scholarly journals Soliciting organ donations by medical personnel and organ donation coordinators: A factor analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250249
Author(s):  
Yao-Mei Chuang ◽  
Shan-Shan Yeh ◽  
Chi-Fen Tseng ◽  
Chie-Chien Tseng
Keyword(s):  
Organ Donation ◽  
Medical Staff ◽  
Online Survey ◽  
Medical Personnel ◽  
Research Literature ◽  
Organ Donors ◽  
Snowball Sampling ◽  
Donation Process ◽  
Organ Donations ◽  
Care Training

The literature on organ donation in Taiwan lacks a discussion of the roles of medical staff, organ donors, and transplant coordinators in organ donation. The biggest plight of organ donation is lack of the organ donations. When we probed the possibilities of not finish the organ donation procedure, such as religions, traditions and cultural belief, disease cognitions, and the failure of persuasion or the loss of organ donors. There are lots of research literature shown that the attitude of medical personnel would influence the willingness of organ donation or persuasion. This study considered such personnel and their participation in organ donation, specifically analyzing factors influencing their effectiveness. Snowball sampling was adopted to recruit medical staff, organ donors, and transplant coordinators for an online survey. The results revealed that some participants were unclear as to how to initiate the organ donation process and what practical operations are involved. Even with the necessary qualifications, some participants remained passive when soliciting organ donations in clinical practice. Organ donation coordinators with experience in caring for organ donors who attended organ donation courses performed well in soliciting organ donations. The researchers recommend that training courses on clinical planning and organ donation are incorporated into intensive care training and that they serve as the basis for counsellors soliciting organ donations to increase nurses’ willingness to solicit organ donations.

Introducing an Organ Donor Registry is Saskatchewan

2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Amy Zarzeczny ◽  
◽  
Luiza Radu ◽  
Keyword(s):  
Organ Donation ◽  
Public Interest ◽  
Public Awareness ◽  
National Level ◽  
Organ Donor ◽  
Organ Donors ◽  
Media Campaign ◽  
Organ Donations ◽  
Paper Form ◽  
Evaluation Metric

On 3 September 2020, Saskatchewan launched an organ donor registry that allows participants 16 years and older to register their intent to be an organ donor either online or using a paper form. Saskatchewan has historically performed poorly at a national level with low rates of organ donations. Saskatchewan's new registry is intended to increase the numbers of organ donors in the province, while also helping to modernize its organ donation system and ease donation conversations with families. Saskatchewan's introduction of this registry brought the province in line with other provinces and territories across Canada that use similar systems, and provided a response to the surge in public interest around organ donation that followed the Humboldt Bronco bus crash tragedy and related ``Logan Boulet Effect.'' The 2019-2020 and 2020-2021 provincial budgets included dedicated funding for the development and launch of the registry, which was accompanied by a media campaign to increase public awareness. Though it is too early to evaluate the success of the registry, early indications suggest donation rates will be a key evaluation metric. Registries are commonly thought to help increase public awareness of, and support for, organ donation, but improving Saskatchewan's organ donation rates will likely also require companion measures to strengthen the culture and practice of donation in the province.

Organ Donation by Suicides: Sex and Ethnicity

2014 ◽  
Vol 115 (3) ◽  
pp. 948-950
Author(s):  
David Lester ◽  
Dominique Hathaway
Keyword(s):  
Organ Donation ◽  
Sex Difference ◽  
General Public ◽  
Causes Of Death ◽  
Ethnic Difference ◽  
Future Research ◽  
Organ Donors ◽  
Men And Women ◽  
Organ Donations

An analysis of 2,034 actual organ donations by suicides for the years 2008–2010 indicated that women were more likely to be donors than were men and Blacks more likely to donate than were Whites. The sex difference was consistent with the responses of men and women to surveys of the general public about their willingness to become organ donors, but the ethnic difference was the reverse of the responses to surveys of the general public about their willingness to be organ donors. Future research should explore the role of the responses, positive vs negative toward organ donation, of the significant others of those dying from different causes of death, and the extent to which people have signed donor cards.

scholarly journals Ablehnungs- und Umsetzungsraten von Organtransplantationen – mögliche Ursachen und denkbare Auswege

10.38107/017 ◽  
2021 ◽  
Author(s):  
Monika Pfyffer von Altishofen
Keyword(s):  
Organ Donation ◽  
Retrospective Analysis ◽  
Living Wills ◽  
Organ Donors ◽  
Post Mortem ◽  
Legal Situation ◽  
Cantonal Hospital ◽  
Organ Donations ◽  
The Will ◽  
Observation Period

The work deals intensively with the very complex topic of post-mortem organ donation and the question of why it is that not all organs of potential organ donors are considered in transplantation. It covers central questions of the legally and ethically required handling of dying and death. In addition to a presentation of the relevant legal situation, the statistical findings on organ transplants performed in Switzerland during the observation period, the relatively high rates of rejection and low rates of conversion of organ donations by means of retrospective analysis of the data of all in 2013 at their then place of work, the Cantonal Hospital of St. Gallen are made and their results compared with those of the national SwissPOD study. The "primary desirable goal" of the measures taken to promote organ donation appears to the author to be less the "increase in available organs, but rather reflection on dying and one's own death", which is why she would welcome an increase in the number of living wills and organ donation cards available, in order to thereby reduce the emotionally stressful proxy decisions - regardless of the will specified therein.

