加護病房護理人員所面臨的困境：以全人關懷照護器官移植者為例

Background: Nowadays, critical care nurses (CCNs) are challenged by providing holistic care for the organ transplant donors, recipients, and their families. The feelings of frustration, powerlessness, loss, and mal-adaptation are often heart.Purpose: This project attempted to explore CCNs' perceptions of the holistic care dilemma related to organ transplant (OT) clients and their families.Method: A qualitative exploratory study was employed. A purposive sample of CCNs with experiences of OT was obtained from a leading medical center in Central Taiwan. With a semi-structured interview guide, data were collected by in-depth face-to-face interviews, and analyzed by qualitative content analysis mode.Results: A total of 30 CCNs (29 females, 1 male) participated in this project. Seven types of caring difficulties were reported: (a) threat of transplant failure in difficult patients; (b) work overload; (c) insufficient collaboration of health team members due to lack of consensus and mutually respectful communication; (d) inadequate working space and worries about medical disputes; (e) stress of compassion with clients' suffering; (f) lack of adequate mental support; and (g) lack of professional caring competence.Conclusions: All OT health professionals are suggested to undergo systematic and comprehensive training programs. Additionally, establishing consulting system for OT nurses' adaptation, and effective communication among health team would also be needed in providing better holistic care for OT clients.