Dissertation
Magnetic Resonance Imaging (MRI) Protocol for Non-Conditional Cardiac Devices
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2025
Abstract
Background and Purpose. It is projected that 50-75% of patients with cardiac implantable electronic devices (CIEDs) will require a magnetic resonance imaging (MRI) in their lifetime (Cunqueiro et al., 2019). Companies started developing MRI-conditional CIEDs safe for MRI scanning. Recently, research has shown that MRI-non-conditional CIEDs are safe for MRI if safety protocols are in place (Shah et al., 2018). The purpose of this project is to increase knowledge and confidence of staff and improve access of care by implementing guideline-directed safety protocols for patients with CIEDs needing an MRI. Methods. The project took place at a large hospital in the Midwest. A committee was formed and developed the protocol. Staff from radiology and cardiology and patients with CIEDs were included in the intervention. A PowerPoint presentation was presented to the cardiology and radiology staff. They were given a 10-point knowledge test and confidence survey prior to the presentation and immediately following the presentation. Data was collected through paper copies of the knowledge test and confidence survey and through chart audits of patients with CIEDs needing an MRI during the intervention period. Findings. Eleven staff from the radiology and cardiology departments were included in the intervention. There was an increase in staff knowledge by 44.2% (p= 0.003) and an increase in staff-reported confidence by 80.2% (p= 0.002). There were 60 MRI requests during the intervention period. Accessibility to MRI increased by 57.7% in patients with MRI-non-conditional CIEDs. Discussion. The improvement in knowledge and confidence shows that educational interventions increase competency among healthcare providers. There was a statistically significant increase in test scores (p= 0.003) and confidence (p= 0.002). The intervention is clinically significant because of the impact on patient care. More patients with non-conditional CIEDs will have access to testing that they did not have access to prior to the new policy.
Details
- Title: Subtitle
- Magnetic Resonance Imaging (MRI) Protocol for Non-Conditional Cardiac Devices
- Creators
- Krista Sweers - University of Iowa
- Contributors
- Barbara St. Marie (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Family Nurse Practitioner
- Date degree season
- Spring 2025
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright 2025 Krista Sweers
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984841037102771
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