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Anestesisjuksköterskors upplevelser av att vårda en organdonator
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.
2019 (Swedish)Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesisAlternative title
Anaesthetic Nurses Experiences of Caring for an Organ-Donor (English)
Abstract [sv]

Bakgrund: Donationsverksamheten har under hela 1900-talet utvecklats till en mycket avancerad form av vård. Kriterier för att diagnostisera en patient som hjärndöd infördes och i Sverige implementerades dessa 1988. Detta ökade antalet möjliga donatorer men tillgången är fortfarande mycket låg jämfört med det behov som finns. Tidigare forskning har visat att en stor del av intensivvårdssjuksköterskor tvivlar på korrektheten i diagnostiken för att förklara en patient hjärndöd vilket skapar en otrygghet hos sjuksköterskorna och leder till ökad stress och sämre arbetsmiljö.

Motiv: Tidigare studier i ämnet har belyst intensivvårdssjuksköterskornas upplevelser av att vårda en organdonator och endast ett fåtal studier fokuserar på anestesisjuksköterskornas upplevelser gällande ämnet.

Syfte: Syftet är att belysa anestesisjuksköterskors upplevelser av att vårda en organdonator.

Metod: En kvalitativ studie där data samlats in med hjälp av semistrukturerade intervjuer och analyserades med innehållsanalys genomfördes. Resultat: Anestesisjuksköterskorna beskrev en organdonation som en utmaning att delta vid. Det var ett flertal faktorer som skulle organiseras runt donatorn. De såg det dock som en del av arbetet och utförde denna med samma professionalitet och värdighet som alla uppgifter. De fokuserade mycket på nyttan som organen skulle medföra.

Diskussion: Patienter som önskar vara organdonator ska få de förutsättningar som krävs för att kunna genomföra detta. Anestesisjuksköterskor ska därför främja organens kvalitet och bidra till organdonationsprocessen. Inga tvivel framkom i denna studie gällande hjärndödsdiagnostiken

Slutsats: Anestesisjuksköterskorna upplevde att en organdonation var stort att delta vid. Trots sällan förekommande händelse på detta sjukhus så upplevde anestesisjuksköterskorna ingen skillnad i vårdandet av en levande och avliden patient. Denne behandlades med samma respekt och värdighet som alla patienter. 

Abstract [en]

Background: During the 20th century the donation activity has developed into a very advanced form of care. Criteria to diagnose a patient as brain-dead were implemented in Sweden 1988. That increased the number of possible donors but the assets are still very low in comparison to the existing need. Earlier studies have shown that a large part of the intensive care nurses doubt the correctness of the diagnostics to declare a patient as brain dead and creates an insecurity among the nurses which leads to increased levels of stress and a worse working environment.

Motive: Earlier studies in the subject have enlightened the experiences of intensive care nurses in the care of an organ-donor and only a few studies have the focus of the anaesthetic nurses’ experiences.

Aim: The aim of the study is to illustrate anaesthetic nurses’ experiences in the care of an organ-donor.

Methods: A qualitative study where data was collected through semi-structured interviews and analysed with content analysis was performed.

Result: The anaesthetic nurses described an organ-donation as a challenge to participate in. That because there were multiple factors that had to be organised around the donor. However, they saw it as a part of their job description and executed it with the same amount of professionalism and dignity as any other task. They focused on the usefulness the organs would bring.

Discussion: Patients that wish to be organ-donors should get the required prerequisites to be able to put through their wish. The anaesthetic nurse is obliged to promote the quality of the organs and contribute to the organ-donation process. There was no doubt in this study regarding brain death diagnostics.

Conclusion: The anaesthetic nurses experienced the donation process as a great thing to participate in. Despite seldom occurring event at the hospital where theyiiiworked they did not experience any difference in the care of a living patient compared to a deceased patient. The deceased patient was treated with the same amount of respect and dignity as any other patient would.

Place, publisher, year, edition, pages
2019.
Keywords [en]
Anaesthetic nurse, Organ Donation, Experience, Deceased Donor, Organ Receiver
Keywords [sv]
Anestesisjuksköterska, organdonation, upplevelser, avliden donator, organmottagare
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-156048OAI: oai:DiVA.org:umu-156048DiVA, id: diva2:1285200
Subject / course
Magisterkurs i omvårdnad
Educational program
Graduate Programme in Anesthetic Nursing
Supervisors
Examiners
Available from: 2019-07-01 Created: 2019-02-03 Last updated: 2019-07-01Bibliographically approved

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