scholarly journals Attitudes of Neurologists to Brain Death and Organ Donation in China: A Content Analysis

2020 ◽  
Author(s):  
Ping Wang ◽  
Yuji Guo ◽  
Gaohui Yin ◽  
Mengzhen Li ◽  
Yan Li ◽  
...  
Keyword(s):  
Content Analysis ◽  
Brain Death ◽  
Organ Donation ◽  
Health Care Systems ◽  
Cultural Influences ◽  
Structured Interviews ◽  
Knowledge And Attitudes ◽  
Care Systems ◽  
Donation After Brain Death ◽  
Knowledge And Attitude

Abstract Background: Between 2003 and 2009, there were approximately 20,000 brain deaths per million people per year in China.These cases represent an important source for organ donation. As it is neurologists who are primarily involved in determining brain death, their knowledge and attitude toward brain death and organ donation directly affects decisions of family members regarding organ donation.Methods: This qualitative study was conducted in 2019. Data on neurologists’ knowledge and attitudes towards brain death and organ donation were obtained from fifteen neurologists in the Departments of Neurology from Chinese hospitals using a content analysis approach as achieved in semi-structured interviews. Results: Overall, these neurologists conveyed a positive attitude toward organ donation after brain death. However, they noted the importance of considering and respecting the opinions of these patients’ families. From the data analysis, 4 themes and 12 categories were developed. The 4 themes included: 1) brain death organ donation as a good thing, 2) interacting with brain death patient’s family, 3) cultural influences on organ donation with brain death and 4) strategies to improve organ donation rates in patients with brain death.Conclusion: The results of this study have provided some new and important information regarding the knowledge and attitude of Chinese neurologists toward brain death and organ donation. Such information is critical for guiding government and health care systems in designing strategies to improve donation rates and decisions from brain death patients.

scholarly journals Exploring nursing managers’ perceptions of nursing workforce management during the outbreak of COVID-19: a content analysis study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Sarieh Poortaghi ◽  
Mehraban Shahmari ◽  
Akram Ghobadi
Keyword(s):  
Content Analysis ◽  
Work Experience ◽  
Health Care Systems ◽  
Nursing Workforce ◽  
Structured Interviews ◽  
Workforce Management ◽  
Nursing Managers ◽  
Care Systems ◽  
Situational Management ◽  
Workforce Retention

Abstract Background The COVID-19 pandemic is a serious threat to public health worldwide. Therefore, a coordinated global response is needed to prepare health care systems to face this unprecedented challenge. Proper human resource management can increase nurses’ productivity and quality of care. Therefore, the present study aims to explore the nursing managers’ perception of nursing workforce management during the outbreak of COVID-19. Methods This is a qualitative study with conventional content analysis using Granheim and Landman approach. In this study, 15 nursing managers were selected by purposeful sampling method. Data were collected using in-depth semi-structured interviews. Ethical considerations were applied to all stages of the study. In this study, MAXQDA software version 10 was used to help manage the data. Results 66% of the participants (10/5) were female. The mean age of participants was 44 years, mean work experience of 19 years, and mean management experience of 9 years. Three categories and seven sub-categories emerged from the data analysis: 1) management of workforce recruitment (volunteer workforces, non-volunteer workforces), 2) management of workforce arrangement (flexible work schedule, rearrangement of the workforce), and 3) management of workforce retention (preventive measures, motivational measures, and psychological support). Conclusion Management in critical situations requires the use of flexible and situational management principles to recruit, arrange and retain workforce, and also to compensate for the lack of manpower.

Post Your Journey: Instagram as a Support Community for People With Fibromyalgia

2018 ◽  
Vol 29 (2) ◽  
pp. 237-247 ◽  
Author(s):  
Ashley A. Berard ◽  
André P. Smith
Keyword(s):  
Health Care ◽  
Social Capital ◽  
Social Media ◽  
Content Analysis ◽  
Chronic Illness ◽  
Health Care Systems ◽  
Virtual Community ◽  
Widespread Pain ◽  
Care Systems ◽  
Media Applications

Fibromyalgia is a chronic illness with primary symptoms of widespread pain and fatigue. Social media applications have become a recent resource allowing individuals with fibromyalgia to interact in a virtual community devoted to the illness. This study explores how such a community develops and maintains itself on Instagram and the ways it creates social capital for its users. Data are derived from Instagram posts and open-ended questionnaires completed by users living with fibromyalgia who use the application. Using content analysis and semiotic methodology, the study analyzes the diverse ways in which users shared their experiences with fibromyalgia, the management of its symptoms, and issues encountered in accessing health care systems. Instagram aids in the development of a community by facilitating intimate and supportive interactions about the illness and the creation of personalized day-to-day narratives accessible to all. Norms of trust, acceptance, and reciprocity characterize the diversity of interactions in this community.

