scholarly journals Critical Care Nurses’ Attitudes Towards Organ Donation and its Relationship With Empathy

2020 ◽  
Vol 24 (6) ◽  
pp. 544-555
Author(s):  
Mahnaz Taherkhani ◽  
◽  
Leili Yekefallah ◽  
Leila Dehghankar ◽  
Peyman Namdar ◽  
...  
Keyword(s):  
Critical Care ◽  
Organ Donation ◽  
Organ Donor ◽  
Educational Interventions ◽  
Critical Care Nurses ◽  
Reactivity Index ◽  
Average Score ◽  
Cross Sectional ◽  
Dialysis Unit ◽  
Donation Process

Background: Critical care nurses play an important role in the organ donation process, and their attitudes towards it and willingness to register as an organ donor are related to various factors, including empathy. Objective: This study aims to compare the attitudes of nurses in Intensive Care Unit (ICU), Emergency Department (ED), and Dialysis Unit (DU) towards organ donation and its relationship with empathy. Methods: This descriptive study with cross-sectional design that was conducted in 2019 in hospitals affiliated to Qazvin University of Medical Sciences in Qazvin, Iran on 222 nurses from the three critical care units who were selected by stratified random sampling method. Data collection tools were Chakradhar’s Organ Donation Questionnaire (ODQ) and Davis’s Interpersonal Reactivity Index (IRI), completed by nurses were completed. Data were analyzed by descriptive and analytical tests. Findings: The mean ODQ score was higher in DU and ICU nurses than in ED nurses (P=0.23), where the nurses of ICU-General had the highest score (51±6.07) and the nurses of ED-Trauma had the lowest score. The highest and lowest IRI scores were related to DU and ICU-General nurses, respectively. The total IRI score (r=0.13, P=0.04) and its dimensions of perspective taking ( r=0.152, P=0.02) and fantasy (r=0.14, P=0.03) had a positive correlation with the nurses’ attitudes. Conclusion: Critical care nurses have greater than the average score in ODQ. There is a significant relationship between empathy and their attitudes towards organ donation. Their empathy with patients has a significant effect on increasing their attitudes towards accepting organ donation. Therefore, it is necessary to implement educational interventions for changing the critical care nurses’ attitudes in order to increase their empathy.

Readiness of critical care physicians and nurses to handle requests for organ donation

1998 ◽  
Vol 7 (1) ◽  
pp. 4-12 ◽  
Author(s):  
MJ Evanisko ◽  
CL Beasley ◽  
LE Brigham ◽  
C Capossela ◽  
GR Cosgrove ◽  
...  
Keyword(s):  
Critical Care ◽  
Brain Death ◽  
Organ Donation ◽  
The United States ◽  
Critical Care Nurses ◽  
Care Staff ◽  
Factual Knowledge ◽  
Donation Process ◽  
Nurses And Physicians ◽  
Effective Procedures

BACKGROUND: Critical care nurses and physicians usually care for those patients whose condition progresses to brain death and are also often responsible for requesting organ donation from the family of a brain-dead patient. We hypothesized that staff support, knowledge, and training levels would be significantly associated with organ donation rates. OBJECTIVE: To assess the readiness of critical care staff to successfully handle requests for organ donation. METHODS: A total of 1061 critical care staff from 28 hospitals in four separate regions of the United States completed a questionnaire that assessed (1) factual knowledge about organ donation, (2) understanding of brain death, (3) previous training in procedures for requesting donations, and (4) comfort levels with the donation process. RESULTS: Staff training in effective procedures for requesting organ donations was significantly correlated with hospitals' donation rates. Less than a third of respondents, however, had received training in explaining brain death to and requesting organ donation from a grieving family. In hospitals with high rates of organ donation, 52.9% of staff had received training; in hospitals with low rates of organ donation, 23.5% of staff had received training. Levels of factual knowledge about organ donation and brain death were unexpectedly low but were not significantly related to hospitals' rates of organ donation. CONCLUSIONS: Training of critical care nurses and physicians in effective procedures for requesting organ donation is significantly associated with higher rates of organ donation, yet two thirds of critical care staff report no relevant training. Consequently, critical care staff cannot be considered ready to effectively handle requests for organ donation.