Chaplain “DOs and DON’Ts” on Organ Donation

2018 ◽  
Vol 43 (7) ◽  
pp. 1-2
Author(s):  
Jozef Zalot ◽  
Keyword(s):  
Organ Donation ◽  
Organ Procurement ◽  
Family Members ◽  
Organ Donor ◽  
Organ Donors ◽  
Vital Organ ◽  
Course Of Action ◽  
Donation Process ◽  
Organ Procurement Organizations ◽  
The Relationship

This guide was developed in collaboration with LifeCenter Organ Donor Network (Cincinnati, OH) to offer chaplains a framework for the best possible course of action when they provide spiritual care to family members of patients who are potential vital organ donors. Some organ procurement organizations (OPOs) may want to control the donation process. They are thus hesitant to invite in—let alone collaborate with—any “outsiders” who they believe might undermine the likelihood of procuring vital organs. So how should a chaplain respond when ministering to potential vital organ donors and their families? Should they speak with family members about donation? What should they say? Do OPOs want chaplains to speak with family members? Should there be limits to these conversations? This can be a touchy area, because vital organ donation necessarily entails the death of the patient. This makes the relationship between chaplains and OPOs sometimes strained.

scholarly journals Organ Donation and the Ars Moriendi

2019 ◽  
Vol 86 (4) ◽  
pp. 327-334
Author(s):  
Stephen Doran
Keyword(s):  
Organ Donation ◽  
Human Person ◽  
Organ Donor ◽  
Third Party ◽  
Organ Donors ◽  
Potential Organ Donor ◽  
Ars Moriendi ◽  
Dying Patients ◽  
Donation Process ◽  
The Impact

Organ donation is rightly understood as a gift that is a genuine act of love. Organ donation as an act of love requires it to be an act of freedom that honors the integrity of the human person who is in the process of dying. However, the process of organ donation, by necessity, inserts a third party of interest whose primary aim is to assist someone other than the dying person. Caregivers can become “organ focused” instead of “patient focused.” The procurement of organs potentially results in the commodification of the potential organ donor. Furthermore, death is not a momentary event but rather an ontological change in the person where the union of body and soul becomes divided. This Catholic understanding of death is important to assess the impact of organ donation on the process of dying. Family members of organ donors often have traumatic memories associated with the organ donation process, potentially overshadowing the ars moriendi—the art of dying. Summary: While organ donation is an act of love, the donation process can be distraction from the care of the dying patient, who may be treated differently than other dying patients who are not organ donors. A Catholic understanding of death is helpful in assessing the impact of the organ donation process.

Researching the Bereaved: an investigator’s experience

2000 ◽  
Vol 7 (1) ◽  
pp. 23-34 ◽  
Author(s):  
Magi Sque
Keyword(s):  
Critical Care ◽  
Organ Donation ◽  
Research Agenda ◽  
Personal Attributes ◽  
Organ Donors ◽  
Personal Impact ◽  
Donation Process ◽  
Major Organ ◽  
Care Situation ◽  
Research Narrative

The issues discussed in this article concern the process of interviewing the bereaved relatives of organ donors, the personal impact, and the potentially painful nature of such research. Narrative interviews were carried out with 24 donor relatives. The relatively small number of donating families and their anonymity mean that little is understood about the experience of having a relative in a critical care situation that ends in donation. The purpose of this study was to develop a theory that explained the organ donation process for relatives of ‘major organ’ donors. A central concern of implementing the investigation was the possible threat it posed to the participants and myself. The sensitive nature of the research made access to relatives difficult. Undoubtedly, my nursing background and personal attributes had an impact on interactions with participants and the pursuance of the research agenda.

scholarly journals Evaluation of underidentification of potential organ donors in German hospitals

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242724
Author(s):  
Grit Esser ◽  
Benedikt Kolbrink ◽  
Christoph Borzikowsky ◽  
Ulrich Kunzendorf ◽  
Thorsten Feldkamp ◽  
...  
Keyword(s):  
Organ Donation ◽  
Rural Areas ◽  
Urban Areas ◽  
Secondary Data ◽  
University Hospital ◽  
Organ Donors ◽  
Rural Regions ◽  
Donor Pool ◽  
Potential Donor ◽  
Organ Donations

