응급의학과 의사의 뇌사장기조직기증 권유 대화의 경험
Emergency Physicians’ Experience of Communication About Brain-Death Organ and Tissue Donation
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Background : Emergency physicians are increasingly participating in brain-death organ tissue donation (OTD). It is difficult communication to inform family members about suspected brain-death and potential donor. This study sought to explore the experiences and communication of emergency physicians in brain-death OTD. Methods : This is a qualitative study that interviewed 10 experienced emergency physicians with brain-death OTD and analyzed the data by thematic analysis method. Results : The study revealed 20 subthemes and 5 themes; 1) Families who are invited to donate organs make decisions after long periods of consideration by the entire family, 2) It is uncomfortable to recommend organ donation, 3) Explaining and obtaining consent is ‘the hardest job’ for the attending physician, 4) The way the attending physician does ‘the hardest job’ is by explaining, 5) Passively solicit donation. Conclusion : The experienced emergency physicians with brain-death OTD were using methods of communication to understand and sympathized with the family members and had abundant experiences. The findings of this study will help inexperienced emergency physicians with brain-death OTD.
Abstract
Background : Emergency physicians are increasingly participating in brain-death organ tissue donation (OTD). It is difficult communication to inform family members about suspected brain-death and potential donor. This study sought to explore the experiences and communication of emergency physicians in brain-death OTD. Methods : This is a qualitative study that interviewed 10 experienced emergency physicians with brain-death OTD and analyzed the data by thematic analysis method. Results : The study revealed 20 subthemes and 5 themes; 1) Families who are invited to donate organs make decisions after long periods of consideration by the entire family, 2) It is uncomfortable to recommend organ donation, 3) Explaining and obtaining consent is ‘the hardest job’ for the attending physician, 4) The way the attending physician does ‘the hardest job’ is by explaining, 5) Passively solicit donation. Conclusion : The experienced emergency physicians with brain-death OTD were using methods of communication to understand and sympathized with the family members and had abundant experiences. The findings of this study will help inexperienced emergency physicians with brain-death OTD.
참고문헌 (17)
- Hong Pil Hwang, "Organ procurement in a deceased donor", Clinical Transplantation and Research, 34(3), pp.134~150 (2020), 대한이식학회[DOI]
- 김휘원, "「장기등 이식에 관한 법률」 개정을 위한 입법적 쟁점", Clinical Transplantation and Research, 31(2), pp.68~74 (2017), 대한이식학회
- 조원현, "국내 장기기증 현황과 기증감소의 해결방안", Clinical Transplantation and Research, 32(3), pp.38~48 (2018), 대한이식학회[DOI]
- Lee HJ, "Survey Regarding Attitude of Family About Organ Donation After Brain Death in Korea", Ann Transplant, 22, pp.646~655 (2017)
- Buckman R, "How to break bad news: a guide for health care professionals", pp.15~ (1992), Johns Hopkins University Press
- 이영미, "진료에서 좋지 않은 소식 전하기", 대한의사협회지, 57(10), pp.847~856 (2014), 대한의사협회[DOI]
- Siminoff LA, "Communicating Effectively about Organ Donation : A Randomized Trial of a Behavioral Communication Intervention to Improve Discussions about Donation", Transplant Direct, 1(2), pp.e5~ (2015)
- Da Silva Knihs N, "Communication of Death in the Context of Infant-Child Donation : Best Practices for Creating Family Interview for Organ and Tissue Donation", Transplant Proc, 52(5), pp.1216~1222 (2020)
- Braun V, "Using thematic analysis in psychology", Qual Res Psychol, 3(2), pp.77~01 (2006)
- YC Kim, "Qualitative analysis", pp.591~ (2017), Academy Press
- Darnell WH, "Exploring Family Decisions to Refuse Organ Donation at Imminent Death", Qual Health Res, 30(4), pp.572~582 (2020)
- Avsec D, "Communicating about organ donation and transplantation; A handbook on theoretical and practical aspects", pp.139~148 (2016), European Union, Deutsche Stiftung Organtransplantation and Slovenija-Transplant
- Tsoulfas G, "Organ Donation and Transplantation; Current Status and Future Challenges", pp.89~04 (2018), IntechOpen
- Mihály S, "Practices Around Communication About Organ Donation in Hungary", Transplant Proc, 48(7), pp.2529~2533 (2016)
- Witjes M, "Physician Experiences with Communicating Organ Donation with the Relatives : A Dutch Nationwide Evaluation on Factors that Influence Consent Rates", Neurocrit Care, 31(2), pp.357~364 (2019)
- Potter JE, "COMmunication with Families regarding ORgan and Tissue donation after death in intensive care (COMFORT): protocol for an intervention study", BMC Health Serv Res, 17(1), pp.42~ (2017)
- Silverman J, "Skills for communicating with patients", pp.319~322 (2016), CRC press