Department of Medical Ethics and History of Medicine, İstanbul University, Turkey.
Nurs Ethics. 2010 Nov;17(6):705-14. doi: 10.1177/0969733010378933.
Technological developments in recent years have brought about a rapid increase in the number and variety of organ transplants, leading to problems in finding enough organs to meet the need. Organ transplantation has also become a particularly significant issue in medical ethics, especially regarding the question of how and from whom organs are procured. Many methods have been tried in order to solve these problems and discussed from an ethical perspective. This study investigates the Spanish, Belgian and Iranian approaches to solving the organ procurement problem. The Spanish model, which is based on persuading patients and their relatives, is ethically less problematic and is also an improved version of the model applied in Turkey. This study argues that an ideal solution can be found without disregarding ethical rules. In particular, nurses can contribute by helping to run the system more efficiently. The principal aim of this article is to demonstrate the contribution of nurses to solving the current organ procurement problem in Turkey and offer some reflections on what can be done to improve the efficiency of the system.
近年来，技术的发展使得器官移植的数量和种类迅速增加，导致出现了器官短缺的问题。器官移植也成为了医学伦理学中一个特别重要的问题，尤其是在器官的获取方式和来源方面。为了解决这些问题，人们尝试了许多方法，并从伦理角度进行了讨论。本研究探讨了西班牙、比利时和伊朗在解决器官获取问题方面的方法。西班牙模式基于说服患者及其亲属，从伦理角度来看，这种模式的问题较少，而且是在土耳其所应用模式的改进版。本研究认为，在不违反伦理规则的情况下，可以找到理想的解决方案。特别是，护士可以通过帮助系统更有效地运行来做出贡献。本文的主要目的是展示护士在解决土耳其当前器官获取问题方面的贡献，并对如何提高系统效率提出一些思考。
