„… das ist eine schwierige Situation“

Drexler, Sabine

doi:10.1055/s-0035-1550614

Cited by 3 publications

(4 citation statements)

References 13 publications

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“…In this planned qualitative research study, the various participants in the therapeutic process of (potentially) brain dead patients (medical caregivers and relatives) will be given the opportunity to share his/her personal experiences. In the German scientific literature, the burdens, problems and concerns of ICU nurses only, are reported (Drexler, ; Bundeszentrale für gesundheitliche Aufklärung (BZgA), ) whereas internationally, the burdens of ICU nurses, physicians and relatives are described (Berntzen & Bjørk, ; Flodén & Forsberg, ; Lloyd‐Williams et al, ; Salada et al, ). Thus, the situation in Germany should be given more attention to derive appropriate recommendations for action by including the perspectives of all involved; ultimately, optimizing the process of caring for (potentially) brain dead patients in the ICU setting of German hospitals.…”

Section: Discussionmentioning

confidence: 99%

“…In this planned qualitative research study, the various participants in the therapeutic process of (potentially) brain dead patients (medical caregivers and relatives) will be given the opportunity to share his/her personal experiences. In the German scientific literature, the burdens, problems and concerns of ICU nurses only, are reported (Drexler, 2015; Bundeszentrale für gesundheitliche Aufklärung (BZgA), 2011) whereas internationally, the burdens of ICU nurses, physicians and relatives are described Collect interview data • Episodic interviews (Flick 2012) • With nursing staff, physicians, relatives • Interpretative Phenomenology according to Benner (Benner, 1994) • Paradigm cases, thematic analyses and examples (Benner, 1994) • Present the results in a group with physicians, nursing staff, departmental managers and patient representatives • Discussed the recomendations for action • Present the recommendation for action to two of the relatives who will be requested to give a feedback Interpretation data…”

Section: Discussionmentioning

confidence: 99%

“…To pursue this question, a qualitative study was previously designed to address the following question: "What do intensive care nurses experience while caring for (potentially) brain dead patients during the process of brain death diagnosis and potential subsequent organ protection therapy up to explantation"? (Drexler, 2015). In addition to issues already discussed in the literature, for example providing communicative support and additional needs for the relatives (Guido, Linch, Andolhe, Conegatto, & Tonini, 2009;Monforte-Royo & Roqué, 2012;Pearson, Robertson-Malt, Walsh, & Fitzgerald, 2001) and/or medical guidance between the period of brain death and death, such as relation ambivalence, presence of heartbeat and therapy for preservation of organs, (Flodén, Berg, & Forsberg, 2011;Monforte-Royo & Roqué, 2012) new considerations were identified not yet described in the literature (Drexler, 2015):…”

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Care of (potentially) brain‐dead patients: A qualitative study protocol

Drexler

Kugler

Farin

2019

Journal of Advanced Nursing

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Aim Aim of this study was to describe the experiences of intensive care unit (ICU) nurses, physicians and relatives of (potentially) brain dead patients; and to develop recommendations to optimize the workflows on ICUs. Background Limited published information on caring for brain dead patients suggest it to be a burden for the nursing staff. It also remains unclear how physicians and relatives of (potentially) brain dead patients perceive these experiences. Design Interpretive phenomenology according to Benner. Methods Medical caregivers (nurses’ und physicians) from multiple wards in a German University Medical Center and relatives of (potentially) brain dead patients will be interviewed. Data collection will include episodic interviews with participants’ experiences in care of (potentially) brain dead patients. The study is funded by the Ministry of Science, Research and the Arts, Baden‐Württemberg (1 February 2016). Discussion Gaining insights into caring for (potentially) brain dead patients and its associated burden will lead to the development of better recommendations to assist all people involved. Impact Expand the understanding of the experience of healthcare professionals in the care for (potentially) brain dead patients. Understand the experience of relatives of (potentially) brain dead patients. Findings from this study will support the development of recommendations for action by a multi‐professional expert group consisting of nurses, physicians, healthcare managers and patient advocates. Trial registration: Protocol version. German Register for Clinical Studies (Registration No. DRKS00010420) Database of Health Services Research Germany (Project Nr. VfD_16_003710).

