QUALITATIVE RESEARCH RELATED TO ORGAN PROCUREMENT FROM NON-HEART-BEATING DONORS IN THE CZECH REPUBLIC

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F49777513%3A23310%2F21%3A43964564" target="_blank" >RIV/49777513:23310/21:43964564 - isvavai.cz</a>

Výsledek na webu

—

DOI - Digital Object Identifier

—

Jazyk výsledku

angličtina

Název v původním jazyce

QUALITATIVE RESEARCH RELATED TO ORGAN PROCUREMENT FROM NON-HEART-BEATING DONORS IN THE CZECH REPUBLIC

Popis výsledku v původním jazyce

Introduction The authors of the paper focused on the development of the Maastricht criteria classification for NHBD how it influenced legislative procedures and recommendations patients for the procurement of organs classified according to the Maastricht criteria. Objective The WHO and the European working group have been striving for an uniform terminology and criteria for determination the death since the 1990s. Four categories of NHBD were accepted at the first workshop in Maastricht, the Netherlands, in 1994, which were modified and extended to five categories (MC I-V), always keeping the Dead Donor Rule (DDR) and the country-specific legislation. The European working group had to clarify the Maastricht classification definition and terminology used in the growing area of deceased organ donation, in particular with regard to donation after circulatory death (DCD) at the 6th International Conference on Organ Donation after DCD in Paris in 2013. According to Maastricht criteria countries have accepted the recommendantions that could ensure increased organ availability donation after the circulatory death (DCD). This is one way to overcome the organ deficiency compared to conventional brain donation. The authors of the presentation focused on perception of ethical problems at removal of organs from non-heart-beating donors (NHBD) from the viewpoint of nurses working in the area of intensive care in the Czech Republic who were present at the actual process of organ removal. We wanted to find out their views about NHBD by a qualitative research and to map out their awareness of the legislative procedures and recommendations concerning patients according to the Maastricht criteria for organ removal from NHBD. Methods The research was performed from March 2017 to May 2021 at the General University Hospital in Prague and at University Hospital in Pilsen. It was carried out by the method of semi-structured in-depth interviews. Ten respondents providing nursing at intensive care units were inquired who were directly involved in the process of organ removal from NHBD. The interviews were recorded and subsequently entered into the computer and analysed in the Atlas.ti programme. Results The survey showed that the respondents have a positive approach to the process of organ removal from NHBD and accept it as a given fact set by new legislation in the Czech Republic since 2013. Their knowledge of the issue is insufficient due to a low number of performed organ removals and despite of the fact that they face lack of provided information, they do their best to cope with the current situation. They point out the negatives of low awareness and education among the expert public resulting from ignorance of law. From ethical point of view, they perceive addressing the family members regarding organ donations as unsatisfactory although the Czech legislation anticipates approval with organ donation. The issue of belief also plays an essential role. Conclusion Based on the findings, it was necessary to perform further detailed quantitative research that provided more detailed information from nurses involved in the process of organ removal from NHBD but also from nurses who are part of the nursing team but not directly involved on the day of the surgery. It is necessary to achieve a common consensus of the nursing team including the family to include a donor into the process of organ removal from NHBD, i.e. the patient&apos;s infaust prognosis must be without any doubts.

Název v anglickém jazyce

QUALITATIVE RESEARCH RELATED TO ORGAN PROCUREMENT FROM NON-HEART-BEATING DONORS IN THE CZECH REPUBLIC

Popis výsledku anglicky

Introduction The authors of the paper focused on the development of the Maastricht criteria classification for NHBD how it influenced legislative procedures and recommendations patients for the procurement of organs classified according to the Maastricht criteria. Objective The WHO and the European working group have been striving for an uniform terminology and criteria for determination the death since the 1990s. Four categories of NHBD were accepted at the first workshop in Maastricht, the Netherlands, in 1994, which were modified and extended to five categories (MC I-V), always keeping the Dead Donor Rule (DDR) and the country-specific legislation. The European working group had to clarify the Maastricht classification definition and terminology used in the growing area of deceased organ donation, in particular with regard to donation after circulatory death (DCD) at the 6th International Conference on Organ Donation after DCD in Paris in 2013. According to Maastricht criteria countries have accepted the recommendantions that could ensure increased organ availability donation after the circulatory death (DCD). This is one way to overcome the organ deficiency compared to conventional brain donation. The authors of the presentation focused on perception of ethical problems at removal of organs from non-heart-beating donors (NHBD) from the viewpoint of nurses working in the area of intensive care in the Czech Republic who were present at the actual process of organ removal. We wanted to find out their views about NHBD by a qualitative research and to map out their awareness of the legislative procedures and recommendations concerning patients according to the Maastricht criteria for organ removal from NHBD. Methods The research was performed from March 2017 to May 2021 at the General University Hospital in Prague and at University Hospital in Pilsen. It was carried out by the method of semi-structured in-depth interviews. Ten respondents providing nursing at intensive care units were inquired who were directly involved in the process of organ removal from NHBD. The interviews were recorded and subsequently entered into the computer and analysed in the Atlas.ti programme. Results The survey showed that the respondents have a positive approach to the process of organ removal from NHBD and accept it as a given fact set by new legislation in the Czech Republic since 2013. Their knowledge of the issue is insufficient due to a low number of performed organ removals and despite of the fact that they face lack of provided information, they do their best to cope with the current situation. They point out the negatives of low awareness and education among the expert public resulting from ignorance of law. From ethical point of view, they perceive addressing the family members regarding organ donations as unsatisfactory although the Czech legislation anticipates approval with organ donation. The issue of belief also plays an essential role. Conclusion Based on the findings, it was necessary to perform further detailed quantitative research that provided more detailed information from nurses involved in the process of organ removal from NHBD but also from nurses who are part of the nursing team but not directly involved on the day of the surgery. It is necessary to achieve a common consensus of the nursing team including the family to include a donor into the process of organ removal from NHBD, i.e. the patient&apos;s infaust prognosis must be without any doubts.

Druh

O - Ostatní výsledky

CEP obor

—

OECD FORD obor

30311 - Medical ethics

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2021

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů