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뇌사자 가족과 장기구득 코디네이터 간의 장기기증 면담에서 관계 형성 요소: 장기구득 코디네이터의 의사소통 경험에 대한 질적 연구

Relationship Forming Factors in the Interview Between Organ Procurement Coordinators and the Family of Brain Dead: A Qualitative Study on the Communication Experience of Organ Procurement Coordinators

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Purpose : Interviews between the coordinator and the family of the brain dead for organ and tissue donation have a great impact on the increase in the consent rate of organ donation. It is necessary to find out empirically the factors for building a mutually respectful and reciprocal relationship in the interview between the coordinator and the family from the perspective of the research subject. Methods : This study is a qualitative study, and data were collected through in-depth interviews with 10 coordinators of the Korea Organ Donation Agency. The collected data were analyzed by two steps of text analysis and meaning reconstruction. Results : The relationship building factors between the coordinator and the family of the brain dead analyzed in this study include ‘establishing trust, helping the family, empathy, active listening, friendliness, non-burdening, cautious approach, and sincerity’. Coordinators conducted interviews to deliver information to the family of the brain dead, sincerely and carefully through sympathy and listening, while working for the family at the same time. In these interviews, non-verbal and quasi-verbal communication as well as verbal expressions was actively used. Conclusion : The results of this study can be used for communication training of organ procurement coordinators.

Abstract

Purpose : Interviews between the coordinator and the family of the brain dead for organ and tissue donation have a great impact on the increase in the consent rate of organ donation. It is necessary to find out empirically the factors for building a mutually respectful and reciprocal relationship in the interview between the coordinator and the family from the perspective of the research subject. Methods : This study is a qualitative study, and data were collected through in-depth interviews with 10 coordinators of the Korea Organ Donation Agency. The collected data were analyzed by two steps of text analysis and meaning reconstruction. Results : The relationship building factors between the coordinator and the family of the brain dead analyzed in this study include ‘establishing trust, helping the family, empathy, active listening, friendliness, non-burdening, cautious approach, and sincerity’. Coordinators conducted interviews to deliver information to the family of the brain dead, sincerely and carefully through sympathy and listening, while working for the family at the same time. In these interviews, non-verbal and quasi-verbal communication as well as verbal expressions was actively used. Conclusion : The results of this study can be used for communication training of organ procurement coordinators.

참고문헌 (15)

  1. "Organ procurement coordinator manual 3rd edition" (2021)[URL]
  2. Santos MJ, "Factors that facilitate and hinder family interviews in the process of donating organs and tissues for transplantation", Acta Paul Enferm, 24(4), pp.472~478 (2011)
  3. Knhis NS, "Family interview for organ and tissue donation: good practice assumptions", Rev Bras Enferm, 74(2), pp.1~9 (2021)
  4. Potter JE, "COMmunication with Families regarding ORgan and Tissue donation after death in intensive care (COMFORT): protocol for an intervention study", BMC health services research, 17(42), pp.1~10 (2017)
  5. Siminoff LA, "Communicating effectively about organ Donation: A randomized trial of a behavioral communication intervention to improve discussions about donation", 1(2), pp.1~9 (2015)
  6. Santos MJ, "The Family Interview in the Process of Donating Organs and Tissues for Transplantation: Perceptions of Potential Donors’ Relatives", Transplantation Proceedings, 46, pp.1674~1677 (2014)
  7. Trzcińska M, "Psychological principles in regard to the interview with the deceased donor’s family", Anaesthesiology Intensive Therapy, 46(3), pp.200~207 (2014)
  8. 오재숙, "뇌사추정자 가족들의 뇌사 장기기증 동의에 대한 영향 요인 조사", Clinical Transplantation and Research, 31(3), pp.133~142 (2017), 대한이식학회
  9. 최정아, "뇌사자 장기기증에 대한 장기이식 코디네이터의 태도 분석", 석사, 보건정책관리학, pp.2009
  10. 손행미, "장기이식 코디네이터의 실무 경험", Journal of Korean Academy of Nursing, 36(6), pp.1012~1022 (2006), 한국간호과학회
  11. 김금남, "뇌사자 가족에 대한 장기이식코디네이터의 의사소통 경험 과정 연구", 생명윤리, 19(2), pp.15~37 (2018), 한국생명윤리학회[DOI]
  12. 박용익, "질적 연구와 텍스트언어학", 텍스트언어학, 32, pp.123~145 (2012), 한국텍스트언어학회[DOI]
  13. Moraes EL, "Family interview to enable donation of organs for transplantation: Evidence-based practice", Transplantation proceedings, 50(3), pp.705~710 (2018)
  14. 김광순, "친족어 {아버지}·{어머니}의 사용 양상- 체면 손상 행위를 중심으로", 담화와 인지, 27(3), pp.1~26 (2020), 담화·인지언어학회[DOI]
  15. Siminoff LA, "Communicating effectively about donation: an educational intervention to increase consent to donation", Progress in Transplantation, 19(1), pp.35~43 (2009)

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