Attitude Toward Deceased Organ Donation and Transplantation Among the Workers in the Surgical Services in a Hospital With a Transplant Program (original) (raw)
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What Is the Attitude of Hospital Transplant-related Personnel Toward Donation
Journal of Heart and Lung Transplantation, 2006
The attitude of health-care workers, especially in transplant-related services, is fundamental in the process of organ procurement. In this study we examine the attitude of workers in transplant-related services toward cadaveric organ donation and transplantation (ODT) in a third-level hospital in Spain. A random sample was stratified according to type of service and job category (n ϭ 309) among personnel in transplant-related services (organ procurement units, transplant units and follow-up units). Attitude toward cadaveric organ donation was evaluated using a validated psychosocial questionnaire. Seventy percent (n ϭ 215) of respondents were found to be in favor of donation, as opposed to 30% against or undecided (n ϭ 94). Regarding job category, attitude was most favorable among physicians (86%, n ϭ 99; p ϭ 0.000). With respect to type of service, attitude tended to be more negative in organ procurement units and more positive in the follow-up units of transplanted patients (41% vs 81%, p ϭ 0.013). Upon analysis of the psychosocial variables, significant results were found with respect to the following factors: (1) age (39 vs 42 years, p ϭ 0.007); (2) having discussed ODT with family members or with a partner (p ϭ 0.007); (3) understanding of the concept of brain death (p ϭ 0.001); (4) attitude toward carrying out an autopsy (p ϭ 0.001); and concern about the possibility of mutilation after organ extraction. Attitude toward cadaveric donation was lower than expected among personnel in transplant-related services, especially among ancillary personnel and workers in organ procurement units. J Heart Lung Transplant 2006;25:972-6.
Clinical Transplantation, 2006
Abstract: Introduction: A considerable number of professionals who work in a hospital could be against organ donation, which means that when the time comes, they could act as an obstacle to donation. The objective of this study was to analyze the attitude of hospital professionals toward organ donation and to determine the factors that influence this attitude in a Spanish center with a transplant program.Materials and methods: The study was carried out in a third-level Spanish hospital with a solid organ transplant program. A random sample was taken (n = 1262) and stratified by job category and type of service. Attitude was evaluated using a validated questionnaire. Contact was made in each service with the person responsible for each of the job categories in order to distribute the survey. The survey was completed anonymously and was self-administered. Student's t-test, the chi-squared test, and logistic regression analysis were applied in the statistical analysis.Results: The survey completion rate was 93% (n = 1168). Most respondents were in favor of donation [69% (n = 808)]. Of those who are not in favor, 29% (n = 105) provide fear of apparent death as the reason whilst most do not give a reason (negative assertion; 57%; n = 206). There are many factors related to this attitude toward donation, which are evident in the multivariate analysis: (i) job category, in which physicians are twice as likely to be in favor of donation than ancillary personnel (OR = 2.02); (ii) a respondent's knowledge of brain death (OR = 1.64); (iii) having discussed the matter of organ donation and transplantation within the family (OR = 1.89); (iv) a preference for other options apart from burial (OR = 3.66); (v) being in favor of the performance of autopsy if it were necessary (OR = 2.76); (vi) not being concerned about mutilation of the cadaver (OR = 2); and (vii) having a partner with a favorable attitude toward donation (OR = 2.2).Conclusions: Attitude toward cadaveric organ donation among personnel in a transplant hospital is similar to that described in the general public and is determined by many factors. The following factors are most noteworthy: (i) job category; (ii) knowledge of the concept of brain death; (iii) consideration of the matter of donation in the family; and (iv) fear of manipulation of the cadaver. In view of this attitude, which is similar to that of the general public, it is necessary to carry out promotion activities if we want to increase cadaveric donation rates.
Views of health care personnel on organ donation and transplantation: A literature review.
Texto & Contexto - Enfermagem, 2015
The purpose of this study was to review the empirical studies on health personnel’s views towards organ donation and transplantation. A scoping review was carried out in English, Portuguese and Spanish. The search was conducted in eight databases, and two search engines. Four groups of descriptors were used. The period covered was 1985 to 2013. Frequency and content analysis was performed. Two hundred forty-eight articles were selected, out of 316 identified. The literature is temporally and geographically clustered. Quantitative studies predominate. The studies prioritized the perspective of medical and nursing personnel over other actors, such as directors and organ donation coordinators. Health personnel’s attitudes toward deceased organ donation was the most examined topic. In conclusion, a growing quantitative literature analyzes the perspective of physicians and nurses with regard to deceased organ donation and transplantation.
