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Organ donation in principle and in practice: tensions and healthcare professionals’ troubled consciences
BioSocieties ( IF 1.615 ) Pub Date : 2021-01-16 , DOI: 10.1057/s41292-020-00219-z
Laura L. Machin , Jessie Cooper , Heather Dixon , Mark Wilkinson

The UK government and NHS Blood and Transplant have introduced a number of policies and organisational changes to the organ donation system following the 2008 recommendations of the Organ Donor Taskforce, which aim to increase the number of available donor organs and tackle transplant waiting lists. However, little is known about how these policy and organisational shifts influence how healthcare professionals experience delivering end-of-life care in the context of organ donation. In this paper, we examine ICU, Emergency Medicine, and Theatre staff’s experiences of organ donation in one NHS Trust following the 2008 changes. We focus upon their decision making when caring for patients at the end of life to highlight the tensions between health professionals' beliefs-in-principle about organ donation and their everyday moral and common sense practices when caring for patients at the end of life. We explore how we might understand and interpret this ‘troubling’ of organ donation through applying the concept of ‘conscience’, and consider whether a conscientious objection around organ donation could exist.



中文翻译:

原则上和实践中的器官捐赠:紧张关系和医疗保健专业人员的良心不安

英国政府和NHS Blood and Transplant已根据器官捐献者特别工作组2008年的建议,对器官捐献系统引入了许多政策和组织变更,其目的是增加可用的捐献器官数量并解决移植等待名单。但是,对于这些政策和组织转变如何影响医护人员在器官捐赠的背景下提供生命终结护理的方式知之甚少。在本文中,我们研究了2008年变更后ICU,急诊医学和剧院工作人员在一个NHS信托中捐赠器官的经验。在关注生命终结患者时,我们将重点放在他们的决策上,以突出医疗专业人员之间的紧张关系。生命后期关怀患者时,有关器官捐赠及其日常道德和常识性做法的原则信仰。我们探索如何通过应用“良心”的概念来理解和解释这种器官捐赠的“麻烦”,并考虑是否可能存在围绕器官捐赠的出于良心拒服兵役。

更新日期:2021-01-18
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