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Karaciğer Transplantasyon Hemşireliğinde Yetkinlik: Nitel Bir Çalışma

Yıl 2025, Cilt: 14 Sayı: 2, 374 - 382, 30.08.2025

Öz

Amaç: Organ nakillerinin sayısı sürekli artmaktadır. Hemşireler başarılı bir nakil elde etmede kilit bir role sahiptir. Bu nedenle, nakil sürecinin her aşamasını yönetebilecek yetkinliğe sahip olmaları gerekir. Bu çalışmanın amacı, hemşirelerin nakil hemşireliği yetkinliklerine ilişkin algılarını belirlemektir. Gereç ve Yöntem: Bu tanımlayıcı nitel çalışma Ekim-Aralık 2023 tarihleri arasında gerçekleştirilmiştir. Katılımcıları seçmek için amaçlı örnekleme yöntemi kullanılmıştır. Veri toplamak için yarı yapılandırılmış görüşmeler yapılmıştır. Veri doygunluğuna ulaşıldığında veri toplama süreci tamamlanmıştır. Tematik analizler yapılmıştır. Güvenilirliği sağlamak için Guba ve Lincoln kriterleri takip edilmiştir. Bulgular: Çalışma 12 hemşire ile tamamlanmıştır. Analizler sonucunda 12 kategoriden oluşan toplam 4 tema elde edilmiştir. Temalar “nakil hemşireliğinde yetkinlik”, “problem çözme becerileri”, “araştırma ve geliştirme” ve “takım iş birliği”dir. Sonuç: Başarılı bir nakil süreci için hemşirelik yetkinliği çok önemlidir. Bir nakil hemşiresi sorun çözme ve kriz yönetimi konusunda bilgi, beceri, deneyim ve yetkinliğe sahip olmalıdır. Hemşireler ayrıca daha uyumlu, çalışkan, dikkatli ve empatik olmalıdır. Nakil üniteleri derin koordinasyon ve ekip iş birliği gerektirir. Hemşireler nakil ile ilgili yeni tanı ve tedavi yöntemlerini ve bilimsel ve teknolojik gelişmeleri yakından takip etmelidir.

