Predictors of family communication of one’s organ donation intention in Switzerland

Generally, the Swiss hold favourable attitudes to organ donation, but only few carry a donor card. If no card is found on a potential donor, families have to be approached about donation. The aim of this paper is to model the role that some family communication factors play in the family decision to consent or not to organ donation by a brain dead relative. Information was gathered in face-to-face interviews, using a questionnaire and recording open answers and comments. Eight heads of intensive care units (ICU) of Swiss hospitals and one representative from <em>Swisstransplant</em> were interviewed. Questions asked respondents to estimate the prevalence and effect of communication factors in families facing a decision to consent to donation. Answers were averaged for modelling purposes. Modelling also relies on a previous representative population survey for cross-validation. The family of the deceased person is almost always approached about donation. Physicians perceive that prior thinking and favourable predisposition to donation are correlated and that the relatives’ predisposition is the most important factor for the consent to donation, up to the point that a negative predisposition may override an acknowledged wish of the deceased to donate. Donor cards may trigger family communication and ease the physicians’ approach to family about donation. Campaigns should encourage donate-willing people to talk to their families about it, make people think about organ donation and try to change unfavourable predispositions.

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Organ donation intention: The influence of attitude, altruism and spiritual belief in Malaysia

Indian Journal of Public Health Research & Development ◽

10.5958/0976-5506.2018.01636.4 ◽

2018 ◽

Vol 9 (11) ◽

pp. 1307 ◽

Cited By ~ 1

Author(s):

Noor'ain Mohamad Yunus ◽

Dilla Syadia Ab Latiff ◽

SyukrinaAlini Mat Ali ◽

Noor Azzah Said ◽

Sri Fatiany Abdul Kader Jailani

Keyword(s):

Organ Donation ◽

Spiritual Belief ◽

Donation Intention

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The influence of beliefs on organ donation intention

International Journal of Pharmaceutical and Healthcare Marketing ◽

10.1108/ijphm-08-2016-0040 ◽

2017 ◽

Vol 11 (3) ◽

pp. 291-308 ◽

Cited By ~ 5

Author(s):

Jandir Pauli ◽

Kenny Basso ◽

Juliane Ruffatto

Keyword(s):

Organ Donation ◽

Financial Incentive ◽

Organ Transplant ◽

Social Solidarity ◽

Content Type ◽

The Social ◽

Different Types ◽

Technological Developments ◽

Donation Intention

Purpose Recent technological developments in healthcare have enabled an increased number of organ transplantation surgeries. At the same time, there is an increase in the number of people awaiting organ transplant, coupled with the difficulty in donation. To bridge this gap, this study aims to propose to evaluate the effect of three types of beliefs (clinical beliefs, financial incentive beliefs and beliefs on the social benefits of altruism and solidarity) on the intention to donate organs. Moreover, this paper uses the attitudes in relation to donation to explain the effect of these beliefs on the intention to donate organs. Design/methodology/approach The research was conducted using a survey of 422 Brazilian participants and a mediation analysis to test the mediation hypotheses. Findings The results suggest that the effect of three types of beliefs (clinical, economic order and social solidarity) influence the intention to donate organs indirectly through the formation of attitudes concerning organ donation. Research limitations/implications This article contributes to the understanding of the formation of organ donation intentions and the role of different types of beliefs in the formation of such intentions. Originality/value The findings extend the discussions regarding the role of beliefs in the formation of attitudes and intentions of organ donation and have significant value in creating public policies that further promote organ donation.

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Communication about Organ Donation Intentions: Formative Research for a Social Marketing Program Targeting Families

Social Marketing Quarterly ◽

10.1080/15245000902894040 ◽

2009 ◽

Vol 15 (2) ◽

pp. 63-73 ◽

Cited By ~ 5

Author(s):

Sandra C. Jones ◽

Samantha L. Reis ◽

Kelly L. Andrews

Keyword(s):

University Students ◽

Organ Donation ◽

Social Marketing ◽

Family Communication ◽

Strong Influence ◽

Family Members ◽

Matched Pairs ◽

Attitudes And Beliefs ◽

Undergraduate University Students ◽

The Individual

With the introduction of the Australian Organ Donation Register, responsibility regarding organ donation decisions primarily rests with the individual. However, family members can be instrumental in facilitating or hindering the rate of organ donation by objecting to or confirming the individual's wishes. Attitudes and beliefs of family members have been shown to be a strong influence on people's intentions to donate. Numerous studies have also demonstrated that family communication about organ donation can improve the rate of organ donation. We surveyed 23 matched pairs of undergraduate university students and their parents and found that attitudes to organ donation were positive and that there was a tendency for these dyads to give concordant responses regarding attitudes, level of family communication, and intent to donate. These findings have implications for improving Australia's organ donation rate, and recommendations for messages promoting organ donation are discussed.

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Do cognitive-affective and family communication variables impact individual decisions to discuss organ donation wishes?

10.31234/osf.io/snqm7 ◽

2021 ◽

Author(s):

Melissa K. Hyde ◽

Barbara Masser ◽

Laura Grace ◽

Tyneal Barton

Keyword(s):

Organ Donation ◽

Family Communication ◽

Self Efficacy ◽

Structural Equation ◽

Subjective Norm ◽

Medical Mistrust ◽

Bodily Integrity ◽

Positive Attitudes ◽

Affective Variables ◽

The Impact

Family discussion of donation wishes is a critical driver of family authorisation of organ donation. However, few people discuss their wishes or feel certain of family member’s donation preferences. Empirically, individual determinants of discussing donation wishes with family have been examined using the theory of planned behaviour (TPB). The impact of cognitive-affective (e.g., disgust) and family (e.g., family communication) variables are less well studied, and not integrated together in decision-making frameworks. To address this gap, the role of family communication and ‘cognitive-affective’ variables, integrated within the TPB, were examined as predictors of intended and actual discussion of donation wishes with family. Participants (N=201) completed baseline measures of family communication, cognitive-affective (disgust, bodily integrity, medical mistrust, fear of not being dead, anxiety about discussing), and TPB (attitude, subjective norm, self-efficacy, intention) variables. Two-weeks later, participants (N=111) self-reported their discussion behaviour (n=42, 38% discussed). A revised structural equation model provided a good fit to these data. In this model, less anxiety about discussion and positive attitudes toward discussion predicted self-efficacy (R2=0.67). Positive attitudes, greater self-efficacy and perceived approval/support from important others (subjective norm) predicted discussion intentions (R2=0.70). Intention predicted discussion behaviour (R2=0.22). Cognitive-affective variables (except discussion anxiety) and family communication did not have a prominent role. Interventions which emphasise that family expect and approve of donation discussions, portray donation discussions as positively valued, and bolster self-efficacy are needed to increase discussion of organ donation wishes. Bolstering self-efficacy could be achieved by providing tangible strategies to assist individuals to reduce their anxiety about discussing their wishes, and encouraging positive attitudes towards discussion and its importance in family authorisation for donation.

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