Nurses’ Recognition and Care to Brain Dead Potential Organ Donors and their Families


Although the balance between organ donation and transplantation is out of balance everywhere, it is particularly notable in Japan. It was necessary to clarify nurses’ recognition in organ transplantation and required treatment, especially since brain death organ donation is rare. In order to increase the quality of care, this study set out to define the role of nurses in organ transplantation nursing, as well as the necessary support for nurses and care for patients’ families.

Over the course of two months in 2019, we performed this study in Western Japan. To find out about their perspectives on nursing, the care that families must provide, and the support that nurses need, a researcher conducted semi-qualitative interviews with nurses who work with organ transplant patients.

Many nurses struggled with ethical issues and felt unqualified to care for their family. Even if some nurses had issues with their own religious or philosophical convictions, they were responsible in the way they cared for patients or their families. The practise of care that takes into account the sentiments of families, support for decision-making, and care that enables families to live happily after transplantation were judged by nurses to be key forms of care. Nurses needed more employees, more training in transplantation, a chance to discuss difficult situations, and mental health support. Nurses sensed a lack of resources for family care or problems while being aware of the requirement of decision-making. Education regarding transplantation, including family care and management of dilemma resolution or mental health may be used to encourage high-quality nursing and organ donation or transplantation be required.

Author(s) Details:

Michiyo Ando,
Faculty of Nursing, Daiichi University of Pharmacy, Fukuoka, Japan.

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