Swedish Intensive Care Nurses' Knowledge, Attitudes, and Views on Donation After Circulatory Death Before a National Implementation

被引:0
|
作者
Gripewall, Emilie [1 ,2 ]
Fagerstrom, Lisbeth [1 ]
Kumlien, Christine [3 ,4 ]
Mattsson, Janet [5 ,6 ,7 ]
Nyholm, Linda [1 ,8 ]
Bjorling, Gunilla [7 ,9 ,10 ,11 ]
机构
[1] Abo Akad Univ, Dept Hlth Sci, Fac Educ & Welf Studies, Vaasa, Finland
[2] Natl Board Hlth & Welf, Natl Donat Ctr, Stockholm, Sweden
[3] Malmo Univ, Dept Care Sci, Malmo, Sweden
[4] Skane Univ Hosp, Dept Cardiothorac & Vasc Surg, Malmo, Sweden
[5] Univ South Eastern Norway, Fac Hlth & Social Sci, Borre, Norway
[6] Kristianstad Univ, Dept Hlth Sci, Kristianstad, Sweden
[7] Karolinska Inst, Care Sci & Soc, Dept Neurobiol, Stockholm, Sweden
[8] Univ Stavanger, Dept Caring & Ethics, Stavanger, Norway
[9] Jonkoping Univ, Sch Hlth & Welf, Dept Nursing, POB 1026, SE-55111 Jonkoping, Sweden
[10] Kilimanjaro Christian Med Univ Coll, Fac Nursing, Moshi, Tanzania
[11] Sodertalje Hosp, Dept Anaesthes & Intens Care, Sodertalje, Sweden
来源
SAGE OPEN NURSING | 2024年 / 10卷
关键词
donation after circulatory death; organ donation; intensive care nurse; attitudes; knowledge; EXTRACORPOREAL MEMBRANE-OXYGENATION; ORGAN DONATION; QUALITY; ETHICS;
D O I
10.1177/23779608241274208
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Introduction: An increasing population and a shortage of identified potential organ donors are causing the waiting list for organ transplants to grow continuously. Donation after circulatory death (DCD) is a method aimed at meeting the demand for transplantable organs. However, it presents new challenges in nursing care, and there is a lack of studies investigating nurses' attitudes and knowledge of DCD. Objective: The objective of this study was to determine and describe intensive care nurses' (ICNs') knowledge, attitudes, and views on DCD before a national implementation in Sweden. Method:This study utilized a cross-sectional mixed-method design. A convenience sampling method was employed, targeting ICNs working in four intensive care units in Sweden. A study-specific tool comprising fixed and free-text questions was developed. Fifty-one ICNs participated. Data were analyzed descriptively, and correlation analysis was performed using Spearman's correlation. Free-text answers were qualitatively assessed and analyzed. An integrated analysis was conducted to synthesize the quantitative and qualitative findings. Results: Fifty-three percent reported limited knowledge about DCD. Nurses with previous education on DCD had significantly higher knowledge (r = .380, p = .006), were more engaged with the public debate on organ donation (r = .423, p = .002), and considered the ethical aspects of DCD more thoroughly (r = .386, p = .022). The qualitative analysis identified four key categories: The importance of the team, the need for ethical discussions, increased knowledge of DCD, and unanswered questions and unmet needs. The integrated analysis underscored the need for targeted education, clear guidelines, and ongoing ethical discussions to prepare ICU nurses for DCD. Conclusion: Nurses educated in organ donor care had better knowledge and a more positive attitude toward DCD implementation. The study also highlights the importance of interprofessional teamwork in DCD implementation. The findings suggest that education on DCD could improve the identification and implementation of DCD donors, addressing the global shortage of transplantable organs.
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页数:17
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