器官捐赠:器官采购协调员及其工作人员对器官捐赠的陈述的研究

Q3 Social Sciences
S. Monaco, F. Greco, B. Cordella, M. Di Trani
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引用次数: 2

摘要

要使有需要的病人能够得到挽救生命的移植治疗,需要决定捐献器官的个人和家庭的合作。卫生保健工作者在这一过程的组织、官僚和关系方面进行指导,包括在死者没有明确规定器官捐赠愿望的情况下,在哀悼的微妙阶段,必须征得其幸存的家庭成员的同意。本研究旨在了解这些卫生工作者在工作方面的经验。我们从罗马五家主要医院的器官捐赠医护人员中收集了18个访谈。对这些记录进行了多变量文本分析,以确定器官捐赠的表现形式和组织这些工作者实践的象征类别。本研究阐明了一个由四个因素构成的符号空间:“语境”,涉及家庭和卫生工作者;“工作目的”,包括工作程序和工作关系;“移植”,涉及到全能和限制;“捐赠”,涉及理想与现实。这些属于器官捐献工作者的表征的特征要素是声望、脑死亡的证明、交流、移植和拯救。在这些工人的生活中,成为“生与死之间的桥梁”唤起的是一种尊贵的感觉,而不是与面对自己的局限性有关的困难感觉。这些方面涉及卫生工作人员在工作中遇到的困难,它们是为器官捐赠工作人员设计重点培训和支持方案的有用因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Organ donation: A study of its representations among organ procurement coordinators and their staff
Making the life-saving treatment of transplantation available to patients who need it re-quires the cooperation of individuals and families who decide to donate organs. Healthcare workers navigate organizational, bureaucratic and relational aspects of this process, including cases in which a deceased individual has not specified a wish about organ donation and their surviving family members must be asked for consent to donate during a delicate phase of mourning. This research aims to understand the experience of these health workers regarding their work. We collected 18 interviews from organ donation healthcare workers in five of the major hospitals in Rome. The transcripts underwent a multivariate text analysis to identify the repre-sentations of organ donation and the symbolic categories organizing the practice of these workers. This research elucidated a symbolic space constructed of four factors: the "Context", in-volving family and health workers; the "Work purposes", including the procedures and the relationships; the "Transplant", which involves omnipotence and limits; the "Donation", which involves ideals versus reality. The characterizing elements of these representations, belonging to organ donation work-ers, are the prestige, the certification of brain death, the communication, the transplant, and the salvation. In the lives of these workers, to be a "bridge between life and death2 evokes feelings of prestige rather than difficult feelings associated with confronting one's limitations. These aspects concern the difficulties met by the health staff in their work, and they are useful ele-ments to design a focused training and support program for organ donor workers.
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来源期刊
Psicologia della Salute
Psicologia della Salute Social Sciences-Health (social science)
CiteScore
0.80
自引率
0.00%
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8
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