{"id":8168,"date":"2024-07-26T17:12:11","date_gmt":"2024-07-26T15:12:11","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=8168"},"modified":"2026-05-07T16:25:06","modified_gmt":"2026-05-07T14:25:06","slug":"donation-efter-cirkulatorisk-doed-sygepleje-i-et-krydsfelt-mellem-omsorg-og-organisering-2","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/07\/26\/donation-efter-cirkulatorisk-doed-sygepleje-i-et-krydsfelt-mellem-omsorg-og-organisering-2\/","title":{"rendered":"Donation efter cirkulatorisk d\u00f8d – sygepleje i et krydsfelt mellem omsorg og organisering"},"content":{"rendered":"
\n

\"\"<\/p>\n

Julie Nellemose Nielsen <\/span>1 <\/span><\/strong>Victoria Helene L\u00e6rkner Andersen <\/span>2<\/span><\/strong> Charlotte Nielsen <\/span>3<\/span><\/strong><\/p>\n

1<\/strong> <\/span>Sygeplejerske, intensivafsnit for voksne, Odense Universitetshospital
\n<\/span>2 <\/span><\/strong>Sygeplejerske, intensivafsnit for hjerte-, lunge- og karkirurgi, Odense Universitetshospital
\n<\/span>3 <\/span><\/strong>Cand. cur., postdoc, klinisk forsker, K\u00e6bekirurgisk afdeling og plastikkirurgisk forskningsenhed, Odense Universitetshospital. Sundhedsvidenskabelig Fakultet, Klinisk Institut, Syddansk Universitet<\/span><\/p>\n

\n

Resum\u00e9
\n<\/span><\/strong>Baggrund<\/strong>.
\n<\/span>Da donation efter cirkulatorisk d\u00f8d (DCD) blev en mulighed i 2023, findes der kun begr\u00e6nset viden om at yde sygepleje i et DCD-forl\u00f8b i Danmark.
\n<\/span>Form\u00e5l.
\n<\/span><\/strong>At opn\u00e5 viden om at skulle ud\u00f8ve sygepleje i et DCD-forl\u00f8b, hvilket kan anvendes i forhold til udvikling af patientforl\u00f8bet ved DCD.
\n<\/span>Unders\u00f8gelsessp\u00f8rgsm\u00e5l.<\/span><\/strong>
\nHvilke forventninger og overvejelser har sygeplejersker i relation til at pleje og yde omsorg for patienter og p\u00e5r\u00f8rende under DCD-forl\u00f8bet p\u00e5 intensiv afdeling?
\n<\/span>Metode.
\n<\/span><\/strong>Ud fra en f\u00e6nomenologisk-hermeneutisk tilgang blev der gennemf\u00f8rt kvalitative, semistrukturerede interviews med fire sygeplejersker. Data blev analyseret ud fra en analysetilgang inspireret af Ricoeur.
\n<\/span>Fund.
\n<\/span><\/strong>Analysen ledte frem til fire temaer. 1: En udfordret balance mellem omsorg og organisatorisk ramme 2: En vedvarende st\u00f8tte og information til p\u00e5r\u00f8rende 3: En fastlagt timing af en meningsfuld d\u00f8d og 4: En begribelig d\u00f8d forud for organdonation.
\n<\/span>Konklusion.
\n<\/span><\/strong>Sygepleje i et DCD-forl\u00f8b kan ses i et krydsfelt mellem system- og livsverden, hvor balancen mellem livsverden og systemverden forskydes til fordel for systemverdens t\u00e6nkning, fordi sygeplejerskerne skal leve op til fastsatte rammer som begr\u00e6nser sygeplejen. Der kan i DCD-forl\u00f8bet v\u00e6re modsatrettede etiske perspektiver, hvis patienten ikke d\u00f8r indenfor de tre timer, hvor sygeplejersken har forventninger til at sygeplejen til patienten vil blive overset, for at f\u00e5 et vellykket forl\u00f8b.<\/span><\/p>\n

English abstract<\/h5>\n

Donation after circulatory death \u2013 nursing in the intersection between care and organisation<\/h4>\n

Background<\/strong>
\nSince donation after circulatory death (DCD) only became possible in Denmark in 2023, there is still limited knowledge about providing nursing care in a DCD trajectory.
\nAim<\/strong>
\nTo gain insight into what it means for nurses to provide care in a DCD trajectory, in order to inform the development of DCD patient pathways.
\nResearch question<\/strong>
\nWhat expectations and considerations do nurses have regarding caring for patients and relatives during a DCD trajectory in the intensive care unit?
\nMethod<\/strong>
\nUsing a phenomenological\u2013hermeneutic approach, four nurses were interviewed using qualitative, semi-structured interviews. The data were analysed using an analytical approach inspired by Ricoeur.
\nFindings<\/strong>
\nThe analysis resulted in four themes: 1) A challenged balance between care and organisational framework, 2) Ongoing support and information for relatives, 3) A predetermined timing of a meaningful death, and 4) A comprehensible death prior to organ donation.
\nConclusion<\/strong>
\nNursing in a DCD trajectory can be understood as taking place in a tension between system world and life world. The balance is shifted towards the system world because nurses must comply with fixed organisational requirements that constrain care. Ethical tensions may arise if the patient does not die within the three\u2011hour time frame, as nurses fear that the patient\u2019s ongoing care will be overshadowed in the pursuit of a \u201csuccessful\u201d DCD process.<\/p>\n

Keywords:<\/strong> Donation after circulatory death (DCD), intensive care nursing, ethics, organ donation, phenomenological\u2013hermeneutic interviews<\/p>\n<\/div>\n<\/div>\n

\n
\n
\n
\n
\n

Vil du l\u00e6se videre?
\nF\u00e5 adgang til artiklen med:<\/h2>\n<\/p><\/div>\n<\/p><\/div>\n
\n
\n
\n
\n\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t\t\t\tPLUSmedlem<\/span>
\n\t\t\t\t\t<\/span>
\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n<\/p><\/div>\n<\/p><\/div>\n
\n
\n

Enkelt k\u00f8b af artikel<\/h2>\n<\/p><\/div>\n<\/p><\/div>\n
\n
\n
\n<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n
\n
\n
\n