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Exploring nurses’ knowledge, attitudes and feelings towards organ and tissue donation after circulatory death within the paediatric intensive care setting: a qualitative content analysis study

Exploring nurses’ knowledge, attitudes and feelings towards organ and tissue donation after circulatory death within the paediatric intensive care setting: a qualitative content analysis study
Exploring nurses’ knowledge, attitudes and feelings towards organ and tissue donation after circulatory death within the paediatric intensive care setting: a qualitative content analysis study
Objective: this study explored nurses’ knowledge, attitudes and feelings towards donation after circulatory death identifying these domains as barriers andfacilitators to nurses effectively undertaking their role in the donation after circulatory death donationprocess.

Design: a single-phase qualitative study design.

Setting: one paediatric cardiac intensive care unit in a tertiary paediatric hospital in England.

Methods: data was collected from eight paediatric cardiac intensive care nurses using semi-structured face to face or telephone interviews facilitated by a clinical vignette. Qualitative content analysis was undertaken adopting both inductive and deductive lenses.

Key findings: three categories were deductively generated within which eleven inductively generated themes were situated. Barriers included: knowledge deficits of both process and resources; assumptions about parental views and reluctance to facilitate sensitive discussions, facilitators included positive attitudes toward donation aligned with a strong professional ethos and family-centred values.

Conclusions: the paper identifies barriers to the donation after circulatory death process including nurses feeling unprepared for their role, anxiety over family approach and communication methods and support. Highlighted is the need for specific educational interventions, appropriate resources and development of paediatric focussed policy to guide practice. Facilitators to donation include timely, sensitive and appropriate family discussions, trusting nurse-family relationships and improved public awareness.
0964-3397
Dopson, Sophie
0efaad00-fdb0-40d6-8fbd-c4cc561264de
Long-Sutehall, Tracy
92a6d1ba-9ec9-43f2-891e-5bfdb5026532
Dopson, Sophie
0efaad00-fdb0-40d6-8fbd-c4cc561264de
Long-Sutehall, Tracy
92a6d1ba-9ec9-43f2-891e-5bfdb5026532

Dopson, Sophie and Long-Sutehall, Tracy (2019) Exploring nurses’ knowledge, attitudes and feelings towards organ and tissue donation after circulatory death within the paediatric intensive care setting: a qualitative content analysis study. Intensive and Critical Care Nursing. (doi:10.1016/j.iccn.2019.07.004).

Record type: Article

Abstract

Objective: this study explored nurses’ knowledge, attitudes and feelings towards donation after circulatory death identifying these domains as barriers andfacilitators to nurses effectively undertaking their role in the donation after circulatory death donationprocess.

Design: a single-phase qualitative study design.

Setting: one paediatric cardiac intensive care unit in a tertiary paediatric hospital in England.

Methods: data was collected from eight paediatric cardiac intensive care nurses using semi-structured face to face or telephone interviews facilitated by a clinical vignette. Qualitative content analysis was undertaken adopting both inductive and deductive lenses.

Key findings: three categories were deductively generated within which eleven inductively generated themes were situated. Barriers included: knowledge deficits of both process and resources; assumptions about parental views and reluctance to facilitate sensitive discussions, facilitators included positive attitudes toward donation aligned with a strong professional ethos and family-centred values.

Conclusions: the paper identifies barriers to the donation after circulatory death process including nurses feeling unprepared for their role, anxiety over family approach and communication methods and support. Highlighted is the need for specific educational interventions, appropriate resources and development of paediatric focussed policy to guide practice. Facilitators to donation include timely, sensitive and appropriate family discussions, trusting nurse-family relationships and improved public awareness.

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Title Exploring Nurses’ knowledge, attitudes and feelings towards organ and tissue donation after circulatory death within the paediatric intensive care setting a qualitative content analysis stu - Accepted Manuscript
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Accepted/In Press date: 4 July 2019
e-pub ahead of print date: 23 July 2019

Identifiers

Local EPrints ID: 432648
URI: http://eprints.soton.ac.uk/id/eprint/432648
ISSN: 0964-3397
PURE UUID: dcf3d2de-6879-4ad7-a8b3-29f144b1702c
ORCID for Tracy Long-Sutehall: ORCID iD orcid.org/0000-0002-6661-9215

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Date deposited: 23 Jul 2019 16:30
Last modified: 10 Sep 2019 00:47

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