The nursing challenges of caring for brain-dead patients: A qualitative study

Manzari, Zahra Sadat; Moghaddam, HamidehYazdi; Heydari, Abbas; Mohammadi, Eesa; Khaleghi, Ibrahim

doi:10.4103/nms.nms_14_17

Cited by 6 publications

(6 citation statements)

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“…This was because the nurses were afraid of the responsibility this placed on them 17 . Nurses' low self-confidence because of limited knowledge affects actual family decisions 16 . Similarly, Ahn et al 19 revealed that ICU nurses avoid comments that can affect the organ donation decisions of patients or families owing to the absence of legal regulations and evidence.…”

Section: Discussionmentioning

confidence: 99%

“…17 Nurses' low self-confidence because of limited knowledge affects actual family decisions. 16 Similarly, Ahn et al 19 revealed that ICU nurses avoid comments that can affect the organ donation decisions of patients or families owing to the absence of legal regulations and evidence. Therefore, nursing intervention protocols and guidelines that can serve as the basis for the practice of ICU staff must be formulated, and continued education must be provided.…”

Section: Discussionmentioning

confidence: 99%

“…As the nurses encountered few brain-dead patients, they could not predict which procedures or nursing care aspects would be required later. Their limited experience led to anxiety, 16 causing them to lose confidence in their work.…”

Section: Discussionmentioning

confidence: 99%

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Experiences of Intensive Care Unit Nurses in Caring for Brain-Dead Donors

Son,

Kim

2023

J Hosp Palliat Nurs

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Organ donation after brain death is an alternative to living organ donation, which has various risks and is a means of addressing organ supply shortages. In South Korea, primarily, the organ donation decision is made by the brain-dead donor's family under the guidance of medical staff. Intensive care unit nurses, who are consistently present with patients, can significantly influence families' decision-making process. Hence, nurses' experiences of caring for brain-dead donors should be explored to obtain detailed explanations of the related complex social phenomena. This qualitative study aimed to understand the structure and nature of nurses' experiences using Colaizzi's phenomenological method. Data were collected from 10 intensive care unit nurses from a hospital-based organ procurement organization between June 27 and September 10, 2022. Twelve themes and 5 components were identified from participants' interviews, including “nursing with regret,” “enduring agony from repeatedly caring for deceased organ donors,” “lack of a support system,” “deep emotional pain and scarring left after care,” and “balancing emotions.” It is necessary to clarify the required nursing interventions and role of nurses in intensive care units who care for brain-dead donors and develop specific guidelines to assist them in their work.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Experiences of Intensive Care Unit Nurses in Caring for Brain-Dead Donors

Son,

Kim

2023

J Hosp Palliat Nurs

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“…Caring for brain-dead PD requires institutional and multidisciplinary team preparation. In this regard, it is mentioned that nurses face difficult and stressful situations in the care of patients in BD, especially when there are repetitive confrontations between teams, capable of interfering with the quality of care provided 14 . Added to this is the difficulty of having to deal with their values, beliefs and myths that are present during their work with the donation process 13 , and the inadequacy of material and human resources to meet PD.…”

Section: /15mentioning

confidence: 99%

“…It is also considered an important factor, for the health team's best performance, the need for psychological support for health professionals who work in the process of identifying BD and maintaining PD, which was a consensus in the convergence group. It is important to prioritize a strategic line of mental and emotional health for professionals involved in BD care 14 and in transplantation through the implementation of emotional assessment and care plans, aiming to improve training for optimal emotional management in situations of stress and risk to health 30 .…”

Section: /15mentioning

confidence: 99%

Care for Potential Brain-Dead Organ Donors in an Adult Emergency Room: A Convergent Care Perspective

Flores

Silva

Tamiozzo

et al. 2023

Texto contexto - enferm.

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Objective: to investigate situations that interfere with health professionals’ performance, in the identification and maintenance of potential brain-dead donors in an Adult Emergency Care Unit, and to indicate actions, from the health team’s perception, that can promote care for these patients. Method: this is a qualitative, convergent care research, carried out with health professionals from an adult emergency unit, a large public teaching hospital located in southern Brazil. Data were collected between February 2020 and January 2021 through structured participant observation, semi-structured interview and convergence group. Data analysis was performed according to the stages of gathering, synthesis, theorization and transfer. Results: based on data analysis, the difficulties in caring for brain-dead persons, lack of information, inadequate structure and difficulties in the work process were identified as situations that interfere with health professionals’ performance in relation to brain-dead potential donors. Actions were signaled to promote care for these people through continuing education activities on the subject, dissemination of information, construction of technologies/protocols, organization of infrastructure and the work process with support for professionals who assist these people. Conclusion: it was evidenced that professional education, the organization of the donation process and systematized actions to improve the work are fundamental factors for the effective care for brain-dead potential organ donors.

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