Background Since 2010, the number of organ donations in Germany has decreased by one third, mostly due to undetected organ donors. It is unclear, how the undetected potential donor pool is distributed among the different German hospital categories (A = university hospital, B = hospitals with neurosurgery, C = hospitals without neurosurgery) and region types. Methods We performed a nationwide secondary data analysis of all German inpatient cases of the year 2016 (n = 20,063,689). All fatalities were regarded as potential organ donors, in which primary or secondary brain damage was encoded and organ donation was not excluded by a contraindication or a lack of ventilation therapy. Results In 2016, 28,087 potential organ donors were identified. Thereof 21% were found in category A, 28% in category B and 42% in category C hospitals. The contact rate (= organ donation related contacts/ potential organ donors) and realization rate (= realized organ donations/ potential organ donors) of category A, B and C hospitals was 10.6% and 4.6%, 10.9% and 4.8% and 6.0% and 1.7%, respectively. 58.2% of the donor potential of category C hospitals was found in the largest quartile of category C hospitals. 51% (n = 14,436) of the potential organ donors were treated in hospitals in agglomeration areas, 28% (n = 7,909) in urban areas and 21% (n = 5,742) in rural areas. The contact- and realization rate did not significantly differ between these areas. Conclusions The largest proportion of potential organ donors and the lowest realization rate are found in category C hospitals. Reporting and donation practice do not differ between urban and rural regions.

Introducing an Organ Donor Registry is Saskatchewan

2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Amy Zarzeczny ◽  
◽  
Luiza Radu ◽  
Keyword(s):  
Organ Donation ◽  
Public Interest ◽  
Public Awareness ◽  
National Level ◽  
Organ Donor ◽  
Organ Donors ◽  
Media Campaign ◽  
Organ Donations ◽  
Paper Form ◽  
Evaluation Metric

On 3 September 2020, Saskatchewan launched an organ donor registry that allows participants 16 years and older to register their intent to be an organ donor either online or using a paper form. Saskatchewan has historically performed poorly at a national level with low rates of organ donations. Saskatchewan's new registry is intended to increase the numbers of organ donors in the province, while also helping to modernize its organ donation system and ease donation conversations with families. Saskatchewan's introduction of this registry brought the province in line with other provinces and territories across Canada that use similar systems, and provided a response to the surge in public interest around organ donation that followed the Humboldt Bronco bus crash tragedy and related ``Logan Boulet Effect.'' The 2019-2020 and 2020-2021 provincial budgets included dedicated funding for the development and launch of the registry, which was accompanied by a media campaign to increase public awareness. Though it is too early to evaluate the success of the registry, early indications suggest donation rates will be a key evaluation metric. Registries are commonly thought to help increase public awareness of, and support for, organ donation, but improving Saskatchewan's organ donation rates will likely also require companion measures to strengthen the culture and practice of donation in the province.

scholarly journals THE POSSIBLE EFFECT OF THE PROTECTION OF PERSONAL INFORMATION ACT 4 OF 2013 ON ORGAN AND TISSUE DONATIONS

Obiter ◽  
2017 ◽  
Vol 38 (3) ◽  
Author(s):  
Magda Slabbert ◽  
Patricia Molusi
Keyword(s):  
Organ Donation ◽  
Access To Health Care ◽  
Health Care Services ◽  
Personal Information ◽  
Donation Process ◽  
Organ Donations ◽  
Precautionary Measures ◽  
The Republic ◽  
The Right ◽  
National Health Act

Organ donation for purposes of a transplant is an altruistic act that lends itself to the ethical principle of beneficence. Available evidence indicates that in the transplant process information or data sharing is of the utmost importance. The Constitution of the Republic of South Africa, 1996 and other legislative frameworks like the National Health Act 61 of 2003, facilitates participation in support of this principle. Section 12(2) of the Constitution states that “Everyone has the right to bodily and psychological integrity, which includes the right – … (b) to security in and control over their body; and (c) not to be subjected to medical or scientific experiments without informed consent.” Section 27(1) and (2) provide that everyone has the right to have access to health care services... The same section immediately prompts the state to “take reasonable legislative and other measures, within its available resources, to achieve the progressive realisation of each of these rights”.The NHA in sections 14–17 applies a safeguard on how the principle of beneficence in respect of organ donations should be achieved. These sections address the issues of confidentiality, access to and the protection of health records. The guarantees in the Constitution and the NHA are not absolute but may be limited in one way or another, especially in cases where the donor is declared brain dead and therefore deceased. In such a case the Protection of Personal Information Act 4 of 2013 does make provision for instances where the protection of personal information may be limited. Although it is feared that the POPI Act might negatively influence the organ donation process, an analysis of the Act and its possible influence on the transplantation scenario seems unfounded if a few precautionary measures are put in place.

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