Kennedy H B, Farrand L
Community Health Improvement Center, Decatur, Illinois, USA.
J Emerg Nurs. 1996 Oct;22(5):393-7. doi: 10.1016/s0099-1767(96)80158-9.
Organ and tissue transplantation has gained increased acceptance as a medical procedure. Costs for most transplantations are reimbursed by insurance companies, and the list of transplantable tissues and organs has doubled during the past 10 years. To meet this resulting increased demand, more organs and tissues need to be recovered from potential donors. The purpose of this study was to examine the relationship between emergency nurses' attitudes and their intention to ask potential donor families if they will donate their family member's organs and tissues.
Thirty hospitals were sent a letter inviting them to participate in this descriptive survey research design. Survey packets were sent to the 17 hospitals that responded positively to the request. Surveys contained a cover letter to the participants with directions and assurance that anonymity would be maintained. Completed surveys were returned directly to the researcher.
We found a relationship between the nurses' attitudes and the frequency with which they approached families regarding donation. Further analysis revealed that nurses' attitudes about organ and tissue donation were related to their confidence in asking families about donation. The study also demonstrated that emergency nurses want educational programs that offer information on how to approach donor families.
These results can be used to develop educational programs for emergency nurses to provide them information that can increase their confidence in asking families about donation and subsequently increase the number of families they approach regarding donation.
器官和组织移植作为一种医疗手段已越来越被人们所接受。大多数移植手术的费用由保险公司报销,在过去10年里,可移植组织和器官的清单增加了一倍。为了满足由此增加的需求,需要从潜在捐赠者身上获取更多的器官和组织。本研究的目的是探讨急诊护士的态度与他们询问潜在捐赠者家属是否愿意捐赠其家庭成员器官和组织的意愿之间的关系。
向30家医院发出信函,邀请它们参与这项描述性调查研究设计。调查问卷包被发送给对该请求做出积极回应的17家医院。调查问卷包含一封给参与者的附信,其中有说明并保证会保持匿名。完成的调查问卷直接返还给研究人员。
我们发现护士的态度与他们就捐赠问题与家属沟通的频率之间存在关联。进一步分析表明,护士对器官和组织捐赠的态度与他们向家属询问捐赠事宜的信心有关。该研究还表明,急诊护士希望获得有关如何与捐赠者家属沟通的信息的教育项目。
这些结果可用于为急诊护士制定教育项目,为他们提供能增强其向家属询问捐赠事宜的信心并进而增加他们就捐赠问题与之沟通的家属数量的信息。