Practitioner compression force variation in mammography: A 6-year study

Mercer, Claire; Hogg, Peter; Szczepura, Katy; Denton, Erika R. E.

doi:10.1016/j.radi.2013.06.001

Cited by 43 publications

(55 citation statements)

References 11 publications

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“…Overall the results demonstrated a wide variation in how compression was applied and offered some possible explanations for differences in compression force as reported in earlier quantitative studies 7,8,9 .…”

Section: Numerical Scalesupporting

confidence: 73%

“…Their practice was therefore heavily guided by subjective measures, and less guided by an objective measure of compression force. This was an important finding because the subjective measures applied in compression force can result in large inter and intra difference between practitioners, as found by Mercer 7,8 (2013). Whilst the results cannot be generalised to the whole population from this small sample the findings may well resonant with current practitioners and adds to the limited evidence base within this speciality.…”

Section: Numerical Scalementioning

confidence: 70%

“…7,8,9 in that some practitioners consistently applied high compression force irrespective of the client type.…”

Section: Numerical Scalementioning

confidence: 99%

“…An extension of this study 7 assessed compression values over three consecutive analogue screening mammography invitations (500 clients). Individual client compression force over the three screens varied significantly, and was highly dependent upon the practitioner who performed the mammogram, rather than the client.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2015

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Introduction and backgroundBreast compression force during screening mammography requires a degree of practitioner knowledge and expertise to achieve optimum image quality and reduce the mean glandular radiation dose.1, 2 Whilst it is recognised that the application of compression force is an Whilst quantitative approaches give valuable data, a humanistic, qualitative, perspective is also required in order to fully understand this phenomenon in depth and to provide a unique insight in to the factors influencing how compression force is applied.Using a phenomenological approach this study investigated the experiences of, and the influences on the behaviour of, practitioners applying compression force in mammography. By exploring the individual and collective beliefs and values that influence compression force practice this paper seeks to identify 'how' and 'why' practitioners practice as they do. MethodologyQualitative research is an overall term for a group of approaches that is concerned with the investigation of experiences and behaviour, and the meanings and interpretations that people attach to these 12 . It is therefore an exploration of the natural setting; in this case the breast screening units in this study. An ethnographic approach of observing practice was initially considered but this was rejected as being too intrusive for the clients and potentially a contentious ethical issue. It was however recognised that by seeking the practitioners own

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Section: Numerical Scalesupporting

confidence: 73%

Section: Numerical Scalementioning

confidence: 70%

“…7,8,9 in that some practitioners consistently applied high compression force irrespective of the client type.…”

Section: Numerical Scalementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

et al. 2015

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“…At present there can be large variations between practitioners in the compression force they use 7,8 . This can lead to a wide variation in applied pressure to the breast -applied pressure is inversely proportional to breast size if the applied compression force is constant 9 .…”

Section: Compression Force and Pressurementioning

confidence: 99%

Practical Mammography

Mercer¹,

Hill²,

Kelly³

et al. 2015

Digital Mammography

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2Breast Care Unit, Royal Lancaster Infirmary, University Hospitals of Morecambe Bay NHS Foundation Trust, Ashton Road, Lancaster, Lancashire, LA1 5LB 2 Acknowledgments The authors would like to pay wholehearted thanks to the professional photographer Gill Brett for her enthusiasm, dedication and commitment without which the photographs within this chapter would not have been possible. We would like to thank our 'staff volunteers' from the University Hospital of South Manchester who gave up their valuable time to pose for the images. Last but certainly not least, the mammography team within the Nightingale Centre, in particular Tina Dunn and Frances Showman for their invaluable knowledge and assistance.

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