Improving psychological security and empowerment: New model for nurses toward the care of potential organ donors
نویسندگان
1 Department of Medical‑Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences Mashhad, Iran
2 Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
3 Department of Medical‑Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences Mashhad, Iran,
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doi
چکیده
BACKGROUND: Caring for brain dead patients is the heaviest of duties for nurses, and despitetremendous stress, there are no theories/models to support nurses in this situation. This studydesigned a supportive model for nurses to provide care for potential organ donors.MATERIALS AND METHODS: This qualitative study was conducted in two stages. In the firststage, semi‑structured interviews with 31 nurses and other stakeholders, observation and fieldnotes continued until data saturation, (on 2018), were analyzed using continuous and comparativeanalysis through Corbin–Strauss method. In the second stage, theory synthesis of Walker and Avant’sstrategies for theory construction (2011) was used to design a supportive model/theory. The theorysynthesis includes three stages: (i) selection of focal concept (the concept of “moral obligation toprovide holistic care until the last minute” was selected); (ii) review of studies to identify the factorsrelated to focal concept relevant studies (42 articles were reviewed, statements and conceptsrelated to focal concept were then extracted and classified, and their relations were specified);and (iii) organization of concepts and statements within a relevant general and effective manifestationof the phenomenon under study which led to developing of a model.RESULTS: In this supportive model/theory, “improving psychological security and empowerment”was conceptualized within the conceptual framework. This supportive model entails three maincomponents, including (i) informational and educational support, (ii) systematically support,and (iii) management support.CONCLUSIONS: According to the results, nurses with moral obligation to provide holistic carewere faced with several challenges. Therefore, it is recommended that the healthcare system takesupportive proceedings for nurses in various fields of the care for brain dead patients to resolveeducational, moral, and legal challenges. This supportive model is essential for maintaining thenurses’ health, increasing the quality of nursing care and the health of potential transplant organs.
