Improving organ donation rates by modifying the family approach process

2014 ◽  
Vol 76 (6) ◽  
pp. 1473-1475 ◽  
Author(s):  
Aileen Ebadat ◽  
Carlos V.R. Brown ◽  
Sadia Ali ◽  
Tim Guitierrez ◽  
Eric Elliot ◽  
...  
Keyword(s):  
Organ Donation ◽  
Family Approach ◽  
The Family

The Timing Factor in the Consent Process

1996 ◽  
Vol 6 (2) ◽  
pp. 84-87 ◽  
Author(s):  
Patricia A Niles ◽  
Burton J Mattice
Keyword(s):  
Organ Donation ◽  
Medical Profession ◽  
Organ Procurement ◽  
Organ Donor ◽  
Apparent Difference ◽  
Next Of Kin ◽  
Consent Rate ◽  
Family Approach ◽  
The Family ◽  
Organ Procurement Organizations

Organ procurement organizations have been educating the medical profession on the importance of timing during the donation request process. Separating the request for donation from the notification of death has been encouraged when approaching families for consent for organ donation. This study evaluated the timing of the family approach and consent rates. A 23-month study was performed on all organ donor referrals in a 1.1 million population base. During the study period there were 203 referrals: 67 were medically unsuitable, next-of-kin was not available in 2 cases, 7 were coroner refusals, and 127 were suitable for donation. In this latter group, families were offered the option of organ donation. No apparent difference when donation was requested before or after the death pronouncement was found. Data indicated, however, that when the family is told of the death and is asked for donation simultaneously, the consent rate decreases 32% to 37%.

scholarly journals The Rule of Threes: three factors that triple the likelihood of families overriding first person consent for organ donation in the UK

2017 ◽  
Vol 19 (2) ◽  
pp. 101-106 ◽  
Author(s):  
James Morgan ◽  
Cathy Hopkinson ◽  
Cara Hudson ◽  
Paul Murphy ◽  
Dale Gardiner ◽  
...  
Keyword(s):  
Organ Donation ◽  
Odds Ratio ◽  
The Body ◽  
Multivariable Logistic Regression Analysis ◽  
Specialist Nurse ◽  
Factors Associated ◽  
Family Approach ◽  
The Family ◽  
The Uk ◽  
Circulatory Death

Between 1 April 2012 and 31 March 2015, 263 of the 2244 families in the UK whose loved ones had registered to donate organs for transplantation after their death on the NHS Organ Donor Register chose to override this decision; an override rate of 11.7%. Multivariable logistic regression analysis was applied to data relating to various aspects of the family approach in order to identify factors associated with such overrides. The factors associated with family overrides were failure to involve the Specialist Nurse for Organ Donation in the family approach (odds ratio 3.0), donation after circulatory death (odds ratio 2.7) and Black, Asian or Minority Ethnicity (odds ratio 2.7). This highlights the need to further engage with these groups in exploring donation as an end of life choice, and suggests that there may be, from the perspective of the family, fundamental differences between donation after brainstem death and circulatory death. It further adds to the body of data linking involvement of the Specialist Nurse for Organ Donation in the family approach to improved UK consent rates.

scholarly journals Abordagem familiar para a doação de órgãos: percepção dos enfermeiros

2019 ◽  
Vol 13 (5) ◽  
pp. 1253
Author(s):  
Antonielle Moreira Costa ◽  
Camila Marcondes ◽  
Janaína Pessôa ◽  
Rosita Maria Do Couto
Keyword(s):  
Organ Donation ◽  
Exploratory Study ◽  
Education For All ◽  
Human Beings ◽  
Family Approach ◽  
Financial Investments ◽  
The Family ◽  
Nursing Team ◽  
The Subject ◽  
Health Institutions

