Ms Frances Gray1, Dr Dania Abu Awwad1, Prof Peter Kench1, Dr Yobelli Jimenez1
1The University Of Sydney, Australia
Biography:
Frances Gray is an MRI radiographer with over 30 years of clinical experience and more than a decade of academic leadership at the University of Sydney. She is the Health Profession Education Lead for Medical Imaging Science. Frances is undertaking a PhD investigating infection prevention and control practices in MRI.
Abstract:
Introduction
Infection prevention and control (IPC) in Magnetic Resonance Imaging (MRI) is challenged by the modality’s confined environment, complex workflows, and high patient throughput. Despite IPC being fundamental to patient safety, there remains limited MRI-specific guidance and inconsistent translation of IPC knowledge into practice. This study explored how MRI radiographers learn and apply IPC principles, and the barriers influencing adherence to standard and transmission-based precautions (TBP).
Methods
A mixed-methods approach involving questionnaires and semi-structured interviews was undertaken with MRI radiographers across Australia. Questionnaires explored barriers to IPC adherence, while interviews examined experiences of IPC education, workplace learning, and translation of knowledge into clinical practice. Data were analysed using reflexive thematic analysis.
Results
Fifty-two MRI radiographers completed questionnaires, and 10 participated in interviews. Workload pressures and staffing constraints were identified as the most common barriers to adherence with standard precautions (33%). Communication failures between wards, staff, and patient documentation significantly affected TBP adherence, with radiographers often unaware of infectious risks before patient arrival. Interview findings revealed inconsistent formal IPC education, heavy reliance on annual e-learning, and minimal MRI-specific IPC training. Workplace culture and peer modelling strongly influenced practice, reinforcing both safe behaviours and the normalisation of shortcuts in busy environments.
Conclusion
Findings suggest that IPC practice in MRI is shaped by education, workplace culture, and systemic pressures. Delivering meaningful impact in IPC requires more than compliance-based education. MRI-specific education, simulation-based learning, and workplace-integrated professional development may better support radiographers to translate IPC knowledge into safe and consistent clinical action.