Princess Margaret Hospital for Children, Department of Health, WA, Australia; School of Nursing & Midwifery, Griffith University, QLD, Australia.
Critical Care Nursing, School of Nursing & Midwifery, Curtin Health Innovation Research Institute, Curtin University, WA, Australia.
Int J Nurs Stud. 2015 Mar;52(3):705-15. doi: 10.1016/j.ijnurstu.2014.12.004. Epub 2014 Dec 26.
INTRODUCTION/BACKGROUND: Multi-organ procurement surgical procedures through the generosity of deceased organ donors, have made an enormous impact on extending the lives of recipients. There is a dearth of in-depth knowledge relating to the experiences of perioperative nurses working closely with organ donors undergoing multi-organ procurement surgical procedures.
The aim of this study was to address this gap by describing the perioperative nurses experiences of participating in multi-organ procurement surgical procedures and interpreting these findings as a substantive theory.
This qualitative study used grounded theory methodology to generate a substantive theory of the experiences of perioperative nurses participating in multi-organ procurement surgery.
Recruitment of participants took place after the study was advertised via a professional newsletter and journal. The study was conducted with participants from metropolitan, rural and regional areas of two Australian states; New South Wales and Western Australia.
Thirty five perioperative nurse participants with three to 39 years of professional nursing experience informed the study.
Semi structured in-depth interviews were undertaken from July 2009 to April 2010 with a mean interview time of 60 min. Interview data was transcribed verbatim and analysed using the constant comparative method.
The study results draw attention to the complexities that exist for perioperative nurses when participating in multi-organ procurement surgical procedures reporting a basic social psychological problem articulated as hiding behind a mask and how they resolved this problem by the basic social psychological process of finding meaning.
This study provides a greater understanding of how these surgical procedures impact on perioperative nurses by providing a substantive theory of this experience. The findings have the potential to guide further research into this challenging area of nursing practice with implications for clinical initiatives, management practices and education.
简介/背景：通过已故器官捐献者的慷慨捐赠，多器官获取手术极大地延长了受者的生命。然而，目前对于密切参与多器官获取手术的围手术期护士的经验，我们知之甚少。
本研究旨在通过描述围手术期护士参与多器官获取手术的经验，并将这些发现解释为实质性理论，来填补这一空白。
本定性研究采用扎根理论方法，生成围手术期护士参与多器官获取手术经验的实质性理论。
在通过专业通讯和期刊发布研究通知后，开始招募参与者。本研究在澳大利亚两个州（新南威尔士州和西澳大利亚州）的大都市、农村和地区招募参与者。
35 名具有 3 至 39 年专业护理经验的围手术期护士参与了本研究。
2009 年 7 月至 2010 年 4 月，采用半结构式深入访谈法对参与者进行访谈，平均访谈时间为 60 分钟。访谈数据逐字转录，并采用恒定比较法进行分析。
研究结果引起了人们对围手术期护士在参与多器官获取手术时所面临的复杂性的关注，他们报告了一个基本的社会心理问题，即“隐藏在面具背后”，并通过寻找意义的基本社会心理过程来解决这个问题。
本研究通过实质性理论提供了对这些手术如何影响围手术期护士的更深入理解。这些发现有可能指导对这一具有挑战性的护理实践领域的进一步研究，对临床举措、管理实践和教育具有启示意义。
