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Experiences of healthcare team members involved in facial transplant surgery and patient care

机译：参与面部移植手术和患者护理的医疗团队成员的经验

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BACKGROUND:: Situations that highlight the healthcare team member vulnerability, present ethically laden questions, or are innovative in nature may have a long-term personal and professional impact on caregivers and, consequently, directly or indirectly affect patient care. The ethical experiences and perceptions of the healthcare team members involved in facial transplantation procedures and patient care have not been explored. OBJECTIVE:: The objective of this study was to explore healthcare team member experiences of caring for facial transplantation patients, using an ethical framework. METHODS:: This study used a qualitative descriptive design to explore the experiences of 26 multidisciplinary healthcare team members, including professional, ancillary, and support staff who have participated in facial transplantation procedures and patient care. Individual, private, semistructured interviews were conducted. RESULTS:: Two main themes emerged: individual sense of purpose and esprit de corps. Individual sense of purpose describes the meaning of the experience that involvement in facial transplantation had for the participants and comprises three subthemes: "getting it right, "transforming a life," and "spirituality." The theme esprit de corps conveys the morale of the healthcare team members involved in facial transplantation and was expressed through three subthemes: "leadership, " "teamwork," and "environment." DISCUSSION:: Many potential ethical dilemmas were mitigated by an overwhelming sense of moral obligation to help patients with complex cosmetic, functional, and mechanical facial deficits. Participants in this study unanimously believed that the risk-benefit ratio of the procedure and subsequent treatment supported its implementation.
机译：背景：突出医疗保健团队成员脆弱性，提出道德上充满负担的问题或本质上具有创新性的情况可能会对护理人员产生长期的个人和专业影响，因此直接或间接影响患者的护理。尚未探讨参与面部移植手术和患者护理的医疗团队成员的道德经验和看法。目的：本研究的目的是探索使用道德框架探讨护理团队成员护理面部移植患者的经验。方法：本研究采用定性描述性设计，探索了26名多学科医疗团队成员的经验，包括参与面部移植手术和患者护理的专业，辅助和支持人员。进行了个人，私人，半结构化访谈。结果：出现了两个主要主题：个人的目的感和企业精神。个人的目的感描述了面部移植对参与者的体验意义，包括三个子主题：“正确治疗，改变生活”和“精神性”。esprit de corps主题传达了患者的士气。参与面部移植的医疗团队成员通过三个主题来表达：“领导力”，“团队合作”和“环境”。讨论：：通过压倒性的道德义务来缓解许多潜在的道德困境，以帮助具有复杂化妆品的患者，这项研究的参与者一致认为，该手术及后续治疗的风险收益比支持其实施。

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