Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020;11(3):129-142.

Challenges in the Management of Care of Brain-Dead Patients in the Donation Process: A Qualitative Content Analysis

H YazdiMoghaddam  1   2 , Z S Manzari  3 , A Heydari  4 , E Mohammadi  5
Affiliations

Challenges in the Management of Care of Brain-Dead Patients in the Donation Process: A Qualitative Content Analysis

H YazdiMoghaddam et al. Int J Organ Transplant Med. 2020.

Abstract

Background: In care of brain-dead patients, nurses face several challenges. It is important to determine the context behind these challenges since they affect the performance of nurses and the organ donation process.

Objective: To identify factors affecting the emergence of challenges related to the management of brain-dead patients by nurses in the donation process.

Methods: In this qualitative conventional content analysis, data were collected by performing 28 semi-structured and in-depth interviews with nurses working in the ICUs. Purposive sampling started from March 2014 until saturation, which was reached in June 2016. Data analysis occurred simultaneously with data collection.

Results: Qualitative analysis of contents provided from interviews led to the extraction of themes that showed the experience of nurses about the challenges of caring for brain-dead patients in the donation process. These themes included "doubt and conflict in accepting the situation" and "defects in an effective and targeted care system." In the end, the main theme of "inconsistency and incompatibility of care management" was abstracted.

Conclusion: According to the results of the study, factors involved in the emergence of challenges for nurses in care management included defects in education or managerial problems, which increased tension for nurses.

Keywords: Brain dead; Care; Content analysis; Donation process.

PubMed Disclaimer

References

    1. Bosnell R, Madder H. Concepts of brain death. Surgery. 2011;29:289–94.
    1. Brain Death and Organ Transplantation Statistical in Iran. 2013. [(Accessed May 3, 2013)]. Available from: www.asrirancom/fa/news/263264.
    1. Organ donation and organ transplantation Statistics in iran and the world. [ (Accessed Aug 11, 2017)]. Available from: https://ehdacenter/en/show-post/statistics/Organ.
    1. Ronayne C. A phenomenological study to understand the experiences of nurses with regard to brainstem death. Intensive Crit Care Nurs. 2009;25:90–8. - PubMed
    1. Inghelbrecht E, Bilsen J, Mortier F, et al. Nurses’ attitudes towards end-of-life decisions in medical practice: a nationwide study in Flanders, Belgium. Palliat Med. 2009;23:649–58. - PubMed

LinkOut - more resources