ICU nurses’ perceptions of responsibilities and organisation in relation to organ donation—A phenomenographic study

Flodén, Anne; Berg, Marie; Forsberg, Anna

doi:10.1016/j.iccn.2011.08.002

Cited by 36 publications

(57 citation statements)

References 39 publications

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“…Another stressor in this study was the concept of “the stress of declaring brain death to the family.” Results of the study by Floden, demonstrated that this is considered as a challenging issue for nurses during the caring process due to their ongoing presence in the ward and the families’ access to them, which is very problematic and stressful (41), since nursing care is not limited to patients, rather, it includes encountering special needs of the patients’ families who are in crisis and are passing these acute and stressful clinical conditions. Coyle realized that in caring for patients and their families, nurses should understand issues related to the diagnosis of brain death and be aware of them (21) to give correct information on the patients’ conditions to their families.…”

Section: Discussionmentioning

confidence: 99%

“…Coyle realized that in caring for patients and their families, nurses should understand issues related to the diagnosis of brain death and be aware of them (21) to give correct information on the patients’ conditions to their families. However, since families are not adeptly aware of brain death (41), this exacerbates the stress of declaring brain death to the families by nurses (21). Therefore, most nurses are reluctant to announce the bad news and prefer the physician or the authority of the transplant unit do this.…”

Section: Discussionmentioning

confidence: 99%

“…In the following studies however, the importance of supporting nurses when caring for brain dead patients has been considered. Results of the study by Floden showed that nurses reported their lack of being supported by their seniors when caring for organ donor patients (41). The study by Smith in Australia showed that nurses should be aware that in this stressful situation, their colleagues and they themselves might also need support (44).…”

Section: Discussionmentioning

confidence: 99%

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Explaining nurses' experiences of caring for brain dead patients: a content analysis

et al. 2018

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BackgroundCaring for patients with brain death diagnosis is the heaviest of duties for nurses, and, due to the complexities and stressors, it is the biggest challenge of nursing in an intensive care unit.ObjectiveThis qualitative research aimed to disclose the nurses’ experience of caring for brain-dead patients.MethodsThe present study was a qualitative research using a content analysis, where the data collection process included 21 semi-structured and in-depth interviews with intensive care nurses, physicians, head nurses, a transplantation committee coordinator, and the authority of the organ procurement unit. Adequate data were collected from March 2014 until the saturation point was reached in June 2016. Data were analyzed simultaneously with data collection using qualitative content analysis with a conventional approach.ResultsQualitative content analysis of data resulted in two themes and eight subthemes, reflecting the analysis of nurses’ experiences of caring for brain-dead patients. The themes included “Challenges of right and duty requirement,” and “turbulent confrontation with successive chains of tension”. Finally, the main themes of “resonance of stress and internal conflict in care” were abstracted.ConclusionThe findings deepened our understanding and knowledge of the issue. Despite all the stress, nurses care for potential organ donors, and this results in preserving the organs’ viability for donation. Nurses’ problems and challenges in this caring process should be considered by policymakers of health and treatment systems and a supportive model be designed for nurses in the intensive care unit.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Explaining nurses' experiences of caring for brain dead patients: a content analysis

et al. 2018

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“…Given this new circumstance, it is a difficult task to initiate a dialogue with the parents about the process of donation, due to the fact that PICU team have few techniques regarding discussing with parents because of the implications of their decision (Floden et al, 2011). Moreover, on many occasions this conversation with the parents, once BD is established, becomes mixed with the grieving process of the treatment team.…”

Section: Brain Death and Impact On Healthcare Service Teamsmentioning

confidence: 99%

Process of childrens organ donation: Factors that intervene in the communication of the healthcare provider

Ivonne¹

2015

Int. J. Nurs. Midwifery

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The possibility of providing aid to individuals through the process of organ donation, so that they may continue living, is an initiative based on altruism and solidarity. The aim of this study is to describe the factors that intervene in the communication of the health care provider with the parents of brain dead children. We have selected papers and information from Web of Science, CINAHL, Science Direct (Elsevier), and PUBMED databases from 2000 to 2013. The principal findings of this study are that brain dead in children has a tough impact on healthcare service teams, cultural and religious aspects of the parents are factors that intervene in the decision making process, and probably the process donation is guided by a sense of solidarity with another in suffering and altruism, parents of children that are waiting for organs are also in a situation of great worry, because the death of their child may occur soon if they do not secure access to an organ which are the underlying constituent emotions and motors of the donor process.

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“…Not only ordinary people, but also some healthcare professionals express their doubt, perception, and frustration in relation to "this is not the end" 4,[6][7][8] .…”

Section: Introductionmentioning

confidence: 99%

Organ Donation: Experience in the Maintenance of a Brain-Dead Donor

Jurak¹,

Starc²

2018

J. appl. health sci.

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Background: brain death is an irreversible biological event, and is the permanent cessation of functions of the brain and brainstem. Transplantation has become an established method of treatment of many, near-terminal patients. Methods:The sample consisted of three groups: doctors, registered nurses, and nursing assistants. The research was carried out in the Intensive Care Unit of the University Medical Centre Ljubljana, Department of Anaesthesiology and Surgical Intensive Therapy Department and at the Clinical Department of Vascular Neurology and Intensive Neurological Therapy. Data were collected using a questionnaire and semi-structured interviews.Results: Women experience more stress when working with brain-dead donors than men do. We conclude that the work with a brain-dead organ donor represents a specific situation and has little in common with the factors that affect the overall satisfaction of healthcare professionals. Healthcare professionals who are undecided about the donation of their own organs are against organ donation in general. It has been shown that there is a lack of education and communication on the maintenance of brain-dead donors. Conclusions:Work with brain-dead donors is almost routine work in intensive care units. Some healthcare professionals perceive a brain-dead organ donor like any other patient, but within a defined protocol.Keywords: brain death, transplantation activity, brain-dead organ donor, stress, experiences of health professionals. -27 Ethical approval was obtained prior to the commencement of the study.For the quantitative analysis, a validated questionnaire was used. In the initial phase, a pilot study was conducted, which lasted from 8 to 22 September 2014. Along with the participants' demographics, the questionnaire included statements (5-scale Likert), which measured the individuals' working environment (α = .750) and the way of coping with stress (α = .690).J. appl. health sci. 2018; 4(1): 15-27 16 Urbič Jurak P. et al. Organ Donation: Experience in the Maintenance of a brain-Dead Donor. J. appl. health sci. 2018; 4(1): 15For the qualitative analysis [9][10] , semi-structured interviews were conducted with five sets of questions, summarized by a validated instrument 11 .Following validation, the research lasted from 1 October until 20 December 2014. The eligibility criteria required that the participants possessed adequate levels of education and that they were employed at the clinical departments where the study was carried out.The questionnaire consisted of 28 open-ended, one closed-ended and seven compound questions. Other data were demographic data, a set of statements regarding the individual's working environment, organ donation, feelings and work with dead donors, possible disburdening after the work and meetings with relatives. For some questions (numbers 5, 15, 23, 25) a validated instrument was used [12][13][14][15] . Some modifications of the questionnaire were necessary, due to clinical conditions. Out of 100 questionnaires, 75 were complet...

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ICU nurses’ perceptions of responsibilities and organisation in relation to organ donation—A phenomenographic study

Cited by 36 publications

References 39 publications

Explaining nurses' experiences of caring for brain dead patients: a content analysis

Explaining nurses' experiences of caring for brain dead patients: a content analysis

Process of childrens organ donation: Factors that intervene in the communication of the healthcare provider

Organ Donation: Experience in the Maintenance of a Brain-Dead Donor

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