Specialistsjuksköterskans upplevelser av organdonations processen - En systematisk litteraturöversikt.
Sammanfattning: Background: Organ deficiency is a constant problem, both from a global and national perspective. Every year, thousands of people die while waiting for a new organ. An organ donation process requires teamwork between different professions and units, which is a challenge. It is therefore interesting to investigate the critical care nurses´ experiences of caring for a possible donor during an organ donation process.Aim: To investigate critical care nurses' experience of caring for possible donors, diagnosed as brain dead, during an organ donation process.Method: This study has been done with a qualitative systematic literature review with an inductive approach. In total, fourteen articles have been involved in the study, originating from different parts of the world. The result of the study was analyzed with content analysis.Results: The analysis process resulted in six categories which were; an ambivalent situation, collegial support, involving next of kin, understanding total cerebral infarction, maintaining the donor’s integrity and dignity, and the importance of the care environment. The result showed that critical care nurses´ perceived the care for a possible donor as challenging and complex. The need for collegial debriefing as well as support was something that was missing of both specialist nurses´ in intensive care and perioperative care. Intensive care nurses´ experienced the care for a possible donor as particularly challenging because of the concept of total cerebral infarction. It was seen as complex, both in a professional point of view as in an existential perspective.Conclusion: Debriefing and education are two factors that the result demonstrates could be developed to improve critical care nurses´ experience of caring for a possible donor during an organ donation process.
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