Transplantation Proceedings, 2010
The persistent shortage of organs for transplantation could be minimized by increasing the number of potential donors. The opinion of the staff of a university hospital toward organ donation is of special interest because they are directly involved in solid organ transplantation. In 2007, we conducted a first voluntary survey concerning organ donation among the staff of the university hospital of Essen. A short information campaign and further opinion poll among staff as well as visitors was performed in 2009 to compare professional and public attitudes toward organ donation. The first poll comprised 242 questionnaires showing 55% of the hospital staff carrying organ donor cards, particularly more women (60%) than men (46%). After this survey, an additional 19% of the hospital staff imagined they might carrying an organ donor card in the future. In the second survey, we analyzed 151 questionnaires, showing 66% of staff members carrying an organ donor card, an incidence significantly greater than among visitors (48%). The need for information regarding organ donation was greater among visitors (35%). However, 21% of the hospital staff still also need education concerning organ donation. More education and increased transparency of transplantation practice are necessary for hospital staff to act successfully as initiators. Hospital staff with positive attitudes toward organ donation may have a positive impact on the attitudes of the general public toward organ donation.
Amaç: Bu çalışmada, bir üçüncü basamak sağlık kuruluşunda çalışan personelin organ nakli ve bağışıyla ilgili görüş ve tutumlarının belirlenmesi amaçlandı. Gereç ve Yöntem: Çalışan 519 sağlık personelinden ulaşılabilen ve formu eksiksiz dolduran 256'sına, görüşlerini ortaya çıkarma amacıyla, 5'i sosyodemografik özelliklere, 14'ü organ nakli ve bağışına ilişkin görüşlere, 6'sı hastanede açılacak olan nakil merkezi konusundaki görüşlere yönelik, kapalı ve açık uçlu sorulardan oluşan 27 soruluk anket formu uygulandı. Sonuçların istatistiksel analizi için student-t test, ki-kare testi kullanıldı. Gruplar arasındaki farklar Anova ve post hoc analiziyle belirlendi. Sonuçlar: Ankete yanıt veren 256 sağlık personelinin %20,7'si (n=53) doktor, %34,8'i (n=89) hemşire, %3,1'i (n=8) idari personel, %10,5'i (n=27) personel, %13,7'si (n=35) tekniker, %17,2'si (n=44) tıbbi sekreterdi. Organ/doku bağışı ve nakli konusundaki tutumlar ile eğitim düzeyleri arasındaki fark istatistiksel olarak anlamlıydı (p<0,05). Sağlık personelinin organ bağışlama durumları ile meslekler arasındaki fark istatistiksel olarak anlamlıydı (p<0,001). "Bir yakınınızın beyin ölümü halinde organlarının bağışlanması konusunda girişimde bulunur musunuz?'' sorusuna verdikleri yanıtlar incelendiğinde, %50,8'inin (n=130) evet, %49,2'sinin (n=126) hayır yanıtını verdikleri görüldü. Yüzde 6,3'ünün (n=8), organ bekleyen yakını olmasına rağmen yakınlarının beyin ölümü halinde organlarını bağışlamayacakları saptandı. Yorum: Nakledilecek organa gereksinimin arttığı günümüzde, sağlık çalışanları başta olmak üzere toplumun birçok kesiminin nakli gerçekleştirilen organlar hakkında tam ve doğru bilgi birikimine sahip olmadığı ve organ bağışında bulunma oranlarının yetersiz ABST RACT Objective: This study was planned to define opinions and attitudes of the staff working in a tertiary health institute for organ transplantation and donation. Materials and Methods: A questionnaire form including a total of 27 closed and open-ended questions was distributed to 256 of the 519 health care personnel staff who were reached and asked to fill the form completely. Results: Of the 256 health personnel who answered the questionnaire, 20.7% (n=53) were physicians, 34.8% (n=89) nurses, 3.1% (n=8) administrative personnel, 10.5% (n=27) personnel, 13.7% (n=35) technicians and 17.2% (n=44) medical secretaries. The attitudes on organ donation and transplantation improved with rising educational level (p<0,001). The attitudes with respect to organ donation were clearly positive and the educational levels were higher among the physicians and the nurses and both statistically different than those of the other personnel (p< 0.05). The difference between the organ donation status of different professions was also significant (p< 0.001). When examined, the answers given to the question, "Would you make an attempt for organ donation in case of brain death of one of your relatives?" resulted in: 50.8% (n=130) as 'yes' and 49.2% (n=126) as 'no'. Despite having relatives waiting for organs, %6.3 (n=8) of the participants were not willing to donate organs of their relatives in the case of brain death. Student-t and One-way Anova tests were used for the statistical analysis of the outcomes. The differences among the groups was determined by post hoc analysis. Conclusion: Despite the increasing need for organs to be transplanted today, health care staff do not have a complete and
A Study on the Awareness and Attitudes Towards Organ Donation in a Tertiary Care Hospital
International Journal For Multidisciplinary Research, 2023
