Compression force behaviours: An exploration of the beliefs and values influencing the application of breast compression during screening mammography

Murphy, Frank; Nightingale, Julie; Hogg, Peter; Robinson, Leslie; Seddon, D; Mackay, Stuart

doi:10.1016/j.radi.2014.05.009

Cited by 19 publications

(23 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Quantitative analysis.E-learning group got better scores in knowledge and course satisfaction. E-learning may be some complementary solution to solve challenges in learning breast imaging.[30]UKTo study compression behaviours of practitioners during screening mammography.Qualitative research with 6 focus group interviews ( n = 41 practitioners) in six breast screening centres in England.Interview focused on experiences of, the influence on behaviour of practitioners applying compression force in mammography.a and c) viewpoints of practitioners’ use of compression during screening MG: patient empowerment, white lies, time for interactions, uncertainty of own practice, culture using compression force, power/medical dominance, compression controls, digital technology, dose audit-safety net and a numerical scale of compression force.a) 8 c) 4[35]NetherlandsTo compare mammography performed with and without radiolucent positioning sheets. N = 184/179 women screened in the Dutch breast screening programme, providing written informed consent to have one additional image taken with positioning sheets.Measures: projected breast area, image quality, pain experience and radiation dose. Quantitative analysis.a) With positioning sheets significantly more pectoral muscle, lateral and medial breast tissue was projected (CC-views) and more and deeper depicted pectoral muscle (MLO-views).…”

Section: Resultsmentioning

confidence: 99%

European radiographers’ challenges from mammography education and clinical practice – an integrative review

Metsälä

Meystre²,

Jorge³

et al. 2017

Insights Imaging

View full text Add to dashboard Cite

ObjectivesThis study aims to identify European radiographers’ challenges in clinical performance in mammography and the main areas of mammography that require more and better training.MethodsAn extensive search was performed to identify relevant studies focused on clinical practice, education and training in mammography published between January 2010 and December 2015 in the English language. The data were analysed by using deductive thematic analysis.ResultsA total of 27 full text articles were read, evaluating their quality. Sixteen articles out of 27 were finally selected for this integrative review. The main challenges of radiographers’ mammography education/training can be divided into three groups: training needs, challenges related to radiographers, and challenges related to the organization of education. The most common challenges of clinical performance in mammography among European radiographers involved technical performance, the quality of practices, and patient-centeredness.ConclusionsThe introduction of harmonized mammography guidelines across Europe may serve as an evidence-based tool to be implemented in practice and education. However, the variability in human and material resources as well as the different cultural contexts should be considered during this process.Teaching Points • Radiographers’ awareness of their professional identity and enhancing multiprofessional cooperation in mammography. • Radiographers’ responsibilities regarding image quality (IQ) and optimal breast imaging performance. • Patient-centred mammography services focusing on the psychosocial needs of the patient. • Challenges: positioning, QC-testing, IQ-assessment, optimization of breast compression, communication, teamwork, and patient-centred care. • Introduction of evidence-based guidelines in Europe to harmonize mammography practice and education.

show abstract

Section: Resultsmentioning

confidence: 99%

European radiographers’ challenges from mammography education and clinical practice – an integrative review

Metsälä

Meystre²,

Jorge³

et al. 2017

Insights Imaging

View full text Add to dashboard Cite

show abstract

“…While the mammographers believed that empowering clients was important, they sometimes experienced limitations in the extent to which it was feasible and found themselves taking a more authoritarian approach. Two recent papers based on a qualitative dataset from mammographer focus groups have explored beliefs, values and decision‐making by mammographers in applying compression to the breast (Murphy et al., ; Nightingale, Murphy, Robinson, Newton‐Hughes, & Hogg, ). In common with our study, both these analyses highlighted the tension between the technical and the caring demands of the mammography examination.…”

