■不断增加的人口和已确定的潜在器官捐献者的短缺导致等待器官移植的名单持续增长。循环性死亡(DCD)后捐赠是一种旨在满足对可移植器官需求的方法。然而,它给护理带来了新的挑战,缺乏调查护士对DCD的态度和知识的研究。
■本研究的目的是确定和描述重症监护护士(ICNs)知识,态度,以及在瑞典国家实施之前对DCD的看法。
■这项研究采用了横截面混合方法设计。采用了一种方便的抽样方法,针对在瑞典四个重症监护病房工作的ICNs。开发了一种特定于研究的工具,包括固定和自由文本问题。51个ICNs参加了会议。数据进行了描述性分析,采用Spearman相关性进行相关性分析。对自由文本答案进行了定性评估和分析。进行了综合分析,以综合定量和定性结果。
■百分之五十三报告对DCD的了解有限。以前接受过DCD教育的护士的知识水平明显更高(r=.380,p=.006),更多地参与关于器官捐赠的公开辩论(r=.423,p=.002),并更彻底地考虑了DCD的伦理方面(r=.386,p=.022)。定性分析确定了四个关键类别:团队的重要性,需要进行伦理讨论,增加对DCD的了解,和未回答的问题和未满足的需求。综合分析强调了有针对性的教育的必要性,明确的指导方针,以及正在进行的伦理讨论,为ICU护士做好DCD的准备。
■受过器官捐献者护理教育的护士对实施DCD有更好的知识和更积极的态度。该研究还强调了跨专业团队合作在DCD实施中的重要性。研究结果表明,DCD教育可以改善DCD捐赠者的识别和实施,解决全球可移植器官短缺的问题。
UNASSIGNED: An increasing population and a shortage of identified potential organ donors are causing the waiting list for organ transplants to grow continuously. Donation after circulatory death (DCD) is a method aimed at meeting the demand for transplantable organs. However, it presents new challenges in nursing care, and there is a lack of studies investigating nurses\' attitudes and knowledge of DCD.
UNASSIGNED: The objective of this study was to determine and describe intensive care nurses\' (ICNs\') knowledge, attitudes, and views on DCD before a national implementation in Sweden.
UNASSIGNED: This study utilized a cross-sectional mixed-method design. A convenience sampling method was employed, targeting ICNs working in four intensive care units in Sweden. A study-specific tool comprising fixed and free-text questions was developed. Fifty-one ICNs participated. Data were analyzed descriptively, and correlation analysis was performed using Spearman\'s correlation. Free-text answers were qualitatively assessed and analyzed. An integrated analysis was conducted to synthesize the quantitative and qualitative findings.
UNASSIGNED: Fifty-three percent reported limited knowledge about DCD. Nurses with previous education on DCD had significantly higher knowledge (r = .380, p = .006), were more engaged with the public debate on organ donation (r = .423, p = .002), and considered the ethical aspects of DCD more thoroughly (r = .386, p = .022). The qualitative analysis identified four key categories: The importance of the team, the need for ethical discussions, increased knowledge of DCD, and unanswered questions and unmet needs. The integrated analysis underscored the need for targeted education, clear guidelines, and ongoing ethical discussions to prepare ICU nurses for DCD.
UNASSIGNED: Nurses educated in organ donor care had better knowledge and a more positive attitude toward DCD implementation. The study also highlights the importance of interprofessional teamwork in DCD implementation. The findings suggest that education on DCD could improve the identification and implementation of DCD donors, addressing the global shortage of transplantable organs.