Factors influencing psychological stress in nurses involved with organ donation from brain-dead donors

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  • 脳死下臓器提供プロセスにかかわる看護師の心理的ストレスと影響要因

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Abstract

The purpose of this research was to investigate how personal and environmental factors, stressors, stress recognition and coping behavior influence psychological stress reactions by nurses involved in organ donation from certified brain-dead donors. A questionnaire was sent to 250 such nurses who agreed to participate in this research. Statistical analysis of the data revealed“ increased workload” to be the greatest stressor for nurses involved in organ donation from brain-dead donors. The nurses engaged more in problem-focused coping than emotion-focused coping. Respondents who shared the view that brain death constitutes death had fewer psychological stress reactions compared with those who did not. Regression analysis showed that respondents with“ care of the patient’s family” as a stressor had a high level of psychological stress reactions, which were affected most by the factor of emotion-focused coping. This research shows that perceptions of brain death, family care as a stressor, and emotion-focused coping influenced the psychological stress reactions of nurses involved with organ donation from brain-dead donors. These findings indicate that for the goal of reducing psychological stress reactions in such nurses, it is important to build consensus about brain death, promote understanding of the psychological processes of patient families in crisis, provide education about crisis theory and support the development of coping strategies.

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