scholarly journals Intensive critical care nurses' with limited experience: Experiences of caring for an organ donor during the donation process

2020 ◽  
Vol 29 (9-10) ◽  
pp. 1614-1622
Author(s):  
Johan Simonsson ◽  
Karl Keijzer ◽  
Theres Södereld ◽  
Angelica Forsberg
Keyword(s):  
Critical Care ◽  
Organ Donor ◽  
Critical Care Nurses ◽  
Limited Experience ◽  
Donation Process

Organ donation and the rural critical care nurse

1994 ◽  
Vol 3 (6) ◽  
pp. 473-475 ◽  
Author(s):  
LK McCoy ◽  
SK Bell
Keyword(s):  
Critical Care ◽  
Organ Donation ◽  
Positive Attitude ◽  
Organ Procurement ◽  
Medical Center ◽  
Organ Donor ◽  
Critical Care Nurses ◽  
Urban Setting ◽  
Organ Donors ◽  
Knowledge And Attitudes

BACKGROUND. Less than 20% of people who meet the criteria for organ donors are estimated to donate organs. OBJECTIVE. To examine the knowledge and attitudes of rural critical care nurses regarding organ donation. METHODS. Forty-six critical care nurses from a southwestern medical center provided data for this study. Self-reported knowledge and attitudes were measured using the Organ Donor Attitude Questionnaire and compared with respondents' demographic characteristics. RESULTS. Knowledge scores were found to be average (74% correct). Attitude scores reflected a strongly positive attitude toward organ donation. Increased knowledge of organ donation was not found to be related to a positive attitude. However, both attitude and knowledge were found to be positively correlated with previous experience in caring for either organ donors or recipients. Results were compared with data collected in an urban setting and found to be similar. CONCLUSIONS. Results of this study indicate that exposure to patients affected by organ procurement increased knowledge and improved attitudes of the nurses who provided care. Increased knowledge and positive attitude are important when providing support to families and caring for potential donors. These factors could increase the supply of donors for transplants, which is a goal of the organ procurement process.

scholarly journals Gender based perspectives about organ donation among students in a medical school in North India

2018 ◽  
Vol 6 (5) ◽  
pp. 1710
Author(s):  
Rajiv Kumar Gupta ◽  
Parveen Singh ◽  
Najma Akhtar ◽  
Rashmi Kumari ◽  
Chandini Gupta ◽  
...  
Keyword(s):  
Medical Students ◽  
Organ Donation ◽  
Organ Donor ◽  
North India ◽  
Cross Sectional ◽  
Human Organ ◽  
Medical College ◽  
Donation Process ◽  
Cadaver Organ ◽  
Gender Based

Background: Deaths due to organ failure are reaching alarming numbers mainly due to paucity of organ donation. The medical students who are the future doctors hold promise to alleviate this paucity by willing to register as a donor themselves as well as facilitating cadaver organ donation process. Objective was to assess the perspectives (awareness and attitudes) of medical students regarding organ donation.Methods: The present cross sectional descriptive study was conducted among 280 undergraduates’ students of Government Medical College Jammu, J and K, India. A pretested and self administered 22 item questionnaire was used to collect information on socio-demographic characteristics (5), to assess awareness (11) and attitude (6) about organ donation.Results: Higher proportion of female students were aware about transplantation of human organ act (p<0.05). Awareness about organ donation card was very poor among both the sexes. Only 77.50% of the respondents were aware of the legal age for organ donation. Higher proportion of male students considered themselves to be future organ donor (p<0.05) although both the sexes wanted to be informed more on organ donation. Organ could be wasted (47.14%) was the main barrier among respondents for organ donation.Conclusions: The awareness and attitude among the respondents were found to be non-desirable on many parameters. Authors suggest introduction of a teaching module which should include all aspects of organ donation in medical schools starting from first profession onwards.