Kaynakça

  • Akbulut, S., & Yilmaz, S. (2015). Liver transplantation in Turkey: Historical review and future perspectives. Transplantation Reviews, 29(3), 161–167. https://doi.org/10.1016/j.trre.2014.12.002 American Nurses Association. (2013). Competency model. Leadership Institute.
  • Arıburnu, Ö., Gül, Ş., & Dinç, L. (2022). Nurses’ perspectives and experiences regarding organ transplantation in Turkey: A qualitative study. Journal of Religion and Health, 61(3). https://doi.org/10.1007/s10943-022-01500-0
  • Aued, G. K., Bernardino, E., Peres, A. M., Lacerda, M. R., Dallaire, C., & Ribas, E. do N. (2016). Clinical competences of nursing assistants: A strategy for people management. Revista Brasileira de Enfermagem, 69(1), 142–149. https://doi.org/10.1590/0034-7167.2016690119i
  • Barnard, A., Konyn, P., & Saab, S. (2016). Medical management of metabolic complications of liver transplant recipients. Gastroenterology & Hepatology, 12(10), 601–608.
  • Braun, V., & Clarke, V. (2021). One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology, 18(3), 328–352. https://doi.org/10.1080/14780887.2020.1769238
  • Chambers, H. E., Reinschmidt, K., Smith, G., et al. (2021). Examining the critical role of advanced practice providers on a multidisciplinary transplant team. American Journal of Transplantation, 21(12), 3840–3846. https://doi.org/10.1111/ajt.16715
  • Chaney, A. J., & Yataco, M. L. (2019). The emerging role of nurse practitioners and physician assistants in liver transplantation. Liver Transplantation, 25(7), 1105–1109. https://doi.org/10.1002/lt.25474
  • Chang, M. J., Chang, Y. J., Kuo, S. H., Yang, Y. H., & Chou, F. H. (2011). Relationships between critical thinking ability and nursing competence in clinical nurses. Journal of Clinical Nursing, 20(21–22), 3224–3232. https://doi.org/10.1111/j.1365-2702.2010.03593.x
  • Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). Thousand Oaks, CA: Sage.
  • Etheredge, H. R., Penn, C., & Watermeyer, J. (2017). Interprofessional communication in organ transplantation in Gauteng Province, South Africa. South African Medical Journal, 107(7), 615. https://doi.org/10.7196/samj.2017.v107i7.12355
  • Fernández-Alonso, V., Palacios-Ceña, D., Silva-Martín, C., & García-Pozo, A. (2020). Deceased donor care provided by the nurse transplant coordinator: A qualitative research study among Spanish nurses. International Journal of Nursing Practice, 27(3). https://doi.org/10.1111/ijn.12905
  • Global Observatory on Donation & Transplantation. (2021). Organ transplanted annually. Retrieved February 10, 2024, from https://www.transplant-observatory.org/contador1/
  • Hennink, M. M., Kaiser, B. N., & Marconi, V. C. (2017). Code saturation versus meaning saturation: How many interviews are enough? Qualitative Health Research, 27(4), 591–608. https://doi.org/10.1177/1049732316665344
  • Henriksen, K. F., Hansen, B. S., Wøien, H., & Tønnessen, S. (2021). The core qualities and competencies of the intensive and critical care nurse, a meta-ethnography. Journal of Advanced Nursing, 77(12). https://doi.org/10.1111/jan.15044
  • Hezer, B., Massey, E. K., Reinders, M. E., et al. (2024). Telemedicine for kidney transplant recipients: Current state, advantages, and barriers. Transplantation, 108(2), 409–416. https://doi.org/10.1097/tp.0000000000004660
  • Hoy, H., Alexander, S., Frith, K. H., & Ng, Y. C. (2017). The effect of transplant education on nurses' attitudes toward organ donation and advocacy for transplantation. Progress in Transplantation, 27(2), 175–179. https://doi.org/10.1177/1526924817699961
  • International Transplant Nurses Society. (2011). Introduction to transplant nursing: Core competencies. Pittsburg, PA.
  • Köse Tosunöz, İ., Akbaş, M., & Öztunç, G. (2021). Patients’ and nurses’ perspectives on “a good nurse”: A qualitative study. Mersin Univ Sch Med Lokman Hekim J Hist Med Folk Med, 11(2), 319–330. https://doi.org/10.31020/mutftd.868127
  • Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. New York, NY: Sage Publications.
  • Ma, Z. Z., Yang, H. J., Pan, X., Duan, Y. D., Li, L., Xiao, Y., et al. (2021). Construction of a nursing solution to prevent and control urinary tract infection in the early stages of kidney transplantation. Translational Andrology and Urology, 10(12). https://doi.org/10.21037/tau-21-926
  • Meyer, K., Bjørk, I. T., & Eide, H. (2011). Intensive care nurses’ perceptions of their professional competence in the organ donor process: A national survey. Journal of Advanced Nursing, 68(1), 104–115. https://doi.org/10.1111/j.1365-2648.2011.05721.x
  • Negreiros, F. D. da S., Pequeno, A. M. C., Garcia, J. H. P., Aguiar, M. I. F. de, Moreira, T. R., & Flor, M. J. N. (2017). Multi-professional team’s perception of nurses’ competences in liver transplantations. Revista Brasileira de Enfermagem, 70(2), 242–248. https://doi.org/10.1590/0034-7167-2016-0223
  • Niazkhani, Z., Pirnejad, H., & Khazaee, P. R. (2017). The impact of health information technology on organ transplant care: A systematic review. International Journal of Medical Informatics, 100, 95–107. https://doi.org/10.1016/j.ijmedinf.2017.01.015
  • Republic of Türkiye Ministry of Health. (2024). First 6-Cross Liver Transplant Surgery. Retrieved February 3, 2024, from https://www.saglik.gov.tr/EN-102110/first-6-cross-liver-transplant-surgery.html
  • Ribeiro, I., Vilela, R., & Filipi, C. P. (2024). Core competencies for nurse’s role in bone marrow transplantation. Brazilian Journal of Transplantation, 27(1). https://doi.org/10.53855/bjt.v27i1.564
  • Swickard, S., Swickard, W., Reimer, A., Lindell, D., & Winkelman, C. (2014). Adaptation of the AACN synergy model for patient care to critical care transport. Critical Care Nurse, 34(1), 16–28. https://doi.org/10.4037/ccn2014573
  • Taşkıran, N., & Türk, G. (2023). The relationship between the ethical attitudes and holistic competence levels of intensive care nurses: A cross-sectional study. PLOS ONE, 18(7), e0287648. https://doi.org/10.1371/journal.pone.0287648
  • Vaismoradi, M., Turunen, H., & Bondas, T. (2014). Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing & Health Sciences, 15(3), 398–405. https://doi.org/10.1111/nhs.12048
  • Ying, T., Shi, B., Kelly, P. J., Pilmore, H., Clayton, P. A., & Chadban, S. J. (2020). Death after kidney transplantation: An analysis by era and time post-transplant. Journal of the American Society of Nephrology, 31(12), 2887–2899. https://doi.org/10.1681/asn.2020050566

