Intensive critical care nurses' with limited experience
Experiences of caring for an organ donor during the donation process
Document identifier: oai:DiVA.org:ltu-77349
Access full text here:
10.1111/jocn.15195Keyword: Medical and Health Sciences,
Health Sciences,
Nursing,
Medicin och hälsovetenskap,
Hälsovetenskaper,
Omvårdnad,
Donation process,
Intensive critical care nurses,
Limited experiences,
Organ donor,
QualitativePublication year: 2020Relevant Sustainable Development Goals (SDGs):
The SDG label(s) above have been assigned by OSDG.aiAbstract: Objective
To describe how intensive critical care nurses, whose experience is limited, experience caring for an organ donor during the donation process.
Background
Intensive critical care nurses are involved in the care of organ donors and their relatives. This may be challenging and evoke a sense of providing an inhumane care. Few studies have explored how intensive critical care nurses whose experience is limited experience caring for an organ donor during the donation process.
Design
An interview study with an inductive qualitative approach was conducted. The study was reported according to COREQ guidelines.
Methods
This study was performed during 2019. Participants were intensive critical care nurses (n = 7) from different hospitals (n = 4) with <3 years of experience and involvement in the donation process at least once but no more than three times. Data were analysed using qualitative content analysis.
Findings
Five categories emerged: the donation process is emotionally challenging; supporting relatives is an essential but demanding task; a complex and multifaceted process involving a high level of responsibility; needing appropriate prerequisites in the form of education and collegial support; and providing a dignified care based on respect for the organ donor.
Conclusions
Having limited experience as an intensive critical care nurse may not automatically mean that caring for an organ donor is experienced as more challenging than it is for a more‐experienced colleague. However, certain intensive critical care nurses whose experience caring for an organ donor is limited found it to be highly demanding due to its complexity, specifically in regard to informing relatives of the loss of their loved one and providing them with support.
Relevance to clinical practice
Our study revealed a need for further education. This need could be met by simulation tasks during the specialist education in intensive critical care nursing, where primarily ethical aspects and strategies for meeting with and supporting relatives should be examined and practiced.
Authors
Johan Simonsson
Intensive Care Unit, Karolinska Institutet, Stockholm, Sweden
Other publications
>>
Karl Keijzer
Intensive Care Unit, Östersund Hospital, Östersund, Sweden
Other publications
>>
Theres Södereld
Luleå tekniska universitet; Omvårdnad och medicinsk teknik; Intensive Care Unit, Sunderby Hospital, Luleå, Sweden
Other publications
>>
Angelica Forsberg
Luleå tekniska universitet; Omvårdnad och medicinsk teknik; Intensive Care Unit, Sunderby Hospital, Luleå, Sweden
Other publications
>>
Record metadata
Click to view metadata
header:
identifier: oai:DiVA.org:ltu-77349
datestamp: 2021-04-19T12:42:11Z
setSpec: SwePub-ltu
metadata:
mods:
@attributes:
version: 3.7
recordInfo:
recordContentSource: ltu
recordCreationDate: 2020-01-10
identifier:
http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-77349
10.1111/jocn.15195
31971283
2-s2.0-85079145501
titleInfo:
@attributes:
lang: eng
title: Intensive critical care nurses' with limited experience
subTitle: Experiences of caring for an organ donor during the donation process
abstract: Objective
To describe how intensive critical care nurses whose experience is limited experience caring for an organ donor during the donation process.
Background
Intensive critical care nurses are involved in the care of organ donors and their relatives. This may be challenging and evoke a sense of providing an inhumane care. Few studies have explored how intensive critical care nurses whose experience is limited experience caring for an organ donor during the donation process.
Design
An interview study with an inductive qualitative approach was conducted. The study was reported according to COREQ guidelines.
Methods
This study was performed during 2019. Participants were intensive critical care nurses (n = 7) from different hospitals (n = 4) with <3 years of experience and involvement in the donation process at least once but no more than three times. Data were analysed using qualitative content analysis.
Findings
Five categories emerged: the donation process is emotionally challenging; supporting relatives is an essential but demanding task; a complex and multifaceted process involving a high level of responsibility; needing appropriate prerequisites in the form of education and collegial support; and providing a dignified care based on respect for the organ donor.
Conclusions
Having limited experience as an intensive critical care nurse may not automatically mean that caring for an organ donor is experienced as more challenging than it is for a more‐experienced colleague. However certain intensive critical care nurses whose experience caring for an organ donor is limited found it to be highly demanding due to its complexity specifically in regard to informing relatives of the loss of their loved one and providing them with support.
Relevance to clinical practice
Our study revealed a need for further education. This need could be met by simulation tasks during the specialist education in intensive critical care nursing where primarily ethical aspects and strategies for meeting with and supporting relatives should be examined and practiced.
subject:
@attributes:
lang: eng
authority: uka.se
topic:
Medical and Health Sciences
Health Sciences
Nursing
@attributes:
lang: swe
authority: uka.se
topic:
Medicin och hälsovetenskap
Hälsovetenskaper
Omvårdnad
@attributes:
lang: eng
topic: donation process
@attributes:
lang: eng
topic: intensive critical care nurses
@attributes:
lang: eng
topic: limited experiences
@attributes:
lang: eng
topic: organ donor
@attributes:
lang: eng
topic: qualitative
@attributes:
lang: eng
authority: ltu
topic: Nursing
genre: Research subject
@attributes:
lang: swe
authority: ltu
topic: Omvårdnad
genre: Research subject
language:
languageTerm: eng
genre:
publication/journal-article
ref
note:
Published
4
Validerad;2020;Nivå 2;2020-04-16 (alebob)
name:
@attributes:
type: personal
namePart:
Simonsson
Johan
role:
roleTerm: aut
affiliation: Intensive Care Unit Karolinska Institutet Stockholm Sweden
@attributes:
type: personal
namePart:
Keijzer
Karl
role:
roleTerm: aut
affiliation: Intensive Care Unit Östersund Hospital Östersund Sweden
@attributes:
type: personal
authority: ltu
namePart:
Södereld
Theres
role:
roleTerm: aut
affiliation:
Luleå tekniska universitet
Omvårdnad och medicinsk teknik
Intensive Care Unit Sunderby Hospital Luleå Sweden
nameIdentifier: thesod
@attributes:
type: personal
authority: ltu
namePart:
Forsberg
Angelica
role:
roleTerm: aut
affiliation:
Luleå tekniska universitet
Omvårdnad och medicinsk teknik
Intensive Care Unit Sunderby Hospital Luleå Sweden
nameIdentifier:
angfor
0000-0003-4789-7006
originInfo:
dateIssued: 2020
publisher: John Wiley & Sons
relatedItem:
@attributes:
type: host
titleInfo:
title: Journal of Clinical Nursing
identifier:
0962-1067
1365-2702
part:
detail:
@attributes:
type: volume
number: 29
@attributes:
type: issue
number: 9-10
extent:
start: 1614
end: 1622
physicalDescription:
form: print
typeOfResource: text