Patient-centred and family-centred care of critically ill patients who are potential organ donors: a qualitative study protocol of family member perspectives.

brain death cardiac death critical care deceased donation family surrogate qualitative research

Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
15 06 2020
Historique:
entrez: 17 6 2020
pubmed: 17 6 2020
medline: 16 2 2021
Statut: epublish

Résumé

In a patient-centred and family-centred approach to organ donation, compassion is paramount. Recent guidelines have called for more research, interventions and approaches aimed at improving and supporting the families of critically ill patients. The objective of this study is to help translate patient-centred and family-centred care into practice in deceased organ donation. This will be a national, qualitative study of family members of deceased organ donors in Canada. We will include family members who had been approached regarding an organ donation decision, including those who agreed and declined, at least 2 months and no later than 3 years after the patients' death. Data collection and analysis is ongoing and will continue until September 2020 to include approximately 250 participants. Family members will be identified and recruited from provincial organ donation organisation databases. Four experienced qualitative researchers will conduct telephone interviews in English or French with audio-recording for subsequent transcription. The research team will develop a codebook iteratively through this process using inductive methods, thus generating themes directly from the dataset. Local research ethics boards (REB) at all participating sites across Canada have approved this protocol. The main REB involved is the Ottawa Health Science Network REB. Data collection began in August 2018. Publication of results is anticipated in 2021. Study findings will help improve healthcare provider competency in caring for potential organ donors and their families and improve organ donation consent rates. Findings will also help with the development of educational materials for a competency-based curriculum for critical care residents.

Identifiants

pubmed: 32540892
pii: bmjopen-2020-037527
doi: 10.1136/bmjopen-2020-037527
pmc: PMC7299025
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e037527

Informations de copyright

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Katina Zheng (K)

University of Ottawa, Faculty of Medicine, Ottawa, Ontario, Canada.

Stephanie Sutherland (S)

Department of Critical Care, Ottawa Hospital, Ottawa, Ontario, Canada.

Pierre Cardinal (P)

Department of Critical Care, Ottawa Hospital, Ottawa, Ontario, Canada.

Maureen Meade (M)

Department of Critical Care, Hamilton Health Sciences, Hamilton, Ontario, Canada.

Angele Landriault (A)

Practice, Performance and Innovation (PPI) Unit, Royal College of Physicians and Surgeons of Canada, Ottawa, Ontario, Canada.

Brandi Vanderspank-Wright (B)

School of Nursing, University of Ottawa Faculty of Health Sciences, Ottawa, Ontario, Canada.
Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.

Sabira Valiani (S)

Department of Critical Care, Saskatchewan Health Authority, Saskatoon, Saskatchewan, Canada.

Sam Shemie (S)

Pediatrics, McGill University, Montreal, Quebec, Canada.
Canadian Blood Services, Ottawa, Ontario, Canada.

Amber Appleby (A)

Canadian Blood Services, Ottawa, Ontario, Canada.

Sean Keenan (S)

BC Transplant, Vancouver, British Columbia, Canada.
Division of Critical Care, UBC Department of Medicine, Vancouver, British Columbia, Canada.

Matthew Weiss (M)

Population Health and Optimal Health Practices Research Unit, Trauma-Emergency-Critical Care Medicine, CHU de Quebec-Universite Laval, Quebec city, Quebec, Canada.

Kim Werestiuk (K)

Transplant Manitoba, Winnipeg, Manitoba, Canada.

Andreas H Kramer (AH)

University of Calgary, Calgary, Alberta, Canada.

Joann Kawchuk (J)

Department of Critical Care, Saskatchewan Health Authority, Saskatoon, Saskatchewan, Canada.

Stephen Beed (S)

Department of Critical Care, Dalhousie University Faculty of Medicine, Halifax, Nova Scotia, Canada.

Sonny Dhanani (S)

Critical Care, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.

Giuseppe Pagliarello (G)

Department of Critical Care, Ottawa Hospital, Ottawa, Ontario, Canada.

Michaël Chasse (M)

Department of Critical Care Medicine, Centre Hospitalier de L'Universite de Montreal, Montréal, Quebec, Canada.

Ken Lotherington (K)

Canadian Blood Services, Ottawa, Ontario, Canada.

Mary Gatien (M)

Horizon Health Network, Miramichi, New Brunswick, Canada.

Kim Parsons (K)

Organ Procurement and Exchange of Newfoundland and Labrador (OPEN), St. John's, Newfoundland and Labrador, Canada.

Jennifer Chandler (J)

University of Ottawa Faculty of Law Common Law Section, Ottawa, Ontario, Canada.

Peter Nickerson (P)

University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada.

Jim Kutsogiannis (J)

Department of Critical Care Medicine, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, Canada.

Aimee J Sarti (AJ)

Department of Critical Care, Ottawa Hospital, Ottawa, Ontario, Canada asarti@toh.ca.
Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.

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