Approaching families on the subject of organ donation: A phenomenological study of the experience of healthcare professionals.

The aim of this study was to explore healthcare professionals' experiences and gain a deeper understanding of interactions with families when approaching the subject of organ donation. A hermeneutic phenomenological approach was used to explore the participants' experiences. Data were collected thro...

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Publicado en:Intensive & Critical Care Nursing Vol. 29; no. 4; pp. 202 - 212
Autores principales: Orøya, Aud, Strømskag, Kjell Erik, Gjengedala, Eva
Formato: research Journal Article
Publicado: Elsevier B.V. 2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2013
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      pub: Elsevier B.V.
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        10.1016/j.iccn.2013.02.003
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        atl: Approaching families on the subject of organ donation: A phenomenological study of the experience of healthcare professionals.
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          Orøya, Aud
          Strømskag, Kjell Erik
          Gjengedala, Eva
        affil: University of Bergen, Department of Global Public Health and Primary Care, Post Box 7804, NO-5020 Bergen, Norway; Molde University College, Institute of Health and Social Care, Post Box 2110, NO-6402 Molde, Norway
      sug:
        subj:
          Organ Procurement
          Professional-Family Relations
          Attitude of Health Personnel
          Human
          Phenomenological Research
          Norway
          Academic Medical Centers
          Thematic Analysis
          Communication Skills
          Intensive Care Units
          Observational Methods
          Registered Nurses
          Physicians
          Chaplains
          Adult
          Middle Age
          Attitude of Health Personnel Evaluation
          Male
          Female
          Interviews
          Time Factors
          Decision Making, Family
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: The aim of this study was to explore healthcare professionals' experiences and gain a deeper understanding of interactions with families when approaching the subject of organ donation. A hermeneutic phenomenological approach was used to explore the participants' experiences. Data were collected through a combination of observation and in-depth interviews with nurses, physicians and hospital chaplains recruited from two intensive care units (ICUs) in a Norwegian university hospital. A thematic analysis was used to analyse the data, and three main themes emerged from this analysis: crucial timing, challenging conversations and conflicting expectations. The results revealed that the situation was of a sensitive nature and that finding the best possible time to address the issue in a meaningful manner was a challenge. Respect for the patients' wishes and the families' decisions were an expressed value among the participants, but conflicting expectations about bringing up the subject were also present. This study contributes to the understanding of healthcare professionals' challenges when they are facing brain death as an inevitable outcome of a patient's clinical condition and must approach families on the subject of organ donation.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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