Abstract
Background: Spain is the world leader in organ donation, with a rate of 49.0 donations per million population. Nurse transplant coordinators fulfill key roles for the success of the complex donation process. Our aims were: (a) to describe the experience of nurse transplant coordinators and (b) to identify barriers and facilitators during the process of organ donation. Methods: A qualitative phenomenological study was conducted within the National Transplant Organization. A purposive sampling method was used, and data collection methods included semistructured interviews, researcher field notes, and participants’ personal letters. A systematic text condensation analysis was performed. The study was approved by the Clinical Research Ethics Committee. Results: A total of 16 participants were recruited and four themes were identified: (a) a different job for nurses, (b) facilitators and barriers of the coordinator’s job, (c) not a job for a novice nurse, and (d) coordinators facing a paradigm shift. Coordinators described their job as being characterized with uncertainty and having to face emotional and institutional barriers. The facilitators identified were high educational level and training, and feelings of pride for being part of the National Transplant Organization. Conclusions: The organ donation process requires specialized training to avoid organizational barriers.
Highlights
According to the Spanish National Transplant Organization (NTO), a “transplant” refers to the replacement of a diseased organ or tissue with another that works properly [1]
The data from the latest report of 2019 by the NTO estimate that 68% of donations occur after brain death (DBD), whereas 32%
This study seeks to understand the global experience of the donation process, which is why participants were included from hospital transplant coordination units, as well as regional and national coordinators in Madrid that perform out-of-hospital coordination activity. Unlike previous studies such as the paper by Danet Danet et al [14,15], the purpose of the present study was to describe the experience of nurse transplant coordinators (NTCs)
Summary
According to the Spanish National Transplant Organization (NTO), a “transplant” refers to the replacement of a diseased organ or tissue with another that works properly [1]. Spain is the world leader in organ donation, with a rate of 49.0 donations per million population (pmp), equaling 2302 organ donors who, together with living donors, enabled 5449 transplants, a rate of 116 pmp transplants [2]. The data from the latest report of 2019 by the NTO estimate that 68% of donations occur after brain death (DBD), whereas 32%. Of donations are a result of circulatory death (DCD). Spain is the world leader in organ donation, with a rate of 49.0 donations per million population. Nurse transplant coordinators fulfill key roles for the success of the complex donation process. Our aims were: (a) to describe the experience of nurse transplant coordinators and (b) to identify barriers and facilitators during the process of organ donation. Methods: A qualitative phenomenological study was conducted within the National Transplant Organization.
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