Organ Donation Workshop – a Survey on Nurses’ Knowledge and Attitudes toward Organ and Tissue Donation in Iran

2009 ◽  
Vol 32 (10) ◽  
pp. 739-744 ◽  
Author(s):  
Hamid Reza Aghayaw ◽  
Babak Arjmand ◽  
Seyed Hassan Emami-Razavi ◽  
Ali Jafarian ◽  
Ali Reza Shabanzadeh ◽  
...  
1996 ◽  
Vol 6 (1) ◽  
pp. 32-36 ◽  
Author(s):  
Mark T Gravel ◽  
Penelope Szeman

Although transplantation centers directly benefit from organ and tissue donation, they continue to yield low organ and tissue referral and donation rates. Our medical center and organ procurement organization developed a model to increase referral and donation rates. This model, called the Transplant Center Development Model, facilitates the donation process, specializes staff education, and promotes administrative involvement. After it was was implemented at our medical center in 1991, the referral and donation rates from 1988 to 1990 were compared with those from 1991 to 1993. The results showed that after implementation of the model, the organ referral mean increased 47%; the organ donation mean, 50%; and the tissue donation mean, 117%. These findings suggest that this model may be a valuable tool in transplant center development.


2005 ◽  
Vol 15 (2) ◽  
pp. 124-128 ◽  
Author(s):  
Christian C. Essman ◽  
Daniel J. Lebovitz

Purpose Increasing healthcare professionals' knowledge about organ and tissue donation; the national mandates regarding referral compliance; and the effect on donors, donor families, and transplant recipients is a challenging task. Physicians not routinely involved in organ donation or transplantation are some of the most difficult professionals for organ procurement organizations to access. A course for medical students was developed to initiate the transfer of information, comfort, and familiarity with the organ and tissue donation process. Methods Discussions with a local medical school revealed that little organized education on organ and tissue donation existed. An elective course was developed consisting of 2-hour lectures, once a week for 6 weeks. Topics included an overview of tissue and organ donation, history and significance of the current crisis, determination of brain death and its role in organ donation, tissue donation, pretransplant and posttransplant processes, ethical issues, and the donor family and recipient experience. Results A thorough course proposal was presented to the medical school's Chairman of Surgery and Chairman of Transplantation. The proposal was approved for first- and second-year medical students. Conclusion Offering medical students a unique and comprehensive course may attract curious students who could become future champions for donation. This type of educational approach may significantly influence future interactions between physicians and organ procurement organizations. If more organ procurement organizations implement this type of program, the medical students' knowledge of donation will not only affect and benefit the local organ procurement organization's service area but other procurement organizations throughout the country as well.


2013 ◽  
Vol 20 (3) ◽  
pp. 93
Author(s):  
Flaviana de Souza Marques ◽  
Maria das Dores Perpétua Barbosa ◽  
Ivete Maria Ribeiro

