Great Ormond Street Hospital, Great Ormond Street, London WC1N 3JH, United Kingdom.
School of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Highfield, Southampton SO17 1BJ, United Kingdom.
Intensive Crit Care Nurs. 2019 Oct;54:71-78. doi: 10.1016/j.iccn.2019.07.004. Epub 2019 Jul 23.
This study explored nurses' knowledge, attitudes and feelings towards donation after circulatory death identifying these domains as barriers and facilitators to nurses effectively undertaking their role in the donation after circulatory death donation process.
A single-phase qualitative study design.
One paediatric cardiac intensive care unit in a tertiary paediatric hospital in England.
Data was collected from eight paediatric cardiac intensive care nurses using semi-structured face to face or telephone interviews facilitated by a clinical vignette. Qualitative content analysis was undertaken adopting both inductive and deductive lenses.
Three categories were deductively generated within which eleven inductively generated themes were situated. Barriers included: knowledge deficits of both process and resources; assumptions about parental views and reluctance to facilitate sensitive discussions, facilitators included positive attitudes toward donation aligned with a strong professional ethos and family-centred values.
The paper identifies barriers to the donation after circulatory death process including nurses feeling unprepared for their role, anxiety over family approach and communication methods and support. Highlighted is the need for specific educational interventions, appropriate resources and development of paediatric focussed policy to guide practice. Facilitators to donation include timely, sensitive and appropriate family discussions, trusting nurse-family relationships and improved public awareness.
本研究探讨了护士对循环死亡后捐献的知识、态度和感受，将这些领域视为护士在循环死亡后捐献过程中有效履行职责的障碍和促进因素。
单阶段定性研究设计。
英格兰一家三级儿科医院的儿科心脏重症监护病房。
通过临床案例，使用半结构式面对面或电话访谈，从 8 名儿科心脏重症监护护士那里收集数据。采用归纳和演绎两种视角进行定性内容分析。
通过演绎方法生成了三个类别，其中包含 11 个通过归纳方法生成的主题。障碍包括：对过程和资源的知识不足；对家长观点的假设和不愿促进敏感讨论；促进因素包括与强烈的专业精神和以家庭为中心的价值观相一致的对捐献的积极态度。
本文确定了循环死亡后捐献过程中的障碍，包括护士对其角色感到准备不足、对家庭方法和沟通方式的焦虑以及支持的缺乏。强调需要进行特定的教育干预、适当的资源和制定以儿科为重点的政策来指导实践。促进捐献的因素包括及时、敏感和适当的家庭讨论、信任的护士-家庭关系以及提高公众意识。
