Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/46912
Type: Thesis
Title: A grounded theory study of the issues and challenges that impact on transplant coordinators and their practice.
Author: Kelly, Mary Johanna.
Issue Date: 2008
School/Discipline: School of Population Health and Clinical Practice : Nursing
Abstract: The purpose of this study is to identify and explore issues and challenges that impact on transplant coordinators and their practice. Such identification enhances understanding of their role, provides evidence for decision-makers to facilitate the positive aspects of the coordinators' practice, highlights their professional needs and contributions and provides baseline data for future research, education and policy development. The study used both qualitative and quantitative data. Data collection methods involved focus group interviews and Delphi surveys. Participants were coordinators who were employed on a full-time, part-time or relieving basis. Recruitment of participants was done by purposive and snowball sampling. There were 112 coordinators in the study and each was randomly assigned to the focus groups or Delphi survey phases of the research. The analysis of the focus group data together with the literature, informed the development of the first Delphi survey. The second Delphi survey was developed using the data from the focus groups, literature and the first survey. Four categories emerged from the data. The first involved 'knowledge and experience', which explored the education needs of coordinators and the issue of nursing qualification requirements. The work environment, demands and conditions, together with role attributes were discussed in the next category - 'the role'. Recipient, donor family and transplant coordinator outcomes were addressed in the 'outcomes’ category. The basic social process – building relationships - explored the relationships that coordinators have with the health team and their client groups. Four types of relationships emerged which were supportive, non-supportive, aggressive and virtual relationships. The emergent theory of the challenges that transplant coordinators face relates to the building of relationships. The theory also discovers how knowledge and experience, the role and outcomes impact on the building of these relationships in an interdependent manner. This study also emphasises that the transplant coordinators' role is complex, demanding and distinctly unique in terms of the context within which coordinators practice.
Advisor: McCutcheon, Helen
FitzGerald, Mary
Dissertation Note: Thesis (Ph.D.) -- University of Adelaide, School of Population Health and Clinical Practice, 2008
Keywords: transplant coordinator; donor coordinator; organ donor coordinator; recipient coordinator; solid organ donation; transplantation
Provenance: Copyright material removed from digital thesis. See print copy in University of Adelaide Library for full text.
Appears in Collections:Research Theses

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01front.pdf1.32 MBAdobe PDFView/Open
02chapters1-3.pdf2.96 MBAdobe PDFView/Open
03chapter4.pdf1.52 MBAdobe PDFView/Open
04chapter5.pdf2.89 MBAdobe PDFView/Open
05chapter6.pdf1.73 MBAdobe PDFView/Open
06chapter7.pdf3.37 MBAdobe PDFView/Open
07chapter8.pdf2.17 MBAdobe PDFView/Open
08ref-append.pdf4 MBAdobe PDFView/Open


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