communication barriers and consequences, current approaches to care, satisfaction of care provisions, prospects of technological advancements and training and professional development. The findings show that MRI radiographers encounter distinct and diverse communication difficulties while caring for DHH patients. Radiographers' experiences indicated the need for evidence-based strategies in addressing the communication challenges of DHH individuals. Some participants acknowledged that training and technological interventions could help with providing quality care for the patient group in MRI.

Conclusion: The study's findings advocate for inclusiveness in delivering MRI services. It presents compelling evidence for MRI service providers to support radiographers by encouraging training and implementing approaches that guarantee safe, quality, and consistent care for patients with hearing impairments. The diversity of the DHH population's communication needs and lack of comprehensive guidelines are recognised to contribute to the struggle to deliver good care.

Implications for practice: To mitigate DHH patients' communication challenges, MRI service providers should sufficiently train MRI radiographers, create a supportive environment and promote services that address their needs.