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ICU-nurses' perceptions of responsibilities and organisation in relation to organ donation- a phenomenographic study.

Flodén, Anne ; Bergh, Marie and Forsberg, Anna LU (2011) In Intensive and Critical Care Nursing 27(6). p.305-316
Abstract
Objectives
According to the Istanbul declaration, health services should create better routines for identifying potential donors. A previous study involving 702 intensive and critical care (ICU) nurses revealed that only 48% trusted clinical diagnosis of brain death without a confirmatory cerebral angiography. The aim was to study ICU nurses’ perceptions of their experiences of professional responsibilities and organisational aspects in relation to organ donation and how they understand and perceive brain death.
Methods
A phenomenographic method was chosen. Data collection (interviews) took place in Sweden and included fifteen nurses; one man and fourteen women, from six hospitals serving different geographic... (More)
Objectives
According to the Istanbul declaration, health services should create better routines for identifying potential donors. A previous study involving 702 intensive and critical care (ICU) nurses revealed that only 48% trusted clinical diagnosis of brain death without a confirmatory cerebral angiography. The aim was to study ICU nurses’ perceptions of their experiences of professional responsibilities and organisational aspects in relation to organ donation and how they understand and perceive brain death.
Methods
A phenomenographic method was chosen. Data collection (interviews) took place in Sweden and included fifteen nurses; one man and fourteen women, from six hospitals serving different geographic areas.
Results
The findings pertain to three domains: ICU nurses’ perceptions of (1) their professional responsibility, (2) the role of the organisation regarding organ donation and (3) death and the diagnosis of brain death.
Conclusion
The ambiguity and various perceptions of brain death diagnosis seem to be a crucial aspect when caring for a brain dead patient. The lack of structured and sufficient organisation also appears to be a limiting factor. Both these aspects are essential for the ICU nurses’ opportunities to fulfil their professional responsibility during the organ donation process. (Less)
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author
; and
publishing date
type
Contribution to journal
publication status
published
subject
in
Intensive and Critical Care Nursing
volume
27
issue
6
pages
305 - 316
publisher
Elsevier
external identifiers
  • scopus:80555122998
ISSN
1532-4036
DOI
10.1016/j.iccn.2011.08.002
language
English
LU publication?
no
id
a3fdd4a6-f9b3-45b0-96f8-3929c1187419
date added to LUP
2019-05-31 20:53:48
date last changed
2023-05-27 04:01:52
@article{a3fdd4a6-f9b3-45b0-96f8-3929c1187419,
  abstract     = {{Objectives<br/>According to the Istanbul declaration, health services should create better routines for identifying potential donors. A previous study involving 702 intensive and critical care (ICU) nurses revealed that only 48% trusted clinical diagnosis of brain death without a confirmatory cerebral angiography. The aim was to study ICU nurses’ perceptions of their experiences of professional responsibilities and organisational aspects in relation to organ donation and how they understand and perceive brain death.<br/>Methods<br/>A phenomenographic method was chosen. Data collection (interviews) took place in Sweden and included fifteen nurses; one man and fourteen women, from six hospitals serving different geographic areas.<br/>Results<br/>The findings pertain to three domains: ICU nurses’ perceptions of (1) their professional responsibility, (2) the role of the organisation regarding organ donation and (3) death and the diagnosis of brain death.<br/>Conclusion<br/>The ambiguity and various perceptions of brain death diagnosis seem to be a crucial aspect when caring for a brain dead patient. The lack of structured and sufficient organisation also appears to be a limiting factor. Both these aspects are essential for the ICU nurses’ opportunities to fulfil their professional responsibility during the organ donation process.}},
  author       = {{Flodén, Anne and Bergh, Marie and Forsberg, Anna}},
  issn         = {{1532-4036}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{305--316}},
  publisher    = {{Elsevier}},
  series       = {{Intensive and Critical Care Nursing}},
  title        = {{ICU-nurses' perceptions of responsibilities and organisation in relation to organ donation- a phenomenographic study.}},
  url          = {{http://dx.doi.org/10.1016/j.iccn.2011.08.002}},
  doi          = {{10.1016/j.iccn.2011.08.002}},
  volume       = {{27}},
  year         = {{2011}},
}