Shortage of organs available for organ transplantation is a major problem worldwide. The organ donation rate for cadaver currently in India is 0.08 per million, while Spain tops the list with 35 per million, evidently the need for the transplants is higher than the availability. Majority of organ failure patients die while on the waiting list due to lack of timely availability of organs. Prerequisites for the success of transplantation program include awareness and positive attitudes of individuals in the society. This cross-sectional study was undertaken with the aim to access the awareness on organ donation as well as their attitudes and willingness towards becoming a donor is the future. Analyzing the level of awareness and their attitude towards organ donation can help organizations as well as the government to take corrective action in the form of educational programs to bridge the gap successfully. The data was collected via questionnaires; these 13 questions were divided into 3 sections, demographic section, awareness section and attitudes section. As per the data collected from 114 participants 58.8% participants were males and 41% were females while majority were above the age group of 45 years. Holding an undergraduate degree or being uneducated. While majority of the participants 75.6% are aware of the term organ donation and are also aware of organs that can and cannot be donated. A huge number of participants 92% are unaware of the procedure to register as a donor. The highest reason of refusal to be organ donors was found to be religious belief (43%) and family disapproval (33.3%). These reasons for refusal were observed in other studies as well. Thus, while majority of the participants are highly aware of the term "organ donation", their attitude and willingness towards becoming an organ donor is found to be negative.
Attitudes toward organ donation and transplantation
Social Science & Medicine, 1994
The main purpose of this study was to reach a deeper understanding of factors influencing the attitudes toward organ donation and other procedures with the dead body. From a survey of 400 inhabitants of Uppsala, a city in the middle of Sweden, concerning attitudes toward transplantation issues, 38 individuals with different attitudes toward donation of their own organs were selected for follow-up interviews. From the interviews, more than 600 statements concerning motives and reactions to medical procedures with the dead body were listed. These statements were summarized in 20 motive categories, in which 17 the nature of the motives were negative to organ donation and three promoting such a procedure. The categories were then analyzed and interpreted within a frame of reference of psychodynamic defense theory. In several cases it was possible to relate them to common death anxiety defenses. Six different motive complexes were extracted. These are called (1) illusion of lingering life; (2) protection of the value of the individual; (3) distrust, anxiety and alienation; (4) respecting the limits set by Nature or God; (5) altruism; and (6) rationality. Individuals not willing to donate their own organs were judged as either (a) reacting out of strenthened death anxiety defenses, or (b) as having a special outlook on life, where the idea of what is 'natural' was emphasized. The adverse reactions of the positive attitude group were seen as initial reactions perceived as derivations of common death anxiety defenses and weakened when confronted with altruistic and fact-stressing arguments. In the 'undecided group' of 14 persons, I1 arrived at a definite opinion. Seven decided for organ donation when their mistaken beliefs were corrected or when they took time to work through their initial uneasiness, while 4 persons actually were clearly negative. Three still remained uncertain. The stability of these attitudes seems to be high, often being experienced as a part of one's philiosophy of life.
Attitude Survey of Hospital Workers in the Surgical Services Toward Living Kidney Donation
Transplantation Proceedings, 2005
A living donor kidney is currently the most accepted kind of solid organ donation, given the low level of morbidity and mortality and the good results in the recipient. In Spain, its use is still scarce; even many health service workers are not in favor. Our objective was to analyze the attitudes toward living kidney donation in a surgical department. Materials and Methods. A random sample was stratified according to surgical services and job category in a tertiary hospital with an solid organ transplant program. Attitudes toward living kidney donation were evaluated using a questionnaire on donation and transplantation, which evaluated various psychosocial variables. Student's t test and the Chi square test were used. Results. Two hundred sixty-three respondents of mean age 40 Ϯ 10 years were analysed for attitudes toward living kidney donation. The level of acceptance was 87% (n ϭ 229) versus 13% undecided or against the procedure (n ϭ 34). No differences were observed according to job category. The variables that showed a relationship with the attitude were the partner's attitude toward donation (P ϭ .049); the possible need for an organ oneself (P ϭ .0001); and belief that medical errors occur (P ϭ .001). The attitude toward cadaveric organ donation was not reflective of that toward living kidney donation (P ϭ .241). Conclusions. A favorable attitude toward living kidney donation was high among hospital staff of the surgical department. Those for whom it was not favorable were influenced by personal factors such as partner's attitude and the possibility of needing a kidney in the future.