Palliative Care Unit, School of Public Health, La Trobe University, Melbourne, VIC, 3000, Australia.
J Relig Health. 2011 Sep;50(3):743-59. doi: 10.1007/s10943-009-9279-1. Epub 2009 Aug 29.
As part of an Australian national project, quantitative data via a survey were retrospectively obtained from 327 Australian health care chaplains (staff and volunteer chaplains) to initially identify chaplaincy participation in various bioethical issues-including organ procurement. Over a third of surveyed staff chaplains (38%) and almost a fifth of volunteer chaplains (19.2%) indicted that they had, in some way, been involved in organ procurement issues with patients and/or their families. Nearly one-fifth of staff chaplains (19%) and 12% of volunteer chaplains had also assisted clinical staff concerning various organ procurement issues. One hundred of the surveyed chaplains volunteered to an interview. Qualitative data were subsequently coded from 42 of the chaplains who had been involved in organ procurement requests. These data were thematically coded using the World Health Organization 'Pastoral Intervention Codings' (WHO-PICs). The qualitative data revealed that through a variety of pastoral interventions a number of chaplains (the majority being staff chaplains) were engaged in the critical and sensitive issues of organ procurement. It is argued that while such involvement can help to ensure a holistic and ethically appropriate practice, it is suggested that chaplains could be better utilized not only in the organ procurement process but also for the training of other chaplains and clinicians.
作为澳大利亚国家项目的一部分，通过调查回顾性地从 327 名澳大利亚医疗保健牧师（工作人员和志愿者牧师）那里获得了定量数据，以初步确定牧师参与各种生物伦理问题，包括器官采购。接受调查的工作人员牧师中，超过三分之一（38%）和近五分之一的志愿者牧师（19.2%）表示，他们以某种方式参与了与患者及其家属有关的器官采购问题。近五分之一的工作人员牧师（19%）和 12%的志愿者牧师也协助临床工作人员处理各种器官采购问题。有 100 名被调查的牧师自愿接受采访。随后对 42 名参与器官采购请求的牧师进行了定性数据分析。这些数据使用世界卫生组织“牧师干预编码”（WHO-PICs）进行主题编码。定性数据显示，通过各种牧师干预措施，许多牧师（大多数是工作人员牧师）参与了器官采购的关键和敏感问题。有人认为，虽然这种参与有助于确保整体和符合伦理的实践，但有人建议不仅在器官采购过程中，而且在培训其他牧师和临床医生方面，可以更好地利用牧师。
