Using Informatic Education Strategy to Break Through the Dilemma of Teaching Transplantation in Medical Institutions – Multidisciplinary Medical Team Perspectives

TRANSPLANTATION(2018)

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摘要
Background In Taiwan, the present survival rate after transplant one year are over 80%. However, the organs/ tissues donors per year in Taiwan is too less to resulting in many patients died for no longer waiting. This phenomenon is true in Taiwan, Europe and U.S.A. In the recent five years, data from the "Taiwan Organ Regisry and Sharing Center" shew that although organs/ tissues fundraising had a slight increase, the number of donors does not exhibit responding growth trend. The challenges are identifying appropriate donor, and providing good quality of organ transplantation care among health team members. As such, how to apply informatic technology education for organ transplantation professionals has been suggested. Method This project attempts to apply face-to-face indepth interviews and qualitative content analysis in 4 general hospitals and 3 medical centers. Result Total of 8 interviews were conducted during this period ). The mainly basic information is as follows: 5 female(62.5%), aged 35-45 years with a total average age of 39.88±3.06, 6 married(75.0%). In education, 2 Doctor(25.0%), 3 Master (37.5%), 2 Bachelor(25.0%). In terms of religious belief, 3 Taoism(37.5%), 2 Christian(25.0%), 2 No religious belief (25.0%). In terms of positions, 3 Physisian(37.5%), 5 Nurse(62.5%) include supervisor, nurse practioner, coordinator for each 1, Nursing expert 2, Years of funding ranged from 5 to 30 years (16.8±5.63 years). Intervewees from muldiscipline medical team showed the status and dilemma of the team to perform organ fundraising / donation/ transplantation related work, with 6 core themes. In the relevant education and training situation, the convergence of the 4 core themes. Conclusion There are still many instructional websites in Europe, the United States, Canada and Asia. Most of the related themed courses are illustrated by videos or shared as practical examples, such as pathophysiology or anatomy related topics use the 3D video as an additional textbook to help learners more easily understand and grasp the course content; Advocacy and family support related topics, use the parties to elaborate or share their mentality to help learners witness and recognize in some situations, the actual thoughts, feelings and reactions of the patient/ family member. Overall, the pattern of open participation through a full informatic interactive curriculum was not seen on any websites that were visited. The results discover the current organ fundraising/ donation/ transplantation inadequate education courses, thus fully understand the multidiscipline medical staff’s idea and need of this related issue. It is advisable to follow this study and script theory to develop a theoretical construct to develop complete curriculum framework, and establish a complete fit-in professional and ethics' organ transplantation/ informatic technology learning programs, to increase the inter-disciplinary experience exchange.
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关键词
Transplantation,Organ Donation
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