Hsieh Ming H, Shih Fu-Jong, Sheu Shuh-Jen, Wang Shoei-Shen, Shih Fu-Jin
School of Nursing, National Yang-Ming University, Taipei City.
Department of Gerontological Care and Management, Chang-Gung University of Science and Technology, Taoyuan City.
Medicine (Baltimore). 2018 Oct;97(43):e12809. doi: 10.1097/MD.0000000000012809.
In Taiwan, the current survival rate 1 year after transplantation exceeds 80%. However, the number of organ/tissue donors per year in Taiwan is extremely low, resulting in increased mortality. This is also true in Europe and in the United States. Recently, data from the Taiwan Organ Registry and Sharing Center showed that, although fundraising for organs/tissues slightly increased, the number of donors did not exhibit a corresponding growth trend. Identifying appropriate donors and the provision of good quality transplantation care by medical team members are current challenges. Hence, the application of information technology to in-service education for organ transplantation professionals has been suggested.This was a qualitative study that employed qualitative content analysis with purposive and snowball sampling. The study participants (n = 8, mean age 39.88 ± 3.06 years) included medical staff involved in tissue/organ transplantation from 4 leading medical centers and 3 regional teaching hospitals, and those who participated in the informatics education system.The interviewees from multidisciplinary medical teams showed the status of and dilemma in organ fundraising/donation/transplantation, noting 6 core themes. Regarding relevant education and training, 4 core themes were identified.Current educational courses for organ fundraising/donation/transplantation are inadequate and seem to provide insufficient information to multidisciplinary medical teams. Hence, it is necessary to develop a theoretical construct to create a complete curriculum framework and to establish complete fit-in professional and ethical organ transplantation learning programs based on informatics technology to increase the interdisciplinary exchange of experience.
在台湾,目前移植术后1年的存活率超过80%。然而,台湾每年的器官/组织捐赠者数量极低,导致死亡率上升。欧洲和美国的情况也是如此。最近,台湾器官登记与共享中心的数据显示,尽管器官/组织的筹款略有增加,但捐赠者数量并未呈现相应的增长趋势。确定合适的捐赠者以及医疗团队成员提供高质量的移植护理是当前面临的挑战。因此,有人建议将信息技术应用于器官移植专业人员的在职教育。
这是一项定性研究,采用了目的抽样和滚雪球抽样的定性内容分析法。研究参与者(n = 8,平均年龄39.88 ± 3.06岁)包括来自4家领先医疗中心和3家地区教学医院的参与组织/器官移植的医务人员,以及参与信息学教育系统的人员。多学科医疗团队的受访者展示了器官筹款/捐赠/移植的现状和困境,指出了6个核心主题。关于相关教育和培训,确定了4个核心主题。
目前关于器官筹款/捐赠/移植的教育课程并不充分,似乎无法为多学科医疗团队提供足够的信息。因此,有必要构建一个理论架构,以创建一个完整的课程框架,并基于信息技术建立完整的、合适的专业和道德器官移植学习项目,以增加跨学科的经验交流。