Abstract：
BACKGROUND: Australian organ and tissue donation rates are low compared to other countries. Acknowledging that donation practices vary across Australia, the Australian College of Critical Care Nurses supported the development of a position statement to explicate critical care nurses\' role in supporting organ and tissue donation. Several Australian peak professional organisations provide guidance to inform and support organ and tissue donation.
OBJECTIVE: The aim of this study was to develop a position statement using contemporary Australian research evidence to build upon and complement existing guidance, focussing on the role of critical care nurses in organ and tissue donation in Australian critical care.
METHODS: An approach similar to a rapid review was used, providing a streamlined approach to synthesising evidence. A comprehensive search using Medical Subject Headings, keywords, and synonyms was undertaken using Medline and CINAHL Complete via EBSCOhost to identify peer-reviewed Australian research evidence about critical care nurses\' role, obligations, expectations, and scope of practice during organ and tissue donation. Narrative synthesis was used to synthesise the research evidence.
RESULTS: The importance of separating death from organ donation in discussions with family, the timing and the approach to organ donation conversations, and working in collaboration with the DonateLife Donation Specialist Nurses were identified. The importance of understanding family perspectives, caring for families, and collegial support for critical care clinicians were also identified. With the guidance of peak professional organisations, the research evidence was then used to develop practice recommendations for critical care units, leaders, and critical care nurses.
CONCLUSIONS: The recommendations explicate the important contribution critical care nurses can make to ensuring timely, sensitive communication, providing high-quality end-of-life care, supporting families irrespective of the donation decision and supporting colleagues from the wider critical care team, thereby optimising the processes related to organ and tissue donation in Australian critical care settings.
OBJECTIVE: The aim of this study was to develop a position statement using contemporary Australian research evidence to build upon and complement existing guidance, focussing on the role of critical care nurses in organ and tissue donation in Australian critical care.
METHODS: An approach similar to a rapid review was used, providing a streamlined approach to synthesising evidence. A comprehensive search using Medical Subject Headings, keywords, and synonyms was undertaken using Medline and CINAHL Complete via EBSCOhost to identify peer-reviewed Australian research evidence about critical care nurses\' role, obligations, expectations, and scope of practice during organ and tissue donation. Narrative synthesis was used to synthesise the research evidence.
RESULTS: The importance of separating death from organ donation in discussions with family, the timing and the approach to organ donation conversations, and working in collaboration with the DonateLife Donation Specialist Nurses were identified. The importance of understanding family perspectives, caring for families, and collegial support for critical care clinicians were also identified. With the guidance of peak professional organisations, the research evidence was then used to develop practice recommendations for critical care units, leaders, and critical care nurses.
CONCLUSIONS: The recommendations explicate the important contribution critical care nurses can make to ensuring timely, sensitive communication, providing high-quality end-of-life care, supporting families irrespective of the donation decision and supporting colleagues from the wider critical care team, thereby optimising the processes related to organ and tissue donation in Australian critical care settings.
摘要：
背景：与其他国家相比，澳大利亚的器官和组织捐赠率较低。承认澳大利亚各地的捐赠做法各不相同，澳大利亚重症监护护士学院支持制定一份立场声明，以阐明重症监护护士在支持器官和组织捐献方面的作用。几个澳大利亚高峰专业组织提供指导，以告知和支持器官和组织捐赠。
目的：本研究的目的是使用当代澳大利亚研究证据来制定立场声明，以建立和补充现有的指南。重点关注重症监护护士在澳大利亚重症监护器官和组织捐赠中的作用。
方法：使用了类似于快速审查的方法，提供一种简化的方法来综合证据。使用医学主题词进行全面搜索，关键词,同义词是通过EBSCOhost使用Medline和CINAHLComplete进行的，以确定同行评审的澳大利亚关于重症监护护士角色的研究证据，义务,期望,以及器官和组织捐献期间的实践范围。叙事综合用于合成研究证据。
结果：在与家人的讨论中，将死亡与器官捐献分开的重要性，器官捐献对话的时机和方法，并与捐赠生命捐赠专家合作，确定了护士。理解家庭观点的重要性，照顾家庭,还确定了对重症监护临床医生的大学支持.在高峰专业组织的指导下，然后将研究证据用于为重症监护病房制定实践建议，领导人,和重症监护护士。
结论：这些建议阐明了重症监护护士对确保及时，敏感的通信,提供高质量的临终护理，支持家庭，无论捐赠决定如何，并支持更广泛的重症监护团队的同事，从而优化与澳大利亚重症监护机构器官和组织捐献相关的过程。
目的：本研究的目的是使用当代澳大利亚研究证据来制定立场声明，以建立和补充现有的指南。重点关注重症监护护士在澳大利亚重症监护器官和组织捐赠中的作用。
方法：使用了类似于快速审查的方法，提供一种简化的方法来综合证据。使用医学主题词进行全面搜索，关键词,同义词是通过EBSCOhost使用Medline和CINAHLComplete进行的，以确定同行评审的澳大利亚关于重症监护护士角色的研究证据，义务,期望,以及器官和组织捐献期间的实践范围。叙事综合用于合成研究证据。
结果：在与家人的讨论中，将死亡与器官捐献分开的重要性，器官捐献对话的时机和方法，并与捐赠生命捐赠专家合作，确定了护士。理解家庭观点的重要性，照顾家庭,还确定了对重症监护临床医生的大学支持.在高峰专业组织的指导下，然后将研究证据用于为重症监护病房制定实践建议，领导人,和重症监护护士。
结论：这些建议阐明了重症监护护士对确保及时，敏感的通信,提供高质量的临终护理，支持家庭，无论捐赠决定如何，并支持更广泛的重症监护团队的同事，从而优化与澳大利亚重症监护机构器官和组织捐献相关的过程。
