Perioperative nurses' attitudes towards organ procurement: a systematic review

Gao, Weili; Plummer, Virginia; Williams, Allison

doi:10.1111/jocn.13386

Cited by 16 publications

(15 citation statements)

References 11 publications

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“…The organ procurement procedure can be complex and encompasses a wide array of physical, mental, emotional and spiritual challenges for all participants (Gao et al., 2017, 2020). Physically, performing a few hours of surgery can be tiring; mentally, collaborating with often unfamiliar surgical teams from different hospitals can be stressful; emotionally, experiencing organ procurement can be traumatic; and spiritually, comprehending death and life can be draining.…”

Section: Resultsmentioning

confidence: 99%

Using metaphor method to interpret and understand meanings of international operating room nurses' experiences in organ procurement surgery

Gao

Plummer

McKenna

2020

Journal of Clinical Nursing

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Aims: To demonstrate how metaphor method can be employed in health care research, through a rainbow metaphor to conceptualise lived experiences, and represent a sense of verisimilitude, in a phenomenological study of international nurses' experiences of organ procurement procedures. Background: International operating room nurses are likely to form unique attitudes towards multi-organ procurement. Phenomenology is used to focus on discovering human experiences and the meanings of certain phenomena. Phenomenological writing can mediate people's reflections and actions, measure people's thoughtfulness and help people to see and show lived experiences from their lifeworlds. Design: Metaphor was used to interpret meanings of international operating room nurses' experiences in organ procurement surgery. The meanings were identified through a phenomenological approach informed by the work of van Manen. Methods: A metaphor method was used to interpret and understand the lived experiences of eighteen international OR nurses recruited from nine different countries. Thematic data analysis was used to portray their lived experiences in organ procurement procedure. Results: Using a rainbow as metaphor, a vivid picture was portrayed reflecting international OR nurses' experiences and organ procurement journey in Australia as challenging, with mixed feelings. According to the relationship between certain colours and emotions, four essential themes evolved into the concept of a four-colour rainbow to signify the meanings of international OR nurses' experiences in organ procurement procedures. The essential themes represented by these four colours were as follows: Orange-"The surreality of experiencing death," Red-"Personal and professional challenges," Green-"Becoming stronger" and Purple-"My beliefs, my wishes." Conclusion: Interpreting the meanings of their organ procurement experiences using metaphor method provided valuable insights about what personal and professional challenges these nurses faced, how they coped and managed their challenges, what support and care they required from others, and suggestions for future practice. | 4605 GAO et Al.

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Section: Resultsmentioning

confidence: 99%

Using metaphor method to interpret and understand meanings of international operating room nurses' experiences in organ procurement surgery

Gao

Plummer

McKenna

2020

Journal of Clinical Nursing

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“…12,13 In the course of the progression of severe neurosurgical patients, they can evolve to BD and become a PD, starting to present major hemodynamic changes that demand specific care from the multidisciplinary staff professionals, especially the nursing staff directly involved in assisting this patient. [14][15][16] When a PD is identified by one of the HTC members, nurses on call from this committee start to articulate management and assistance activities to minimize such changes and avoid the loss of this PD due to cardiac arrest. Effective management of PD prevents patient loss and minimizes the risk of injuries in transplantation.…”

Section: Discussionmentioning

confidence: 99%

Management of Nurse Care in the Organ and Tissue Donation Process

Knihs

Santos

Magalhães

et al. 2020

Texto contexto - enferm.

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Objective: to identify the activities developed by nurses in care management in the organ and tissue donation process. Method: this is a quantitative, retrospective, exploratory and descriptive study, carried out in two hospital institutions in southern Brazil, between June 2013 and June 2016. The sample consisted of 104 records of patients notified to the State Transplant Center. For data analysis, descriptive statistics were used. Results: at Institution A, 70.2% (73) of medical records were analyzed and at Institution B, 29.8% (31). As for activities developed by nurses, it is noteworthy that in the first, they carried out 1,299 management activities (93.7%) and in the second, 317 (53.9%). As for assistance activities, in the first, 507 (83.1%) and in the second, 217 (63.1%) activities. With regard to nursing care, care should be taken to maintain temperature, water balance and glycemic control. Conclusion: it was possible to identify that nurses develop a greater number of actions aimed at management issues in the donation process. As for assistance, there was a greater concern with maintaining the temperature.

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“…As healthcare professionals, nurses' attitudes toward organ procurement have the potential to influence the attitudes of patients and the general public, which might facilitate or hinder organ donation and transplantation activity. A systematic review conducted by Gao, Plummer, and Williams (2017) found that OR nurses felt distressed, emotionally isolated, and physically drained during their participation in organ procurement. Often, they are not familiar with procurement procedures (Regehr, Kjerulf, Popova, & Baker, 2004;Smith, Leslie, & Wynaden, 2015a), because such surgery is not a common procedure in the operating room.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Therefore, it was evidenced that there were few organ procurement opportunities for OR nurses to experience. Furthermore, OR nurses reportedly find it difficult to accept patients' deaths in the OR (Carter-Gentry & McCurren, 2004;Wang & Lin, 2009), and are not familiar with postmortem care, because death and death-related care are rare events in the OR (Fox, 1999;Gao et al, 2017).…”

Section: Literature Reviewmentioning

confidence: 99%

Lived experiences of international operating room nurses in organ procurement surgery: A phenomenological study

Gao

Plummer

McKenna

2019

Nursing & Health Sciences

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International operating room nurses come from different regions of the world with diverse social and cultural backgrounds, religions, personal beliefs, and education. They are likely to form unique attitudes toward multi‐organ procurement that potentially might affect their opinions and clinical practices. The aim of this phenomenological study was to explore the lived experiences of international operating room nurses participating in deceased organ procurement procedures in Australia. Semistructured interviews were conducted with 18 international operating room nurses. van Manen's phenomenological data analysis method was adopted to uncover and interpret meanings from these nurses' descriptions. Four essential themes emerged and evolved to signify the meanings of participants' experiences in organ procurement procedures: the surreality of death, personal and professional challenges, becoming stronger, and personal beliefs and wishes. The present study highlights the importance of cultural awareness in dealing with death, organ procurement, and interprofessional collaboration in the multi‐cultural perioperative context. It is essential to provide clinical education and support around culture and practice transition for international operating room nurses to increase and maintain their professional confidence, career satisfaction, health, and well‐being during organ procurement surgery.

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Perioperative nurses' attitudes towards organ procurement: a systematic review

Abstract: Perioperative nurses play a vital role in the organ procurement procedure and require ongoing support to ensure their psychological welfare, in particular, newly qualified or inexperienced nurses' participating in organ procurement.

Cited by 16 publications

References 11 publications

Using metaphor method to interpret and understand meanings of international operating room nurses' experiences in organ procurement surgery

Using metaphor method to interpret and understand meanings of international operating room nurses' experiences in organ procurement surgery

Management of Nurse Care in the Organ and Tissue Donation Process

Lived experiences of international operating room nurses in organ procurement surgery: A phenomenological study

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