Experience matters, but support is essential: Managing claustrophobic patients in MRI practice

Magnetic Resonance Imaging (MRI) is a valuable diagnostic tool, but its enclosed environment can provoke claustrophobia in patients, often leading to incomplete scans and delayed diagnoses. Radiographers play a pivotal role in managing these cases, yet limited research has explored how their experience and the support they receive influence management strategies. This study aimed to assess radiographers' practices, perceived barriers, and the impact of professional experience and support structures in managing claustrophobic patients during MRI procedures in the UAE.

A cross-sectional, internet-based survey was conducted among licensed radiographers across the UAE using a validated, pre-tested 23-item questionnaire. Convenience and snowball sampling were applied, with data collected via Google Forms and analyzed using SPSS v20. Chi-square and Monte Carlo tests assessed associations between years of experience and reported practices or barriers and access to professional or institutional support.

Out of 106 respondents, 53.8% frequently encountered claustrophobic patients, and 39.6% reported rescheduling scans. Experienced radiographers more often used techniques like scanner previews (X² = 18.929*, p = 0.015), comfort measures (X² = 22.265*, p = 0.012), and relaxation techniques (X² = 23.719*, p = 0.007). Significant barriers included lack of training (X² = 25.370*, p = 0.002), time constraints (X² = 16.508*, p = 0.030), and inadequate equipment (X² = 21.496*, p = 0.003). While newer radiographers highlighted training needs, experienced staff emphasized institutional limitations, reinforcing that both expertise and structured support are critical for effective patient management.

Radiographers' experience significantly influences how claustrophobic patients are managed. However, experience alone is insufficient without appropriate support systems that enable radiographers to apply their skills effectively and consistently. Despite individual efforts, systemic barriers persist.