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首页> 外文期刊>Southern African Journal of Critical Care >Early identification and referral of organ donors in five private hospitals: A survey to determine the knowledge and views of critical care professional nurses pre and post a PowerPoint training intervention
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Early identification and referral of organ donors in five private hospitals: A survey to determine the knowledge and views of critical care professional nurses pre and post a PowerPoint training intervention

机译：五家私立医院的器官捐赠者的早期识别和转诊：一项调查，以确定PowerPoint培训干预前后的重症监护专业护士的知识和观点

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Internationally, the declining number of organ donors does not meet the rising demand for life-saving solid organ transplant operations. Critical care professional nurses play an important role in the identification of organ donors. A deeper understanding is needed of the missed opportunities of identification and referral of potential organ donors to organ transplant co-ordinators in the critical care environment. Objectives. To describe the knowledge and views of critical care professional nurses (CCPNs) in South Africa concerning the early identification and referral of organ donors, and to describe the short-term effect of implementing a PowerPoint training intervention on nurses’ knowledge in this domain. Methods. A mixed method, experimental, exploratory, descriptive study design was followed. Critical care professional nurses in seven intensive care units at five private hospitals completed a data collection instrument comprising 11 quantitative and three qualitative questions, before and after completing a PowerPoint training intervention. The post test was done directly after the training intervention due to the environment of nursing shift work. Results. A total of 173 (79%) CCPNs participated, from a population of 218. The median (interquartile range) score for all participants increased from 60% (48 - 76) prior to the PowerPoint training intervention, to 96% (88 - 96) after the intervention (p0.0001). Three main themes emerged from the qualitative questions: stress experienced by the CCPNs during the organ donor process (62%); inadequate collaboration between doctors and nurses (34%); and the need for a policy (9%) to guide the donor referral process. Conclusion. CCPNs’ knowledge regarding the early identification and referral of potential organ donors increased significantly following a targeted PowerPoint training intervention. The identified themes suggest that CCPNs require support in order to effectively communicate with the donor’s family and medical staff.
机译：在国际上，器官捐献者数量的减少无法满足对挽救生命的实体器官移植手术不断增长的需求。重症监护专业护士在鉴定器官供体中起着重要作用。对于重症监护环境中潜在器官捐赠者无法识别和转介给器官移植协调员的机会，需要有更深入的了解。目标。描述南非的重症监护专业护士（CCPNs）关于器官捐赠者的早期识别和转诊的知识和观点，并描述实施PowerPoint培训干预对该领域护士知识的短期影响。方法。遵循混合方法，实验性，探索性，描述性研究设计。在完成PowerPoint培训干预之前和之后，五家私家医院的七个重症监护病房的重症监护专业护士完成了一个数据收集工具，包括11个定量问题和三个定性问题。由于护理轮班工作的环境，培训后直接进行了后测。结果。共有218名人群参加了173个（79％）CCPN。所有参与者的中位（四分位间距）得分从PowerPoint培训干预之前的60％（48-76）提高到96％（88-96） ）（p <0.0001）。定性问题提出了三个主要主题：CCPN在器官供体过程中所承受的压力（62％）;医生和护士之间的合作不足（34％）;以及需要有政策（9％）来指导捐赠者的转介过程。结论。在有针对性的PowerPoint培训干预之后，CCPNs对潜在器官捐赠者的早期识别和转诊的了解大大增加了。确定的主题表明，CCPN需要支持才能与捐赠者的家人和医务人员进行有效沟通。

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