导航器官和组织捐赠的转诊界限:一个解释性描述研究
Kim Lecuyer1, Cindy Weatherburn1, Melanie Greenwood2
1School of Nursing, College of Health and Medicine, University of Tasmania, Private Bag 132, Hobart, Tasmania 7001, Australia; Department of Critical Care Medicine, Royal Hobart Hospital, GPO BOX 1061, Hobart, Tasmania, 7001, Australia.
概括
在重症监护室 (ICU) 的医疗专业人员面临的障碍是转诊患者进行器官捐献. 改善专业间的协作和解决误解,可以增强器官捐献的机会.
科学领域:
- 医学研究 医学研究
- 医疗保健管理的管理
- 移植科学 移植科学
背景情况:
- 由于可供移植器官的严重短缺,需要探索所有捐赠途径.
- 大多数器官和组织捐赠来源于在重症监护室 (ICU) 的已故捐赠者.
- 在终身护理中,对器官和组织捐赠的常规考虑得到了澳大利亚国家指南的支持.
研究的目的:
- 探索卫生专业人员在ICU中对器官和组织捐献转诊的经验.
- 确定影响器官捐献推流程的障碍和促进者.
主要方法:
- 使用半结构面试进行定性研究.
- 解释性描述:对面试内容的分析.
- 澳大利亚一家三级医院ICU的9名医生和护士接受了采访.
主要成果:
- 组织障碍和误解阻碍了临床医生转诊器官捐献.
- 护士报告说,他们感到无权力,缺乏关于转诊程序的知识.
- 医生主张与护士共同承担转诊责任,以防止错过机会.
- 捐赠专业护士在支持卫生专业人员方面至关重要.
结论:
- 需要加强专业间的合作,以促进ICU的包容性转诊文化.
- 优化转诊实践可以增加器官和组织捐赠机会.
- 解决知识差距和赋予护士权力是改善推过程的关键.
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