加護病房護理人員所面臨的困境:以全人關懷照護器官移植者為例

Translated title of the contribution: The Dilemma of Critical Care Nurses Providing Holistic Care for Organ Transplant Patients

楊馥綺, 施福忠, 劉玉華, 李佩佳, 施富金

Research output: Contribution to journalArticle

Abstract

Background: Nowadays, critical care nurses (CCNs) are challenged by providing holistic care for the organ transplant donors, recipients, and their families. The feelings of frustration, powerlessness, loss, and mal-adaptation are often heart.Purpose: This project attempted to explore CCNs' perceptions of the holistic care dilemma related to organ transplant (OT) clients and their families.Method: A qualitative exploratory study was employed. A purposive sample of CCNs with experiences of OT was obtained from a leading medical center in Central Taiwan. With a semi-structured interview guide, data were collected by in-depth face-to-face interviews, and analyzed by qualitative content analysis mode.Results: A total of 30 CCNs (29 females, 1 male) participated in this project. Seven types of caring difficulties were reported: (a) threat of transplant failure in difficult patients; (b) work overload; (c) insufficient collaboration of health team members due to lack of consensus and mutually respectful communication; (d) inadequate working space and worries about medical disputes; (e) stress of compassion with clients' suffering; (f) lack of adequate mental support; and (g) lack of professional caring competence.Conclusions: All OT health professionals are suggested to undergo systematic and comprehensive training programs. Additionally, establishing consulting system for OT nurses' adaptation, and effective communication among health team would also be needed in providing better holistic care for OT clients.
Original languageTraditional Chinese
Pages (from-to)1-14
Number of pages14
Journal嘉基護理
Volume12
Issue number2
DOIs
Publication statusPublished - 2012

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Keywords

  • organ transplant
  • critical care nurses
  • holistic care
  • dilemma

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