Håkanson Eva
Lakartidningen. 2002 Jan 17;99(3):180-4.
The current Swedish transplant act (1995:831), which in contrast to the former law covers the procurement of tissues came into force on July 1, 1996. Eleven doctors and nurses were interviewed concerning their experiences of discussing tissue donation with bereaved relatives. The interviews revealed that breaking news about a patient's death was considered a routine matter, whereas discussing donation with relatives was regarded a difficult and unpleasant task. In general, the medical staff was not sufficiently familiar with the new law, and reported the lack of routines and guidelines in these matters as a problem. Many of the doctors felt they needed more psychological support and more opportunities to discuss ethical questions; the nurses asked for more information about donation and transplantation, and about ethics. In conclusion, there is a need for training in the communication skills involved in approaching bereaved relatives on the subject of tissue donation. There is also a need for a better understanding of the importance of providing psychological support to medical staff on the part of chiefs and health care authorities.
现行的瑞典移植法案（1995:831）与先前法律不同，涵盖了组织的获取，该法案于1996年7月1日生效。就11名医生和护士与失去亲人的家属讨论组织捐赠的经历进行了访谈。访谈显示，告知患者死亡的消息被视为例行公事，而与家属讨论捐赠则被视为一项困难且不愉快的任务。总体而言，医务人员对新法律不够熟悉，并将这些事项缺乏常规流程和指导方针视为一个问题。许多医生觉得他们需要更多的心理支持以及更多讨论伦理问题的机会；护士们则要求获得更多关于捐赠和移植以及伦理方面的信息。总之，需要针对与失去亲人的家属就组织捐赠问题进行沟通的沟通技巧开展培训。医院院长和医疗保健当局也需要更好地理解为医务人员提供心理支持的重要性。
