Holistic care for pediatric organ transplant recipients and their families during their dark postoperative recovery stage in the hospital
Journal
Transplantation Proceedings
Journal Volume
46
Journal Issue
4
Pages
1026-1028
Date Issued
2014
Author(s)
Abstract
Introduction This study explored the difficulties in caring for pediatric organ transplant recipients (POTR) and their families during dark recovery experiences (DRE) in the hospital from the perspectives of Taiwan organ transplant health professionals (OTHP). Methods A qualitative design was used, with a purposive sample of OTHP including OT surgeons (OTS) and nursing groups. Data were collected by thorough face-to-face interviews and were analyzed using content analysis. Results Fifty-five subjects (39 female, 16 male) participated in this project. They included 15 OTS and 40 nurses. The nurses included registered nurses (n = 27), nurse practitioners (n = 5), and assistant or head nurses (n = 8). Their ages ranged from 25 to 66 (mean = 38.4) years old. Thirty-eight (69%) had college education, and 17 (31%) had graduate education. Their OT careers ranged from between 3 to 40 (mean = 23.8) years for OTS, and 0.5 to 15 (mean = 4.10) years for the OT nursing group. Five types of caring difficulties were reported: (1) threat of OT failure, (2) work overload, (3) insufficient collaboration within interdisciplinary teams due to incongruent surgical and nursing opinions, (4) poor communication between OTHP and POTR, and (5) lack of competent professional OT care. Conclusions The following suggestions were made to help relieve the OTHPs' stress in providing holistic care for POTR and their families during DRE: (1) increasing the amount of experienced OT manpower and professional communication liaisons, (2) providing systematic on-the-job interdisciplinary case seminars and OT workshops, and (3) enhancing the POTR's mental health care and helping manage their distress of DRE. ? 2014 by Elsevier Inc. All rights reserved.
SDGs
Other Subjects
adult; aged; competence; conference paper; coping behavior; educational status; family counseling; female; graft recipient; head nurse; health practitioner; helplessness; holistic care; hospital; human; interpersonal communication; interview; male; nurse practitioner; organ transplantation; pediatric organ transplant recipient; postoperative period; priority journal; qualitative analysis; registered nurse; surgeon; workload; adaptive behavior; age; attitude to health; child; clinical trial; convalescence; cooperation; family; graft recipient; health care personnel; health care quality; health personnel attitude; integrated health care system; interdisciplinary communication; mental stress; middle aged; multicenter study; nurse; organ transplantation; patient care; philosophy; physician; psychology; qualitative research; Taiwan; time; treatment outcome; Adaptation, Psychological; Adult; Age Factors; Aged; Attitude of Health Personnel; Child; Cooperative Behavior; Delivery of Health Care, Integrated; Family; Female; Health Knowledge, Attitudes, Practice; Health Personnel; Holistic Health; Humans; Interdisciplinary Communication; Male; Middle Aged; Nurses; Organ Transplantation; Patient Care Team; Physicians; Qualitative Research; Quality of Health Care; Recovery of Function; Stress, Psychological; Taiwan; Time Factors; Transplant Recipients; Treatment Outcome; Workload
Publisher
Elsevier USA
Type
conference paper