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Section: Discussionmentioning

confidence: 99%

“…In this planned qualitative research study, the various participants in the therapeutic process of (potentially) brain dead patients (medical caregivers and relatives) will be given the opportunity to share his/her personal experiences. In the German scientific literature, the burdens, problems and concerns of ICU nurses only, are reported (Drexler, 2015; Bundeszentrale für gesundheitliche Aufklärung (BZgA), 2011) whereas internationally, the burdens of ICU nurses, physicians and relatives are described Collect interview data • Episodic interviews (Flick 2012) • With nursing staff, physicians, relatives • Interpretative Phenomenology according to Benner (Benner, 1994) • Paradigm cases, thematic analyses and examples (Benner, 1994) • Present the results in a group with physicians, nursing staff, departmental managers and patient representatives • Discussed the recomendations for action • Present the recommendation for action to two of the relatives who will be requested to give a feedback Interpretation data…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Care of (potentially) brain‐dead patients: A qualitative study protocol

Drexler

Kugler

Farin

2019

Journal of Advanced Nursing

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“…Der Interviewleitfaden wurde von einer Vorstudie zum Erleben der Pflegenden in der Betreuung von (potenziell) hirntoten Patienten für Ärzte angepasst [ 4 ].…”

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Experiencing brain death, physician view—a phenomenological approach

Drexler

Farin

Kugler

2022

Med Klin Intensivmed Notfmed

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Zusammenfassung Ziel Ziel der vorliegenden Studie war die Untersuchung des Erlebens von Ärzten bei der Betreuung von (potenziell) hirntoten Patienten. Methodik Durchgeführt wurden episodische Interviews. Die Auswertung fand in Anlehnung an die interpretative Phänomenologie nach Benner statt. Ergebnisse Elf Ärzte haben an den Interviews teilgenommen. Folgende Phänomene konnten aus den Daten gewonnen werden: 1) Begegnungen mit den Angehörigen, 2) Angehörigen den Hirntod begreiflich machen, 3) Hirntod ist Tod, 4) Erleben der Pflegenden und 5) Belastungen. Schlussfolgerung Die Ergebnisse zeigen die Komplexität, die bei der Betreuung eines (potenziell) hirntoten Patienten aus Sicht der Ärzte wahrgenommen wird. Der Übergang vom Erhalt des Lebens des Patienten zum Organerhalten oder zum Abstellen der Geräte und die dazugehörige Aufklärung der Angehörigen erfordern hohe Kompetenzen der Ärzte. Symptome der Patienten geben den Ärzten klare diagnostische Vorgehensweisen, bestehende Unklarheiten im (Behandlungs‑)Prozess sollten behoben werden.

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Intensive care nurses' experiences with brain-dead patients - a phenomenological qualitative study

Drexler¹,

Siegle²,

Farin³

2022

Cent Eur J Nurs Midw

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Aim: This study explores nurses' experiences of caring for (potentially) brain-dead patients. Design: A qualitative interpretative phenomenological design was chosen to describe the phenomenon in all its complexity and dimensions. Methods: In 2016, twelve episodic interviews were conducted with intensive care nurses from six wards. The interviews related to their experiences of caring for (potentially) brain-dead patients and were analyzed according to Benner's Interpretative Phenomenology. Results: Three key phenomena were generated: 1) The brain is dead; the body is alive; 2) Coping within high performance medicine and 3) Power(-lessness). The participants' experience was that caring for a (potentially) brain-dead patient and explaining brain death to the patient's relatives is very demanding. In the intensive care unit, nurses are required to diligently provide exemplary methodical and routine care, most of the time without an outlet to relieve their own work-related burdens. In some situations, the interviewees felt powerless. Conclusion: The data collected have provided a deeper insight into the situation intensive care nurses face when caring for (potentially) brain-dead patients. Nevertheless, the authors recommend further research on all phenomena, and also the design of appropriate training and support for nurses.

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„… das ist eine schwierige Situation“

Cited by 3 publications

References 13 publications

Care of (potentially) brain‐dead patients: A qualitative study protocol

Care of (potentially) brain‐dead patients: A qualitative study protocol

Experiencing brain death, physician view—a phenomenological approach

Intensive care nurses' experiences with brain-dead patients - a phenomenological qualitative study

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