Salehi Shayesteh, Kanani Tahereh, Abedi Heidarali
Nursing and Midwifery Faculty, Khorasgan (Isfahan) Branch, Islamic Azad University, Isfahan, Iran.
Department of Nursing, Shahid Chamran Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2013 Nov;18(6):475-82.
Care of brain dead donors is complex, critical, and sensitive and has a direct and positive impact on the end result of organ and tissue transplantation process. This study describes the nurses' experiences of care of brain dead donors in intensive care units (ICU).
This research was performed by phenomenological method that is a qualitative approach. Purposive sampling was used to gather the data. The researcher reached to data saturation by deep interviews conducted with eight participants from ICU nurses in Isfahan hospitals who cooperated in care of brain dead donors. Data analysis was performed according to Colaizzi analysis method.
Interviews were analyzed and the results of analysis led to "Excruciating tasks" as the main theme formed by psychological effects of facing the situation, heavy and stressful care, defect of scientific knowledge, conflict between feeling and duty, outcome of attitude change in behavior, emotional responses to perceived psychological afflictions, doubt to medical diagnosis, spiritual perceptions, and biological responses when faced with the situation.
Caring of brain dead organ donors is difficult and stressful for intensive care nurses and can be a threat for nurses' health and quality of nursing care. So, providing suitable physical, mental, and working conditions is necessary to make suitable background to maintain and increase nurses' health and quality of care and effective cooperation of this group of health professionals in organ procurement process.
脑死亡供体的护理复杂、关键且敏感,对器官和组织移植过程的最终结果有直接且积极的影响。本研究描述了重症监护病房(ICU)护士对脑死亡供体的护理体验。
本研究采用现象学方法,这是一种定性研究方法。采用目的抽样法收集数据。通过与伊斯法罕医院参与脑死亡供体护理的8名ICU护士进行深度访谈,研究者达到了数据饱和。数据分析按照科莱齐分析方法进行。
对访谈进行分析,分析结果得出“艰巨任务”这一主题,该主题由面对这种情况的心理影响、繁重且有压力的护理、科学知识的欠缺、情感与职责的冲突、行为态度改变的结果、对感知到的心理痛苦的情绪反应、对医学诊断的怀疑、精神认知以及面对这种情况时的生理反应构成。
对于重症监护护士而言,护理脑死亡器官供体困难且压力大,可能对护士的健康和护理质量构成威胁。因此,提供合适的身体、心理和工作条件,为维持和提高护士的健康及护理质量以及该组医护人员在器官获取过程中的有效合作创造合适的背景是必要的。