Trata-se de uma pesquisa documental, de abordagem qualitativa e quantitativa. Ela objetivou conhecer os motivos que levam o familiar a não autorizar a doação de órgãos. Esses registros foram feitos por uma equipe da Comissão Intra-Hospitalar de Doação de Órgãos e Tecidos para Transplantes de um hospital do sul de Santa Catarina. A coleta de dados foi realizada mediante um formulário com questões abertas e fechadas e registradas no próprio instrumento. Os sujeitos deste estudo foram os não doadores registrados nos formulários de notificação de potencial doador com coração parado e de morte encefálica, que fazem parte dos registros desta comissão. Os formulários analisados compreendem os anos de janeiro de 2011 até abril de 2013. De acordo com os registros da Comissão, a recusa familiar atingiu 135 casos, além de 21 casos específicos de que o paciente em vida não desejava ser doador. Portanto, a notificação incompleta impediu a classificação da recusa familiar neste estudo. Conhecer os fatores que dificultam a doação de órgãos poderá contribuir na dinâmica da equipe, uma vez que esta poderá atuar de maneira mais efetiva diante das negativas, elevando, desta forma, os índices de transplantes e melhorando a qua-lidade de vida dos indivíduos que estão à espera de um doador.Palavras-chave: Transplante de tecido. Transplante de órgãos. Triagem de doadores. Doadores não re-lacionados. ORGAN AND TISSUE DONATION FOR TRANSPLANTATION:reasons for non-authorizationAbstract: This is a documentary research, of a qualitative and quantitative approach. It aimed to identifythe reasons that lead family members not to allow organ donation. These records were made by an Intra-Hospital Commission on Organ and Tissue Donation for Transplantation team of a hospital in the south of Santa Catarina. The data collection was conducted using a form with open and closed questions and registered on the instrument itself. The subjects of this study were the non-donors registered in the notification forms of potential donor with cardiac arrest and brain death, which are part of the records of this committee. The forms analysed comprise the years from January 2011 to April 2013. According to the records of the Commission, refusal family reached 135 cases, and 21 specific cases that the patient in life didn’t want to be a donor. Therefore, underreporting prevented the classification of family refusal in this study. Knowing the factors that hinder organ donation can contribute to team dynamics, since it can act more effectively in the face of negatives, increasing, thus, the rates of transplantation and improving the quality of life of individuals who are waiting for a donor.Keywords: Tissue transplantation. Organ transplantation. Donor selection. Unrelated donors. DONACIÓN DE ÓRGANOS Y TEJIDOS PARA TRANSPLANTES:motivos de no autorizacionesResumen: Tratase de una investigación documental, de abordaje cualitativo y cuantitativo. Esta tiene como objetivo conocer los motivos que llevan al familiar a no autorizar la donación de órganos. Estos registrosfueron hechos por un equipo de la Comisión Intrahospitalaria de Donaciones de Órganos y Tejidos para Trasplantes de un hospital del sur de Santa Catarina. La colecta de datos fue realizada mediante preguntasabiertas, cerradas y registradas en el propio instrumento. Los sujetos de este estudio fueron los no donantes registrados en los formularios de notificación de donante potencial con corazón parado y de muerte encefálica, que hacen parte de los registros de esta comisión. Los formularios analizados comprendenlos años de enero de 2011 hasta abril de 2013. De acuerdo con los registros de la Comisión, la negativa familiar alcanzó el número de 135 casos, además de 21 casos específicos en los que el paciente en vida no deseaba ser donante. Por lo tanto, la notificación incompleta impidió la clasificación de la negativa familiar en este estudio. Conocer los factores que dificultan la donación de órganos podrá contribuir en la dinámica del equipo, una vez que esta podrá actuar de manera más efectiva delante de las negativas, elevando, de esta forma, los índices de trasplantes y mejorando la calidad de vida de los individuos que están a la espera de un donante.Palabras clave: Trasplante Transplante de tejidos. Trasplante Transplante de órganos. Selección de donante. Donante no emparentado93


Religions ◽  
2021 ◽  
Vol 12 (10) ◽  
pp. 815
Author(s):  
Mohammad Abdus Sayek Khan

Diseased Organ and tissue donation and transplantation entails removing organ and tissues from someone (the donor) and transplanting them into another person (the recipient). Transplanting organs and tissues from one person hold the capacity to save or significantly improve the quality of life of multiple recipients. This is a rare opportunity for one to become an organ donor. In 2018, Australia had a population of 24.99 million. A total of 160,909 lives were lost that year; almost half of this death occurred in hospitals. However, a person may only be able to become a donor if their death occurs in a particular way and fulfils a defined set of special criteria—for example, while on the life support machine in an intensive care unit. Because of this, only 1211 people out of the large number of lives lost in 2018 were eligible to be potential organ donors. This is one of reasons we encourage everybody to consider the virtues of organ and tissue donation in any end-of-life discussion. Diseased organ donation occurs only when the clinician is certain that the person has died. The death is diagnosed by neurological criteria or by circulatory criteria which are discussed in detail in the article. This is an unconditional altruistic and non-commercial act. A large number of people are waiting on transplant list in Australia who are suffering from end stage organ failure; some of them will die waiting unless one receives an organ transplantation. Australians are known to be highly generous people. That is why 98% of Australian say ‘Yes’ to become an organ donor when they die. But in reality, only about 64% of families consent for organ donation on an average. There are widespread misconceptions and myths about this subject, mostly due to lack of information and knowledge. I have attempted to explain the steps of diseased organ donation in this article which, hopefully will be able to break some of those misconceptions. I have avoided to discuss living donation which is entirely a different subject. I have only touched on Islamic perspective of organ donation here as multiple Islamic scholars are going to shed lights here. We encourage everybody to ‘Discover’ the facts about organ and tissue donation, to make an informed ‘Decision’ and ‘Discuss’ this with the family. If the family knows the wishes of the loved one, it makes their decision-making process much easier during such a devastating and stressful time.


CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S109-S109
Author(s):  
L. J. Staple ◽  
J. MacIntyre ◽  
N. G. Murphy ◽  
S. Beed ◽  
C. LeBlanc

Introduction: Screening for organ and tissue donation is an essential skill for emergency physicians. In 2015, 4564 individuals were on a waiting list for organ transplant and 242 died while waiting. As Canadas donation rates are less than half that of other comparable countries, it is crucial to ensure we are identifying all potential donors. Patients deceased from poisoning are a source that may not be considered for referral as often as those who die from other causes. This study aims to identify if patients dying from poisoning represent an under-referred group and determine what physician characteristics influence referral decisions. Methods: In this cross-sectional unidirectional survey study, physician members of the Canadian Association of Emergency Physicians were invited to participate. Participants were presented with 20 organ donation scenarios that included poisoned and non-poisoned deaths, as well as one ideal scenario for organ or tissue donation used for comparison. Participants were unaware of the objective to explore donation in the context of poisoning deaths. Following the organ donation scenarios, a range of follow-up questions and demographics were included to explore factors influencing the decision to refer or not refer for organ or tissue donation. Results were reported descriptively and associations between physician characteristics and decisions to refer were assessed using odds ratios and 95% confidence intervals. Results: 208/2058 (10.1%) physicians participated. 25% did not refer in scenarios involving a drug overdose (n=71). Specific poisonings commonly triggering the decision to not refer included palliative care medications (n=34, 18%), acetaminophen (n=42, 22%), chemical exposure (n=48, 27%) and organophosphates (n=87, 48%). Factors associated with an increased likelihood to refer potential donors following overdose included previous organ and tissue donation training (OR=2.6), having referred in the past (OR=4.3), available donation support (OR=3.9), greater than 10 years of service (OR=2.1), large urban center (OR=3.8), holding emergency medicine certification (OR=3.6), male gender (OR=2.2, CI), and having indicated a desire to be a donor on government identification (OR=5.8). Conclusion: Scenarios involving drug overdoses were associated with under-referral for organ and tissue donation. As poisoning is not a contraindication for referral, this represents a potential source of donors. By examining characteristics that put clinicians at risk for under-referral of organ or tissue donors, becoming aware of potential biases, improving transplant knowledge bases, and implementing support and training programs for the organ and tissue donation processes, we have the opportunity to improve these rates and reduce morbidity and mortality for Canadians requiring organ or tissue donation.


2021 ◽  
Vol 26 (6) ◽  
pp. 296-301
Author(s):  
Claire Alker

A high proportion of patients are being supported with end-of-life (EoL) care in the community, many of which are known to district nursing (DN) caseloads. Over time, community specialist practitioner district nursing (CSPDN) teams build therapeutic relationships with patients, and they are adept at providing EoL care. They are also now actively and routinely undertaking verification of death (VoD). Thus, they are in a prime position to promote and facilitate community tissue donation among patients and their families. The Government has recognised a need to promote organ and tissue donation, implementing the Organ Donation (Deemed Consent) Act (2019) , whereby every person over the age of 18 years is now considered for organ and tissue donation with the anticipation of more recipients receiving life-changing tissue transplantation. DN teams seem to lack awareness of the change in law and, therefore, are not actively promoting this in practice. Further, there is no available community-focused guidance or training to support DNs to have these difficult and complex conversations enabling exploration of patients' wishes with regard to promote tissue donation. Therefore, guidance and education are needed in order to improve overall referrals, in the hope that they lead to an increase in donation.


2021 ◽  
Author(s):  
Mayra Crowe ◽  
◽  
Christopher Murray ◽  
Golnar Nabizadeh ◽  
Laura Findlay ◽  
...  

It is my great pleasure to introduce this comic. Our project originated from an honest conversation with my friend and colleague Prof Chris Murray: how to communicate complex issues surrounding the issue of organ donation? Over the last seven years I have had the honour of being an ambassador for the Organ Donation campaign by telling my son, Andrew’s, story. Through my role as an Organ Donation ambassador I meet courageous and selfless people. Some are in desperate need of hope, some are in the position to provide hope, and those who, through their professionalism and dedication, transform lives. Our sincere thanks for the support of the following organisations: University of Dundee; the NHS Blood and Transplant Specialist Nurses in Organ Donation; Dundee Comics Creative Space; Good Life, Good Death, Good Grief, and the Organ Donation Comics team. it is only through their support that this project came to fruition. In the following pages we share heartfelt stories and life experiences related to organ donation. By doing so we hope to bring awareness to a wider audience and prompt honest conversations about organ donation. Finally, I would like thank my sons Andrew and Stuart for warming my heart. Through tears and laughter we present to you… The Gift.452


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