RESUMOObjetivos: identificar a percepção de enfermeiros sobre a abordagem familiar para a doação de órgãos. Método: trata-se de um estudo qualitativo, explicativo e exploratório, com seis enfermeiros de duas instituições de saúde realizado por meio de entrevista aberta e discutida pela Análise de Conteúdo. Resultados: demonstrou-se que a falta de conhecimento relacionada ao processo de doação de órgãos, principalmente sobre a morte encefálica, é a maior dificuldade encontrada pela equipe de Enfermagem. Conclusão: conclui-se que o enfermeiro atuante na abordagem familiar deve aperfeiçoar-se constantemente, bem como as instituições de saúde devem investir em educação continuada e permanente para todos os colaboradores, além de investimentos financeiros para a maior divulgação sobre a temática. Descritores: Abordagem Familiar; Doação de Órgãos; Enfermagem; Família; Seres Humanos; Transplantes.ABSTRACT Objectives: to identify the nurses' perception about the family approach to organ donation. Method: this is a qualitative, explanatory and exploratory study with six nurses from two health institutions conducted through an open interview and discussed by Content Analysis. Results: it was demonstrated that the lack of knowledge related to the process of organ donation, mainly on brain death, is the greatest difficulty found by the Nursing team. Conclusion: it is concluded that the nurses working in the family approach must constantly improve, as well as health institutions should invest in continuous and permanent education for all employees, as well as financial investments for greater dissemination on the subject. Descriptors: Family Approach; Organ donation; Nursing; Family; Human beings; Transplants.RESUMEN Objetivos:  identificar la percepción de enfermeros sobre el enfoque familiar para la donación de órganos. Método: se trata de un estudio cualitativo, explicativo y exploratorio, con seis enfermeros de dos instituciones de salud realizado por medio de una entrevista abierta y discutida por el Análisis de Contenido. Resultados: se demostró que la falta de conocimiento relacionada con el proceso de donación de órganos, principalmente sobre la muerte encefálica, es la mayor dificultad encontrada por el equipo de Enfermería. Conclusión: se concluye que el enfermero actuante en el enfoque familiar debe perfeccionarse constantemente, así como las instituciones de salud deben invertir en educación continua y permanente para todos los colaboradores, además de inversiones financieras para la mayor divulgación sobre la temática. Descriptores: Enfoque familiar; Donación de Órganos; Enfermería; Familia; Seres Humanos; Trasplants.

The Family Approach and Levels of Intervention

1968 ◽  
Vol 22 (1) ◽  
pp. 5-14 ◽  
Author(s):  
Nathan W. Ackerman ◽  
Marjorie L. Behrens
Keyword(s):  
Family Approach ◽  
The Family

Family perspectives on organ and tissue donation for transplantation: A principlist analysis

2017 ◽  
Vol 25 (8) ◽  
pp. 1041-1050
Author(s):  
Marcelo José dos Santos ◽  
Lydia Feito
Keyword(s):  
Organ Donation ◽  
Organ Procurement ◽  
Sao Paulo ◽  
Tissue Donation ◽  
São Paulo ◽  
Ethical Considerations ◽  
Donation Process ◽  
The Family ◽  
Organ Procurement Organizations ◽  
Family Interview

Background: The family interview context is permeated by numerous ethical issues which may generate conflicts and impact on organ donation process. Objective: This study aims to analyze the family interview process with a focus on principlist bioethics. Method: This exploratory, descriptive study uses a qualitative approach. The speeches were collected using the following prompt: “Talk about the family interview for the donation of organs and tissues for transplantation, from the preparation for the interview to the decision of the family to donate or not.” For the treatment of qualitative data, we chose the method of content analysis and categorical thematic analysis. Participants: The study involved 18 nurses who worked in three municipal organ procurement organizations in São Paulo, Brazil, and who conducted family interviews for organ donation. Ethical considerations: The data were collected after approval of the study by the Research Ethics Committee of the School of Nursing of the University of São Paulo. Results: The results were classified into four categories and three subcategories. The categories are the principles adopted by principlist bioethics. Discussion: The principles of autonomy, beneficence, non-maleficence, and justice permeate the family interview and reveal their importance in the organs and tissues donation process for transplantation. Conclusion: The analysis of family interviews for the donation of organs and tissues for transplantation with a focus on principlist bioethics indicates that the process involves many ethical considerations. The elucidation of these aspects contributes to the discussion, training, and improvement of professionals, whether nurses or not, who work in organ procurement organizations and can improve the curriculum of existing training programs for transplant coordinators who pursue ethics in donation and transplantation as their foundation.

The family approach to eating disorders

1990 ◽  
Vol 10 (6) ◽  
pp. 760-761
Author(s):  
Susan B. Hhead ◽  
Donald A. Willamson
Keyword(s):  
Eating Disorders ◽  
Family Approach ◽  
The Family

scholarly journals Stigma and Discrimination on People Living with HIV (PLHIV): a Systematic Review

2021 ◽  
Author(s):  
Khotibul Umam ◽  
Moses Glorino Rumambo Pandin
Keyword(s):  
Systematic Review ◽  
Well Being ◽  
People Living With Hiv ◽  
Medical Subject Headings ◽  
Cross Sectional ◽  
Stigma And Discrimination ◽  
Family Approach ◽  
Research Bias ◽  
The Family

ABSTRACTIntroduction:Human Immunodeficiency Virus (HIV) is a global health problem that is almost recorded in every country. The long-term and long-term negative impacts of HIV cases are stigma and discrimination in people with HIV (PLHIV). The purpose of this study is to find out the stigma and discrimination felt by PLHIV.Method:This study design of systematic review from 4 electronic databases namely Scopus ScienceDirect, Sage and ProQuest by using keywords tailored to Medical Subject Headings (MeSH) including "Stress", "covid", "nursing", "hospital". This study uses PICOS framework to prevent research bias and analysed using descriptive analysis.Results:The results of the analysis of the article showed from 761 articles have been identified title, abstract and full-text so that recorded 15 articles that can be reviewed. The article consists of various designs, namely RCT, cross sectional and qualitative studies. Analysis shows that stigma and discrimination are social phenomena that manifest in several social areas.Conclusion:Stigma and discrimination in people with HIV (PLHIV) is still common, stigma is carried out by the wider community to their own families. The family approach is necessary to improve well-being as well as improve the social community of the family.

The ‘opt-out’ approach to deceased organ donation in England: A misconceived policy which may precipitate moral harm

2019 ◽  
Vol 14 (2) ◽  
pp. 63-69
Author(s):  
Tobias K Cantrell
Keyword(s):  
Organ Donation ◽  
Public Awareness ◽  
Recent Attempt ◽  
Individual Autonomy ◽  
Presumed Consent ◽  
Opt Out ◽  
The Family ◽  
Deceased Organ Donation ◽  
Tissue Act ◽  
Human Tissue Act

In an effort to solve the shortage of transplantable organs, there have been several proposals to introduce an opt-out approach to deceased organ donation in England (also termed ‘deemed’, or ‘presumed’ consent). In seeking to enact the so-called ‘opt-out proposal’ via an amendment to the Human Tissue Act 2004, The Organ Donation (Deemed Consent) Bill 2017–19 represents the most recent attempt at such legal reform. Despite popular calls to the contrary, I argue in this paper that it would be premature for England, or, indeed, any country, to adopt an opt-out approach at this time. Not only is the available evidence inconclusive on whether introduction of the opt-out proposal would increase the supply of transplantable organs (a common misconception), but there is also a chance that doing so might bring about an otherwise avoidable moral harm through an unjustified interference with individual autonomy. I maintain that the resources required to change the law to such effect would be better expended on alternative, provenly efficacious and less contentious mechanisms for increasing the supply of transplantable organs, such as: improving communication with the family of the deceased, developing infrastructure, raising public awareness and enhancing staff training, attitudes and understanding towards organ donation.

scholarly journals Prior family communication and consent to organ donation: using intensive care physicians’ perception to model decision processes

2012 ◽  
Vol 1 (2) ◽  
pp. 19 ◽  
Author(s):  
Peter J. Schulz ◽  
Ann Van Ackere ◽  
Uwe Hartung ◽  
Anke Dunkel
Keyword(s):  
Intensive Care ◽  
Organ Donation ◽  
Family Communication ◽  
Cross Validation ◽  
Decision Processes ◽  
Potential Donor ◽  
Face To Face ◽  
Relative Information ◽  
The Family ◽  
Brain Dead

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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