Organ Donation After Brain Death After Long-Term Left Ventricular Mechanical Support

2008 ◽  
Vol 27 (7) ◽  
pp. 815-816 ◽  
Author(s):  
Michael S. Firstenberg ◽  
Louis B. Louis ◽  
Chittoor B. Sai-Sudhakar ◽  
Benjamin C. Sun
Keyword(s):  
Brain Death ◽  
Organ Donation ◽  
Left Ventricular ◽  
Mechanical Support ◽  
Donation After Brain Death

Brain Death and Organ Donation

2018 ◽  
Author(s):  
Thomas I. Cochrane
Keyword(s):  
Brain Death ◽  
Organ Donation ◽  
Cardiac Death ◽  
Donation After Cardiac Death ◽  
Donation After Brain Death ◽  
Brain Death Determination ◽  
Brain Dead ◽  
American Academy Of Neurology ◽  
Death Determination

Brain death is the state of irreversible loss of the clinical functions of the brain. A patient must meet strict criteria to be declared brain dead. They must have suffered a known and demonstrably irreversible brain injury and must not have a condition that could render neurologic testing unreliable. If the patient meets these criteria, a formal brain death examination can be performed. The three findings in brain death are coma or unresponsiveness, absence of brainstem reflexes, and apnea. Brain death is closely tied to organ donation, because brain-dead patients represent approximately 90% of deceased donors and thus a large majority of donated organs. This review details a definition and overview of brain death, determination of brain death, and controversy over brain death, as well as the types of organ donation (living donation versus deceased donation), donation after brain death, and donation after cardiac death. A figure presents a comparison of organ donation after brain death and after cardiac death, and a table lists the American Academy of Neurology Criteria for Determination of Brain Death. This review contains 1 highly rendered figure, 3 table, and 20 references.

The making and sustaining of leaders in health care

2019 ◽  
Vol 33 (2) ◽  
pp. 241-262 ◽  
Author(s):  
Terry J. Boyle ◽  
Kieran Mervyn
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care Services ◽  
Health Care Systems ◽  
Structured Interviews ◽  
Healthcare Provision ◽  
Triple Aim ◽  
Content Type ◽  
Care Services ◽  
Care Systems

Purpose Many nations are focussing on health care’s Triple Aim (quality, overall community health and reduced cost) with only moderate success. Traditional leadership learning programmes have been based on a taught curriculum, but the purpose of this paper is to demonstrate more modern approaches through procedures and tools. Design/methodology/approach This study evolved from grounded and activity theory foundations (using semi-structured interviews with ten senior healthcare executives and qualitative analysis) which describe obstructions to progress. The study began with the premise that quality and affordable health care are dependent upon collaborative innovation. The growth of new leaders goes from skills to procedures and tools, and from training to development. Findings This paper makes “frugal innovation” recommendations which while not costly in a financial sense, do have practical and social implications relating to the Triple Aim. The research also revealed largely externally driven health care systems under duress suffering from leadership shortages. Research limitations/implications The study centred primarily on one Canadian community health care services’ organisation. Since healthcare provision is place-based (contextual), the findings may not be universally applicable, maybe not even to an adjacent community. Practical implications The paper dismisses outdated views of the synonymity of leadership and management, while encouraging clinicians to assume leadership roles. Originality/value This paper demonstrates how health care leadership can be developed and sustained.

Factors that affect consent rate for organ donation after brain death: A 12-year registry

2020 ◽  
Vol 416 ◽  
pp. 117036 ◽  
Author(s):  
Mohammed F. Kananeh ◽  
Paul D. Brady ◽  
Chandan B. Mehta ◽  
Lisa P. Louchart ◽  
Mohammed F. Rehman ◽  
...  
Keyword(s):  
Brain Death ◽  
Organ Donation ◽  
Consent Rate ◽  
Donation After Brain Death
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