The Experience of Perioperative Nurses Involved in Organ Procurement

手術室護理人員參與器官摘取之經驗

王宜人(Yi-Jen Wang)；林綺雲(Chi-Yun Lin)

器官捐贈 ； 器官摘取 ； 手術室護理人員 ； 自我照顧 ； organ donation ； organ procurement ； perioperative nurses ； self-care

The Journal of Nursing Research

17卷4期（2009 / 12 / 01）

278 - 285

英文

背景　在器官移植過程中，手術室護理人員是協助器官摘取的重要成員，並且在器官摘取的過程中會目擊捐贈者的死亡，這樣的經驗與感受卻尚未被發現與討論。 目的　本研究企圖瞭解這些護理人員在參與器官摘取的過程中的經驗、包含特殊事件、感受及自我照顧之道。 方法　本研究採用質性研究的方法，經由立意選樣，以半結構式訪談大綱，面對面訪問六位北區移植醫院的手術室護理人員並進行文本資料內容分析。 結果　研究結果可以分為兩個部分，一是關於器官摘取的經驗，包含：器官摘取工作的旅程是由學習開始、感覺自己像個屠夫、死亡的存疑、以及瞭解到死亡是另一個新生命價值的開始。另外，受訪者表示自我照顧之道為面對問題、適當休閒活動、借助宗教信仰、將工作與生活分開、繼續學習及分享等。 結論　研究發現部分護理人員會因目睹捐贈者死亡而有不舒服的感受甚至造成創傷經驗，未來可以進一步瞭解其創傷經驗與協助其自我照顧。

Background: In the organ transplant process, the perioperative nurse plays an important role in assisting with organ procurement, during which they are frequently required to witness the death of donors. Their experiences and feelings regarding such are largely hidden and little discussed. Purpose: The purpose of this study was to understand the experience, feelings, and self-care strategies of perioperative nurses during the course of organ procurement. Methods: This study adopted a qualitative method, using purposeful sampling methods and a semiconstructed outline to conduct face-to-face interviews with six perioperative nurses from an organ procurement organization located in northern Taiwan. Collected data were analyzed using content analysis. Results: Results were categorized into two distinct parts. The first described the organ procurement experience, with described feelings including a journey begins with learning, feelings of slaughter and doubts about death, and death is a new beginning. The second described ideas of self-care, with described ideas including facing problems, thinking and adjusting, engaging in leisure activities, holding religious beliefs, separating work from private time, continuing self-training, and sharing. Conclusions: This study indicates that witnessing donor deaths makes perioperative nurses feel uncomfortable and even induces trauma. Better understanding the effects of the organ donation process on all related staff and how to facilitate their self-care will be important parts of the next step in helping perioperative nurses better cope with their work environment and become better equipped to balance professional and psychological needs.

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