Section: Discussionmentioning

confidence: 99%

Client and practitioner perspectives on the screening mammography experience

2016

View full text Add to dashboard Cite

Mammography can be painful and unpleasant, but effective interventions to improve the experience remain scarce. As a first step towards more effective interventions, we aimed to achieve a thorough, contemporary understanding of thoughts, feelings and behaviours which affect and arise from mammography experiences. Research and professional experience suggest that the interaction between client and practitioner may be paramount in determining the quality of a client's experience. Therefore, this study aimed to capture the perspectives of clients and mammography staff from UK breast screening programmes. Thematic analysis of semi‐structured qualitative in‐depth interviews with 22 clients and 18 staff revealed that clients had positive attitudes to breast screening and mostly low knowledge about potential harms. Staff data indicated that some women attend for breast screening under pressure from others. Pain and coping with it were prominent themes, with wide variations in pain experiences. Clients recognised differences in mammographers’ abilities to put them at ease. Staff difficulties included empowering clients within the confines of a taxing technique, and maintaining compassionate care when under strain. Future intervention development should focus on the information and support needs of women prior to the appointment and on effectively training and supporting mammographers to deal with challenging encounters.

show abstract

“…Murphy et al postulated that the application of compression force may require a high degree of problem solving and decision making, 12 and our article explores this concept further. There is sparse evidence related to problem solving within radiography [13][14][15] and none within mammography.…”

Section: -11mentioning

confidence: 87%

“…This research involves the analysis of existing qualitative research data, 12 aiming to propose a problem solving model for compression force application with due regard to existing models of problem solving and decision making.…”

Section: -11mentioning

confidence: 99%

“…The findings presented in this article emerged from a re-analysis of the complete transcribed data set collated by Murphy et al 12 This involved a single researcher extracting data related to the mammography compression problem solving process into categories, themes and sub-themes, following a thematic content analysis process originally described by Burnard. 25 The themes were then peer-validated by two other researchers.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Breast compression – An exploration of problem solving and decision-making in mammography

et al. 2015

View full text Add to dashboard Cite

Objective: Mammography breast compression decreases radiation dose and reduces potential for motion and geometric unsharpness, yet there is variability in applied compression force within and between some centres. This article explores the problem solving process applied to the application of breast compression force from the mammography practitioners' perspective.Methods: A qualitative analysis was undertaken using an existing full data set of transcribed qualitative data collected in a phenomenological study of mammography practitioner values, behaviours and beliefs. The data emerged from focus groups conducted at six NHS breast screening centres in England (participant n=41), and semi-structured interviews with mammography educators (n=6). A researcher followed a thematic content analysis process to extract data related to mammography compression problem solving, developing a series of categories, themes and sub-themes. Emerging themes were then peer-validated by two other researchers, and developed into a model of practice.Results: Seven consecutive stages contributed towards compression force problemsolving: assessing the request; first impressions; explanations and consent; handling the breast and positioning; applying compression force; final adjustments; feedback.The model captures information gathering, problem framing, problem solving and decision making which inform an 'ideal' compression scenario. Behavioural problem solving, heuristics and intuitive decision making are reflected within this model. Conclusion:The application of compression should no longer be considered as one single task within mammography, but is now recognised as a seven stage problem solving continuum. This continuum model is the first to be applied to mammography, and is adaptable and transferable to other radiography practice settings. In searching for the 'ideal' compression scenario, practitioners choose between often imperfect options to gain an appropriate balance between compassion and technical perfection. This decision is influenced by a range of factors and prior experiences.

show abstract

Compression force behaviours: An exploration of the beliefs and values influencing the application of breast compression during screening mammography

Cited by 19 publications

References 22 publications

European radiographers’ challenges from mammography education and clinical practice – an integrative review

European radiographers’ challenges from mammography education and clinical practice – an integrative review

Client and practitioner perspectives on the screening mammography experience

Breast compression – An exploration of problem solving and decision-making in mammography

Contact Info

Product

Resources

About