International Operating Room Nurses' Lived Experiences in Organ Procurement Surgery: A Phenomenological Study Sigma Theta Tau International’s 29th International Nursing Research Congress 22/07/2018 Weili Gao MN, Virginia Plummer PhD, Lisa McKenna PhD Outline  Introduce research background  Explain data collection and analysis process  Present and discuss data findings 2 Organ donation process 3 Research aim  Exploring the lived experiences of international operating room nurses from non-English speaking backgrounds in multi-organ procurement surgery in Australia 4 Research Methodology  Phenomenology - the study of essences of lived experience, to evocate people’s thoughtfulness of life and living, to understand the meaning of being human in everyday world (van Manen, 1984) 5 Participants – Inclusion criteria  came from non-English speaking background  obtained nursing training outside Australia  had more than 2 years OR experiences in Australia  had experience in at least one complete multi-organ procurement procedure (from beginning to the end) 6 Study settings and recruitment  Monash University Human Research and Ethics Committee (Ref: 2017-8590-10395)  All participants were recruited by snowball sampling  The international OR nurses worked at different large tertiary care hospital operating suites work in Australia context 7 Van Manen’s thematic data analysis (van Manen, 2014) 1 2 • Lived experience description • Anecdote 3 • Thematisation 4 • Phenomenological reflective writing 8 Methodological reliability and validity  Identified my preunderstanding of the phenomenon  Kept reflective journals and personal log  Adhered with van Manen’s methodological approach  Reviewed interview data and emerging themes independently and then with supervisors 9 Participants demographic data 6 Philippines, 5 5 4 China, 4 3 India, 2 2 0 Malaysia,1 Indonesia, 1 Nigeria, 1 Ghana, 1 1 China Ghana South Korea, 2 India Indonesia Malaysia 10 Nigeria Russia, 1 Philippine Russia South Korea Theme 1: The surreal experience of death  My tragic pain of experiencing death  Unaccustomed with lifeless human body 11 Theme 2: Professional and personal challenges  I was lost for words  Different beliefs and practices  A loss of control 12 Theme 3: Becoming stronger  This is my way of coping  There is a special spiritual and emotional rewarding 13 Theme 4: This is my beliefs, my wishes  My beliefs  My wishes 14 Conclusion  Providing insight into international OR nurses’ experiences and feelings  Discussing the challenges that influence their attitudes toward organ procurement  Exploring international OR nurses’ own way of support and self-coping strategies  Discovering education and support needs 15 References  Gao, W., Plummer, V., & Williams, A. (2017). Perioperative nurses' attitudes towards organ procurement: a systematic review. Journal of Clinical Nursing, 26(3-4), 302-319. doi: 10.1111/jocn.13386.  Manen, M. v. (1997). From Meaning to Method. Qualitative Health Research, 7(3), 345-369. doi: 10.1177/104973239700700303  National Health and Medical Research Council. (2007, May 2015). National statement on ethical conduct in human research Retrieved from https://www.nhmrc.gov.au/printpdf/book/export/html/51613  Schneider, Z., Whitehead, D., LoBiondo-Wood, G., & Haber, J. (2013). Nursing and Midwifery Research: Methods and appraisal for evidence-based practice (4th ed.). Chatswood: Elsevier.  Taylor, R. (2014). The essentials of nursing and healthcare research: London : SAGE.  van Manen, M. (1984). "Doing" Phenomenological Research and Writing: An Introduction. (n.p.): Department of Secondary Education, University of Alberta.  van Manen, M. (1997). Researching lived experience: Human science for an action sensitive pedagogy (2nd ed.). Ontario: The Althouse Press. 16 17