Intensive care nurses’ experiences of caring for brain dead organ donor patients

Pearson, Alan; Robertson-Malt, S.; Walsh, Ken; Fitzgerald, Mary

doi:10.1046/j.1365-2702.2001.00447.x

Cited by 68 publications

(98 citation statements)

References 12 publications

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“…Consistent with our participants, they perceived conflict when there was insufficient separation of their patient care responsibilities from donation interests. The idea that they should discuss organ donation caused confusion and moral distress in their selfperceived role as a care providers for their patients and their families (17). They also were only comfortable when the family initiated requests for organ donation (18).…”

Section: Discussionmentioning

confidence: 99%

National evaluation of healthcare provider attitudes toward organ donation after cardiac death*

Mandell

Zamudio

Seem

et al. 2006

Critical Care Medicine

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Healthcare providers are uncomfortable at the clinical juncture where end-of-life care and organ donation interface. Our findings are consistent with theories that care providers are hesitant to perform medical tasks that they consider to be outside the focus of their practice, especially when there is potential conflict of interest. This conflict appears to impose moral distress on healthcare providers and limits acceptance of organ donation after cardiac death. Future research is warranted to examine the effect of standardized procedures on reducing moral distress. The hypothesis generated by this qualitative study is that use of neutral third parties to broach the subject of organ donation may improve acceptance of organ donation after cardiac death.

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Section: Discussionmentioning

confidence: 99%

National evaluation of healthcare provider attitudes toward organ donation after cardiac death*

Mandell

Zamudio

Seem

et al. 2006

Critical Care Medicine

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“…Most of the studies, however, explore the perspectives of ICU nurses undertaking this challenging role and very limited attention has been given to the families' experiences in this context (Bloomer et al, 2010;Halcomb et al, 2004;Pearson et al, 2001;Ranse et al, 2012).…”

Section: Family-focused Research In Australian Icusmentioning

confidence: 99%

Families’ experiences of their interactions with staff in an Australian intensive care unit (ICU): A qualitative study

Wong

Liamputtong

Koch³

et al. 2015

Intensive and Critical Care Nursing

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“…[22][23][24][25][26][27] Evidence suggests that critical care nurses may experience emotional and moral distress when simultaneously caring for brain-dead patients and their grieving families. [28][29][30][31][32] Thus, the decisionmaking process not only is emotionally wrenching for next of kin of eligible organ donors but may also constitute a precarious time for nursing staff, who are presented with exceptionally difficult demands.…”

mentioning

confidence: 99%

Perceived Support Among Families Deciding About Organ Donation for Their Loved Ones: Donor Vs Nondonor Next Of Kin

Jacoby

Jaccard²

2010

American Journal of Critical Care

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Background Families' experiences in the hospital influence their decisions about donating organs of brain-dead relatives. Meeting families' support needs during this traumatic time is an obligation and a challenge for critical care staff. Objectives (1) To elicit family members' accounts of various types of support received and perceived quality of care for themselves and their loved ones when they made the donation decision, and (2) to examine the relationship between these factors and the families' donation decision. Methods Retrospective telephone interviews of 199 families from different regions of the country were completed. Aside from demo graphic data, the survey addressed perceptions of informational, emotional, and instrumental support and quality of care. Results One hundred fifty-four study participants consented to donation; 45 declined. White next of kin were significantly more likely than African Americans to consent. Specific elements of reported support were significantly associated with consent to donate. Donor and nondonor families had differing perceptions of quality care for them selves and their loved ones. Receiving understandable information about organ donation was the strongest predictor of consent. Conclusions Specific supportive behaviors by staff as recounted by family members of potential donors were significantly associated with consent to donation. These behaviors lend themselves to creative training and educational programs for staff. Such interventions are essential not only for next of kin of brain-dead patients, but also for staff and ultimately for the public as a whole. (American Journal of Critical Care. 2010;19:e52-e62) Notice to CE enrollees:A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Identify at least 2 types of information that family members found to be helpful when considering organ donation for a brain-dead relative. 2. Describe bereavement care. 3. Discuss at least 3 reasons why relatives did not consent to donation for their loved ones.

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Intensive care nurses’ experiences of caring for brain dead organ donor patients

Cited by 68 publications

References 12 publications

National evaluation of healthcare provider attitudes toward organ donation after cardiac death*

National evaluation of healthcare provider attitudes toward organ donation after cardiac death*

Families’ experiences of their interactions with staff in an Australian intensive care unit (ICU): A qualitative study

Perceived Support Among Families Deciding About Organ Donation for Their Loved Ones: Donor Vs Nondonor Next Of Kin

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