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Närståendes upplevelser under donationsprocessen: En litteraturöversikt
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2019 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Donationsprocessen är en del av intensivvården som ställer stora krav på de närstående, som förutom att ha drabbats av plötslig förlust, också har ett beslut om donation att ta ställning till. Intensivvårdssjuksköterskor har en stor roll i denna process men upplever ofta det svårt att veta hur de ska bemöta de närstående på ett bra sätt. Syfte: Att identifiera och sammanställa hur närstående till potentiella organdonatorer upplever transitionerna de genomgår under donationsprocessen. Metod: Studien utfördes som en litteraturöversikt med kvalitativ design. En deskriptiv innehållsanalys utfördes av 17 stycken studier som baserats på intervjuer med närstående kring deras upplevelser av donationsprocessen. Resultat: De närståendes transitioner sammanfattades i tre huvudkategorier: från liv till död, insikt och acceptans och från död till liv. Beskrivningarna av deras upplevelser kretsade i huvudsak kring bemötande från vården, samtyckesprocessen och förståelse för situationen. De flesta upplevde ett gott empatiskt bemötande men många hade svåt att ta till sig och förstå information kring framför allt hjändödsbegreppet. Att ta ett beslut om samtycke till donation upplevdes för vissa som en tröst då det gav förlusten en mening, medan andra upplevde det som ett omöjligt och fruktansvärt beslut att ta. Slutsats: Viktiga områden för näståendes upplevelser under donationsprocessen var bemötandet, det emotionella stödet, informationen och beslutsfattandet. Kunskapen om närståendes upplevelser är relevant för intensivvården och intensivvårdssjuksköterskan för att vården skall kunna ge den omvårdnad som behövs under processen.

Abstract [en]

Background: The process of organ- and tissue donation is a part of the critical care that puts a lot of pressure on the next of kin who as well as being victims of a sudden loss, need to make a decision about donation. Intensive care nurses play a major role within this process and often experience it difficult to know how to respond to the next of kin in a good way. Aim: To identify and compile how next of kin to potential organ donors experience the transitions they go through during the donation process. Method: This study has been conducted as a review of previous literature and with a qualitative design. A descriptive content analysis was performed of 17 studies which were based on interviews with next of kin and their experiences with the donation process. Results: The next of kin transitions were compiled into three main categories: from life to death, insight and acceptance and from death to life. The description of their experiences through these transitions mainly focused on reception from hospital staff, the decision-making process and their perception of the situation. The reception in the majority of the cases was considered good and empathetic. A number of them had a difficult time understanding the information given to them, in particular about the meaning of brain death. Some of the next of kin did experience making the decision about donation as a comfort that gave them a deeper meaning to their loss, while others experienced it as an impossible and dreadful decision to make. Conclusion: Important aspects recognized by the next of kin during the donation process were; the personal treatment, the emotional support, the received information and the decision-making. The knowledge surrounding experiences of the next of kin, is relevant to the intensive care and the intensive care nurse, to reassure that they provide the care needed during the process.

Place, publisher, year, edition, pages
2019.
Keywords [en]
Organ donor, transition, next of kin, intensive care
Keywords [sv]
Organdonator, transition, närstående, intensivvård
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-384558OAI: oai:DiVA.org:uu-384558DiVA, id: diva2:1320947
Subject / course
Caring Sciences
Educational program
Specialistsjuksköterskeprogrammet med inriktning mot intensivvård
Supervisors
Examiners
Available from: 2019-06-10 Created: 2019-06-06 Last updated: 2019-06-10Bibliographically approved

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