ORGAN VE DOKU BAĞIŞI KOORDİNATÖRLERİNİN COVİD-19 DÖNEMİNDE DENEYİMLERİ: NİTEL BİR ÇALIŞMA

Yıl 2024, Cilt: 13 Sayı: 1, 19 - 27, 27.03.2024

Ufuk Akkurt , İsa Çelik , Seçil Duran , Murat Bektaş , Dilek Çilingir

https://doi.org/10.37989/gumussagbil.1366455

Öz

Bu çalışmanın amacı, Türkiye'deki Organ ve Doku Bağışı Koordinatörleri (OTDC)’nin, COVID-19 salgını sırasında kadavra donör sürecindeki deneyimlerini incelemektir. Bu, Türkiye'nin dokuz farklı bölgesinde çalışan 12 OTDC ile yürütülen tanımlayıcı nitel bir çalışmadır. Şeffaflığı sağlamak için nitel araştırmaların raporlanmasına yönelik birleştirilmiş kriterler (COREQ) kılavuzları kullanıldı. OTDC'lerin deneyimlerine ilişkin altı tema ortaya çıktı: 1) yoğun bakım ünitelerindeki yoğunluk, 2) COVID-19 salgınının OTDC'ler üzerindeki olumsuz etkileri, 3) donör teşhis sürecindeki değişiklikler, 4) aileyle iletişim zorlukları, 5) potansiyel donörlerin azalması ve 6) OTDC'lerin organ bağışı faaliyetlerinde azalma. Bulgular, yoğun bakım ünitelerinde hasta yoğunluğunun artması nedeniyle koordinasyon sürecinde uzama ve değişikliklerin yaşandığını ve bu durumun OTDC'leri olumsuz etkilediğini gösterdi. Ayrıca tanı sürecindeki değişikliklerin, aile bireyleri ile iletişim zorluklarının ve potansiyel donör sayısının azalmasının kadavra donör sayısında azalmaya yol açtığı vurgulandı. Bu çalışma, Türkiye'deki OTDC'lerin COVID-19 salgını sırasında yaşadığı önemli sorunları vurgulamaktadır. Bulgular aynı zamanda pandemi sırasında organ bağışçılarının azalmasını da açıklamaktadır. Çalışmamız bu dönemde kadavra bağışı sürecine ilişkin eylem planlarının, yönergelerin ve iletişim araçlarının yetersiz olduğunu ortaya çıkardı.

Anahtar Kelimeler

Beyin Ölümü, COVİD-19, Sağlık Personeli, Yoğun Bakım Üniteleri, Doku ve Organ Temini.

EXPERIENCES OF ORGAN AND TISSUE DONATION COORDINATORS DURING COVID-19: A QUALITATIVE STUDY

Öz

This study was intended to examine the experiences of Organ and Tissue Donation Coordinators (OTDCs) in Turkey involved in the cadaveric donor process during the COVID-19 pandemic. This was a descriptive qualitative study conducted with 12 OTDCs working in nine different regions in Turkey. Consolidated criteria for reporting qualitative research (COREQ) guidelines were used to ensure transparency. Six themes emerged regarding the experiences of OTDCs: 1) intensity in intensive care units, 2) negative effects of the COVID-19 pandemic on OTDCs, 3) changes in the donor diagnostic process, 4) communication difficulties with family, 5) the reduction in potential donors, and 6) a decrease in organ donation activities of OTDCs. The findings emphasized that there were prolongations and changes in the coordination process due to increased patient density in intensive care units, which negatively affected the OTDCs. In addition, it was emphasized that the changes in the diagnostic process, communication difficulties with family members, and fewer potential donors led to a decrease in the number of cadaveric donors. This study highlights important issues experienced by OTDCs in Turkey during the COVID-19 pandemic. The findings also explain the decrease in organ donors during the pandemic. Our study revealed insufficient action plans, guidelines, and communication tools regarding the cadaveric donation process during this time.

Anahtar Kelimeler

Brain Death, COVID-19, Health Personnel, Intensive Care Units, Tissue and Organ Procurement.

Etik Beyan

Approval numbered 14.04.2021 2021/3 from GümüĢhane University Ethics Committee, and research permission dated 23.05.2021 from the Ministry of Health were obtained. No personal data was used in the research. Participation was dependent on the consent of the participants.

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