Health Commun.  2021 Jun;16(1):25-33. 10.15715/kjhcom.2021.16.1.25.

Emergency Physicians’ Experience of Communication About Brain-Death Organ and Tissue Donation

Affiliations
  • 1Assistant Professor, Department of Emergency Medicine, College of Medicine, Dong-A University, Busan, South Korea
  • 2Assistant Professor, Department of Medical Education, College of Medicine, Dong-A University, Busan, South Korea
  • 3Professor, Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, South Korea
  • 4Assistant Professor, Department of Medical Education, Gachon University College of Medicine, Incheon, South Korea
  • 5Associate Professor, Department of Emergency Medicine Seoul National University Bundang Hospital, Seoul National University College of Medicine, South Korea
  • 6Assistant Professor, Department of Emergency Medicine, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu, South Korea
  • 7Associate Professor, Department of Emergency Medicine, Chonnam National University, Gwangju, South Korea
  • 8Associate Professor, Department of Emergency Medicine, Chungnam National University Hospital, Gwangju, South Korea
  • 9Associate Professor, Department of Medical Education, Yonsei University Wonju College of Medicine, South Korea
  • 10Associate Professor, Department of Emergency Medicine, Wonju Severance Christian Hospital, Wonju, South Korea

Abstract

Background
: Emergency physicians are increasingly participating in brain-death organ tissue donation (OTD).It is difficult communication to inform family members about suspected brain-death and potential donor.This study sought to explore the experiences and communication of emergency physicians in brain-death OTD.
Methods
: This is a qualitative study that interviewed 10 experienced emergency physicians with brain-death OTD and analyzed the data by thematic analysis method.
Results
: The study revealed 20 subthemes and 5 themes; 1) Families who are invited to donate organs make decisions after long periods of consideration by the entire family, 2) It is uncomfortable to recommend organ donation, 3) Explaining and obtaining consent is ‘the hardest job’ for the attending physician, 4) The way the attending physician does ‘the hardest job’ is by explaining, 5) Passively solicit donation.
Conclusion
: The experienced emergency physicians with brain-death OTD were using methods of communication to understand and sympathized with the family members and had abundant experiences. The findings of this study will help inexperienced emergency physicians with brain-death OTD.

Keyword

Brain Death; Tissue and Organ Procurement; Communication; Emergency Medicine
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