University of Ottawa, Faculty of Medicine, Ottawa, Ontario, Canada.
Department of Critical Care, Ottawa Hospital, Ottawa, Ontario, Canada.
BMJ Open. 2020 Jun 15;10(6):e037527. doi: 10.1136/bmjopen-2020-037527.
In a patient-centred and family-centred approach to organ donation, compassion is paramount. Recent guidelines have called for more research, interventions and approaches aimed at improving and supporting the families of critically ill patients. The objective of this study is to help translate patient-centred and family-centred care into practice in deceased organ donation.
This will be a national, qualitative study of family members of deceased organ donors in Canada. We will include family members who had been approached regarding an organ donation decision, including those who agreed and declined, at least 2 months and no later than 3 years after the patients' death. Data collection and analysis is ongoing and will continue until September 2020 to include approximately 250 participants. Family members will be identified and recruited from provincial organ donation organisation databases. Four experienced qualitative researchers will conduct telephone interviews in English or French with audio-recording for subsequent transcription. The research team will develop a codebook iteratively through this process using inductive methods, thus generating themes directly from the dataset.
Local research ethics boards (REB) at all participating sites across Canada have approved this protocol. The main REB involved is the Ottawa Health Science Network REB. Data collection began in August 2018. Publication of results is anticipated in 2021. Study findings will help improve healthcare provider competency in caring for potential organ donors and their families and improve organ donation consent rates. Findings will also help with the development of educational materials for a competency-based curriculum for critical care residents.
在以患者为中心和以家庭为中心的器官捐献方法中，同情心至关重要。最近的指南呼吁开展更多的研究、干预和方法，以改善和支持病危患者的家属。本研究的目的是帮助将以患者为中心和以家庭为中心的护理转化为实际的死亡器官捐献。
这将是一项在加拿大进行的全国性、定性研究，研究对象为已故器官捐献者的家属。我们将包括那些已经被征求过器官捐献决定的家属，包括同意和拒绝的家属，时间至少在患者去世后 2 个月，不超过 3 年。数据收集和分析正在进行中，将持续到 2020 年 9 月，包括大约 250 名参与者。家属将从省级器官捐赠组织的数据库中被识别和招募。四位经验丰富的定性研究人员将用英语或法语进行电话访谈，并进行录音转录。研究小组将通过这个过程使用归纳法逐步制定一个代码本，从而直接从数据集生成主题。
加拿大所有参与站点的地方研究伦理委员会（REB）都批准了该方案。主要涉及的是渥太华健康科学网络 REB。数据收集始于 2018 年 8 月。预计 2021 年公布研究结果。研究结果将有助于提高医疗保健提供者照顾潜在器官捐献者及其家属的能力，并提高器官捐献同意率。研究结果还将有助于为危重病科住院医师的基于能力的课程开发教育材料。
