院级器官获取组织协调员从业体验的质性研究

A qualitative study on employment experiences of coordinators of In-Hospital Organ Procurement Organization

目的了解院级器官获取组织(OPO)协调员从业体验。方法采用目的抽样法,于2020年7—12月对重庆市12名专职院级OPO协调员的从业体验进行半结构式深度访谈,运用Colaizzi分析法对访谈资料进行分析。结果院级OPO协调员的从业体验归纳为4个一级主题:职业认同历程、负性情感体验、专业实践能力获得提升、职业期许;12个二级主题:职业期待和身份困惑、职业价值感、缺乏被尊重和认可、工作强度大、心理压力大、易受家属悲伤情绪感染、提升了沟通能力、提升了问题解决能力、增强了团队协作能力、优化情景模拟培训、完善考核评价体系、明确职业发展路径。结论院级OPO协调员入职初期对职业认知不足,在感受职业价值感的同时也经历了负性情感体验,在实践中能力得以提升,对职业发展有较高期待。建议管理者可探索开设协调员学历教育,加强心理和社会支持,创造良好的职业环境,完善协调员培训、考核、晋升体系,以促进协调员职业发展。

Objective To explore the employment experiences of coordinators of In-Hospital Organ Procurement Organization(OPO).Methods Based on purpose sampling,12 full-time In-Hospital OPO coordinators in Chongqing City were recruited from July to December 2020.A semi-structured and in-depth interview was performed and the data was analyzed by Colaizzi.Results 4 first-level themes were extracted,including professional identity process,negative emotional experience,improvement of professional practice competence and job expectancy.12 second-level themes were identified including career expectations and identity confusion,professional values,shortage of respect and ratification,huge workloads,great psychological pressure,influence of the bereaved families,enhancement of the ability to communicate,improvement of problem-solving ability,improvement of team-work ability,optimization of scenario simulation,a perfection of the assessment system,a clear career path.Conclusions In-Hospital OPO coordinators are lack of professional awareness in an initial stage.While feeling a sense of professional value,they also experience some negative emotions.Furthermore,their competences are improved in practice and they,meanwhile,express a strong desire for career development.It is suggested that the administrators could explore establishment of academic education,enhancement of psychological and social support,creation of pretty working environments and improvement of training,assessment and promotion systems to facilitate the career development of coordinators.