The organ donation process through a review of the literature. Part I

Smith-Brew, S.; Yanai, L.

doi:10.1016/s0965-2302(96)90029-6

Cited by 10 publications

(2 citation statements)

References 23 publications

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“…Nurses experienced conflicting meanings related to the ambiguity of the proclamation of death, the family's distress when confronting the sudden tragedy and when complying with the request, and the care related to outcome (Pearson, Robertson-Malt, Walsh, & Fitzgerald, 2001). Numerous studies emphasized the nurses' central role in caring for the family (Coyle, 2000; Frid, Bergbom-Engeberg & Haljamäe, 1998; Gill & Hulatt, 2000; Hibbert, 1995; Pelletier, 1993; Smith, 2003; Smith-Brew & Yanai, 1996; Watkinsen, 1995), but also stated that such care required advanced knowledge, skill, and expertise (Coyle, 2000). A study among physicians reported that interaction with families was difficult due to the sensitive nature of the situation (Sadala, Lorencon, Cercal, & Schelp, 2006).…”

Section: Introductionmentioning

confidence: 99%

“…According to Williams et al (2003), discussing severe brain injuries, brain death, and organ donation with families is a specialized form of end-of-life decision making and care in ICU. A lack of training in communicating with families is reported (Pellereiaux, et al 2008; Pont Castellana, et al 2008), but also improved self-efficacy after attending educational programs (Blok, et al 2004). Literature also revealed that American physicians were not routinely involved in organ donation (Essman & Lebovitz, 2005).…”

Section: Introductionmentioning

confidence: 99%

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Interaction with potential donors’ families: The professionals’ community of concern—a phenomenological study

Orøy¹,

Strømskag

Gjengedal

2011

International Journal of Qualitative Studies on Health and Well

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The aim of this paper was to explore the health professionals' experiences and gain a deeper understanding of interaction with families of critically ill or traumatized patients with severe brain injuries. The methodological approach was qualitative and phenomenological. Data were collected through participant observation and in-depth interviews with nurses, physicians, and chaplains working in two ICUs in a Norwegian university hospital. A thematic analysis was used for analyzing data. Two main themes emerged from analysis: Patient oriented even when present and Family oriented even when absent. Each main theme is divided into two sub-themes. The themes appeared as phases in an interaction process. In the two first phases the interaction may be characterized as Alternating between being absent and present and Following up and withholding information and in the two last phases as Turning point and changing focus and Partly present when waiting for death. The findings are in the discussion illuminated by the phenomenological concept of concern. Concern is visible as care, and the distinction in care between “leaps in” and “leaps ahead” and “ready-to-hand” and “unready-to-hand” are topics in the discussion. Because of the complexity of caring for both patient and family, the situation demands efforts to relieve nurses in particular, during the most demanding phases of the process.

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