Smith Zaneta
School of Nursing & Midwifery, Curtin University, Perth, WA, Australia.
Nurs Inq. 2017 Jul;24(3). doi: 10.1111/nin.12173. Epub 2016 Dec 21.
Perioperative nurses assist in organ procurement surgery; however, there is a dearth of information of how they encounter making conscientious objection requests or refusals to participate in organ procurement surgery. Organ procurement surgical procedures can present to the operating room ad hoc and can catch a nurse who may not desire to participate by surprise with little opportunity to refuse as a result of staffing, skill mix or organizational work demands. This paper that stems from a larger doctoral research study exploring the experiences of perioperative nurses participating in multi-organ procurement surgery used a grounded theory method to develop a substantive theory of the nurses' experiences. This current paper aimed to highlight the experiences of perioperative nurses when confronted with expressing a conscientious objection towards their participation in these procedures. A number of organizational and cultural barriers within the healthcare organization were seen to hamper their ability in expressing a conscience-based refusal, which lead to their reluctant participation. Perioperative nurses must feel safe to express a conscientious objection towards these types of surgical procedures and feel supported in doing so by their respective hospital organizations and not be forced to participate unwillingly.
围手术期护士协助进行器官获取手术；然而，关于她们如何遇到提出出于良心拒做或拒绝参与器官获取手术的情况，相关信息却很匮乏。器官获取手术程序可能会临时安排到手术室，这可能会让不想参与的护士措手不及，由于人员配备、技能组合或组织工作要求，她们几乎没有机会拒绝。本文源于一项更大规模的博士研究，该研究探讨围手术期护士参与多器官获取手术的经历，采用扎根理论方法来构建关于护士经历的实质性理论。当前这篇论文旨在突出围手术期护士在面临对参与这些手术程序表达出于良心的反对意见时的经历。医疗保健机构内存在一些组织和文化障碍，阻碍了她们表达基于良心的拒绝，导致她们不情愿地参与。围手术期护士必须在表达对这类手术程序的出于良心的反对意见时感到安全，并在各自医院组织的支持下这样做，而不应被迫不情愿地参与。
