器官采购协调员在尸体器官捐献中家庭拒绝的经验:定性分析
Hi Cran Karataş1, Şener Balas2
1Sociology, Bartın University, Bartın, Türkiye hkaratas@bartin.edu.tr.
BMJ open
|April 18, 2025
概括
器官采购协调员在寻求器官捐赠同意时面临文化障碍. 通过文化敏感的方法解决这些挑战对于提高土耳其的捐赠率至关重要.
科学领域:
- 移植科学 移植科学
- 医学社会学 医学社会学
- 文化研究是文化研究.
背景情况:
- 器官采购协调员 (OPC) 对于确保器官捐献的家庭同意至关重要.
- 土耳其的低尸体器官捐赠率需要了解同意的障碍.
- 在同意过程中,OPCs在复杂的生命终结和家庭叙述中进行导航.
研究的目的:
- 探索土耳其OPC遇到的家庭同意拒绝的原因.
- 识别影响尸体器官捐献的文化,宗教,精神和民间障碍.
主要方法:
- 在土耳其,与30家OPC进行了半结构面试.
- 采用主题分析来确定器官捐赠同意的关键主题和障碍.
- 参与者通过从中央和外围医院的有目的随机抽样来招募.
主要成果:
- 确定了家庭同意的五个主要障碍:宗教,对死者的愿望的担忧,接收者选择偏好,家庭动态和民间传说.
- 这些障碍进一步通过基于反复出现的主题的子类别进行上下文化.
- 文化因素显著阻碍了OPC获得尸体器官捐献同意的能力.
结论:
- 显著的文化障碍阻碍了OPC在促进尸体器官捐献方面.
- 文化上有能力的策略和对OPC的加强支持对于提高捐赠率至关重要.
- 增加文化理解和有针对性的干预措施可以积极影响器官捐赠的结果.
相关概念视频
Obedience
26.2K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
26.2K
Ethical Issues
2.3K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.3K
Ethical Dilemmas II
2.7K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.7K
Tissue Transplantation
1.4K
Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
1.4K
Kidney Transplant I: Introduction
827
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
827
Kidney Transplant II: Surgical Procedure
926
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
926