Competency in Liver Transplant Nursing: A Qualitative Study

Yıl 2025, Cilt: 14 Sayı: 2, 374 - 382, 30.08.2025

Öz

Objective: The number of organ transplants is constantly increasing. Nurses have a key role in the achievement of a successful transplant. For this reason, they need to have the competency to manage every stage of the transplantation process. The purpose of this study is to identify the perceptions of nurses regarding their competency as transplant nurses. Materials and Methods: This descriptive qualitative study was carried out between October and December 2023. The purposive sampling method was used to select participants. Semi-structured interviews were conducted to collect data. The data collection process was completed when data saturation was reached. Thematic analyses were carried out. The Guba and Lincoln criteria were followed to ensure reliability. Results: The study was completed with 12 nurses. As a result of the analyses, a total of 4 themes consisting of 12 categories were obtained. The themes were “competency in transplant nursing”, “problem-solving skills”, “research and development”, and “team collaboration”. Conclusion: Nursing competencies are very important for a successful transplantation process. A transplant nurse should have knowledge, skills, experience, and competency in problem-solving and crisis management. Nurses should also be more adaptive, hardworking, attentive, and empathetic. Transplant units require profound coordination and team collaboration. Nurses should follow new transplant-related diagnosis and treatment methods, as well as scientific and technological developments, closely.

Etik Beyan

The study was carried out in line with the principles of the Declaration of Helsinki. Before the study, ethical committee approval and writ-ten permission were obtained from the Noninvasive Clinical Research Ethics Committee of the Kahramanmaraş Istiklal University (31.08.2023, E-23430505-050.01.04-20482).

Kaynakça

  • Akbulut, S., & Yilmaz, S. (2015). Liver transplantation in Turkey: Historical review and future perspectives. Transplantation Reviews, 29(3), 161–167. https://doi.org/10.1016/j.trre.2014.12.002 American Nurses Association. (2013). Competency model. Leadership Institute.
  • Arıburnu, Ö., Gül, Ş., & Dinç, L. (2022). Nurses’ perspectives and experiences regarding organ transplantation in Turkey: A qualitative study. Journal of Religion and Health, 61(3). https://doi.org/10.1007/s10943-022-01500-0
  • Aued, G. K., Bernardino, E., Peres, A. M., Lacerda, M. R., Dallaire, C., & Ribas, E. do N. (2016). Clinical competences of nursing assistants: A strategy for people management. Revista Brasileira de Enfermagem, 69(1), 142–149. https://doi.org/10.1590/0034-7167.2016690119i
  • Barnard, A., Konyn, P., & Saab, S. (2016). Medical management of metabolic complications of liver transplant recipients. Gastroenterology & Hepatology, 12(10), 601–608.
  • Braun, V., & Clarke, V. (2021). One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology, 18(3), 328–352. https://doi.org/10.1080/14780887.2020.1769238
  • Chambers, H. E., Reinschmidt, K., Smith, G., et al. (2021). Examining the critical role of advanced practice providers on a multidisciplinary transplant team. American Journal of Transplantation, 21(12), 3840–3846. https://doi.org/10.1111/ajt.16715
  • Chaney, A. J., & Yataco, M. L. (2019). The emerging role of nurse practitioners and physician assistants in liver transplantation. Liver Transplantation, 25(7), 1105–1109. https://doi.org/10.1002/lt.25474
  • Chang, M. J., Chang, Y. J., Kuo, S. H., Yang, Y. H., & Chou, F. H. (2011). Relationships between critical thinking ability and nursing competence in clinical nurses. Journal of Clinical Nursing, 20(21–22), 3224–3232. https://doi.org/10.1111/j.1365-2702.2010.03593.x
  • Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). Thousand Oaks, CA: Sage.
  • Etheredge, H. R., Penn, C., & Watermeyer, J. (2017). Interprofessional communication in organ transplantation in Gauteng Province, South Africa. South African Medical Journal, 107(7), 615. https://doi.org/10.7196/samj.2017.v107i7.12355
  • Fernández-Alonso, V., Palacios-Ceña, D., Silva-Martín, C., & García-Pozo, A. (2020). Deceased donor care provided by the nurse transplant coordinator: A qualitative research study among Spanish nurses. International Journal of Nursing Practice, 27(3). https://doi.org/10.1111/ijn.12905
  • Global Observatory on Donation & Transplantation. (2021). Organ transplanted annually. Retrieved February 10, 2024, from https://www.transplant-observatory.org/contador1/
  • Hennink, M. M., Kaiser, B. N., & Marconi, V. C. (2017). Code saturation versus meaning saturation: How many interviews are enough? Qualitative Health Research, 27(4), 591–608. https://doi.org/10.1177/1049732316665344
  • Henriksen, K. F., Hansen, B. S., Wøien, H., & Tønnessen, S. (2021). The core qualities and competencies of the intensive and critical care nurse, a meta-ethnography. Journal of Advanced Nursing, 77(12). https://doi.org/10.1111/jan.15044
  • Hezer, B., Massey, E. K., Reinders, M. E., et al. (2024). Telemedicine for kidney transplant recipients: Current state, advantages, and barriers. Transplantation, 108(2), 409–416. https://doi.org/10.1097/tp.0000000000004660
  • Hoy, H., Alexander, S., Frith, K. H., & Ng, Y. C. (2017). The effect of transplant education on nurses' attitudes toward organ donation and advocacy for transplantation. Progress in Transplantation, 27(2), 175–179. https://doi.org/10.1177/1526924817699961
  • International Transplant Nurses Society. (2011). Introduction to transplant nursing: Core competencies. Pittsburg, PA.
  • Köse Tosunöz, İ., Akbaş, M., & Öztunç, G. (2021). Patients’ and nurses’ perspectives on “a good nurse”: A qualitative study. Mersin Univ Sch Med Lokman Hekim J Hist Med Folk Med, 11(2), 319–330. https://doi.org/10.31020/mutftd.868127
  • Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. New York, NY: Sage Publications.
  • Ma, Z. Z., Yang, H. J., Pan, X., Duan, Y. D., Li, L., Xiao, Y., et al. (2021). Construction of a nursing solution to prevent and control urinary tract infection in the early stages of kidney transplantation. Translational Andrology and Urology, 10(12). https://doi.org/10.21037/tau-21-926
  • Meyer, K., Bjørk, I. T., & Eide, H. (2011). Intensive care nurses’ perceptions of their professional competence in the organ donor process: A national survey. Journal of Advanced Nursing, 68(1), 104–115. https://doi.org/10.1111/j.1365-2648.2011.05721.x
  • Negreiros, F. D. da S., Pequeno, A. M. C., Garcia, J. H. P., Aguiar, M. I. F. de, Moreira, T. R., & Flor, M. J. N. (2017). Multi-professional team’s perception of nurses’ competences in liver transplantations. Revista Brasileira de Enfermagem, 70(2), 242–248. https://doi.org/10.1590/0034-7167-2016-0223
  • Niazkhani, Z., Pirnejad, H., & Khazaee, P. R. (2017). The impact of health information technology on organ transplant care: A systematic review. International Journal of Medical Informatics, 100, 95–107. https://doi.org/10.1016/j.ijmedinf.2017.01.015
  • Republic of Türkiye Ministry of Health. (2024). First 6-Cross Liver Transplant Surgery. Retrieved February 3, 2024, from https://www.saglik.gov.tr/EN-102110/first-6-cross-liver-transplant-surgery.html
  • Ribeiro, I., Vilela, R., & Filipi, C. P. (2024). Core competencies for nurse’s role in bone marrow transplantation. Brazilian Journal of Transplantation, 27(1). https://doi.org/10.53855/bjt.v27i1.564
  • Swickard, S., Swickard, W., Reimer, A., Lindell, D., & Winkelman, C. (2014). Adaptation of the AACN synergy model for patient care to critical care transport. Critical Care Nurse, 34(1), 16–28. https://doi.org/10.4037/ccn2014573
  • Taşkıran, N., & Türk, G. (2023). The relationship between the ethical attitudes and holistic competence levels of intensive care nurses: A cross-sectional study. PLOS ONE, 18(7), e0287648. https://doi.org/10.1371/journal.pone.0287648
  • Vaismoradi, M., Turunen, H., & Bondas, T. (2014). Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing & Health Sciences, 15(3), 398–405. https://doi.org/10.1111/nhs.12048
  • Ying, T., Shi, B., Kelly, P. J., Pilmore, H., Clayton, P. A., & Chadban, S. J. (2020). Death after kidney transplantation: An analysis by era and time post-transplant. Journal of the American Society of Nephrology, 31(12), 2887–2899. https://doi.org/10.1681/asn.2020050566
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi Hastalıklar Hemşireliği
Bölüm Makaleler
Yazarlar

Sevinç Meşe 0000-0003-4635-9169

Pınar Harmancı 0000-0002-9243-4695

Yayımlanma Tarihi 30 Ağustos 2025
Gönderilme Tarihi 29 Mart 2025
Kabul Tarihi 27 Mayıs 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 14 Sayı: 2

Kaynak Göster

APA Meşe, S., & Harmancı, P. (2025). Competency in Liver Transplant Nursing: A Qualitative Study. Balıkesir Sağlık Bilimleri Dergisi, 14(2), 374-382. https://doi.org/10.53424/balikesirsbd.1667963

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