scholarly journals The risk factors and outcome of early identified acute kidney injury among critically ill obstetric patients

2017 ◽  
Vol 6 (1) ◽  
pp. 11
Author(s):  
Amal Abd El-Hafez1 ◽  
Asmaa Mahjoub ◽  
Eman Ahmad
Keyword(s):  
Risk Factors ◽  
Acute Kidney Injury ◽  
Critical Care ◽  
Sofa Score ◽  
Postpartum Hemorrhage ◽  
Kidney Injury ◽  
Total Sample ◽  
Critical Care Nurses ◽  
Cross Sectional ◽  
Pregnancy And Postpartum

Background: Acute kidney injury (AKI) is one of the most challenging and serious complications of pregnancy and postpartum period that facing critical care nurses in Intensive Care Unit (ICU). Having a uniform standard for identifying and classifying AKI would enhance critical care nurses’ ability to recognize these patients and leading to better outcomes.Objective: This work aimed to explore the risk factors and outcome of early identified acute kidney injury of critically obstetric patients in Obstetric ICU. Design. A descriptive cross sectional research design was used in this study. Participants: A total sample of 338 women admitted to Obstetric ICU at Woman Health Hospital, Assiut City, Egypt. Method: Three tools were used.Tool I was developed by the researcher and included demographic and obstetric history, lab parameters, complications and outcomes arising from AKI. The Sequential Organ Failure Assessment (SOFA) score as tool II to determine the extent of a patient's organ function or rate of failure. Measurement of serum creatinine and urine output were used to early identify AKI stages according to Acute Kidney Injury Network (AKIN) Criteria (tool III). Results: The prevalence of AKI among obstetric patients admitted to obstetric ICU was 10.1%; of them 52.9% needed renal replacement therapy and the mortality rate was 29.4%. Postpartum hemorrhage was the most common cause of AKI and its prevalence was 41.2%. It was also found that 74.5% of AKI patients developed complications. Conclusion: AKI complicated 10.1% of total admitted women to the OICU in the studied period. Postpartum hemorrhage represents the most prevalent risk factors with a highly significant SOFA score compared to other risk factors as sever preeclampsia, eclampsia, HEELP & APH with acute fatty liver.

scholarly journals Knowledge and Attitudes about Organ Donation among Patient Companion at a Tertiary Hopsital in Ethiopia

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Mahteme Bekele ◽  
Wubshet Jote ◽  
Tigist Workneh ◽  
Berhanu Worku
Keyword(s):  
Organ Donation ◽  
Medical Center ◽  
Negative Attitude ◽  
Organ Donor ◽  
Tertiary Hospital ◽  
Favorable Attitude ◽  
Good Knowledge ◽  
Donor Pool ◽  
Cross Sectional ◽  
Study Participants

BACKGROUND: Worldwide, the supply of organs continues to be much less than the demand. Many studies identify poor knowledge and negative attitude about organ donation for this. The purpose of this study was to assess knowledge and attitude towards organ donation and associated factors among people who accompany patient during hospital visit at tertiary hospital in Ethiopia.METHODS: A hospital-based cross-sectional study was conducted from March 1st to May 31, 2019, at a tertiary hospital and the only transplant center in Ethiopia. The patient companions were interviewed with structured questionnaires. Descriptive statistics were presented and factors associated with good knowledge and favorable attitude were assessed using Binary logistic regression.RESULTS: A total of 414 patient companion participated in the study. The mean age of the respondents was 35+13years, and 252(60.9%) were males. Forty-four (10.6%) of the study participants had good knowledge about organ donation. Male gender was significantly associated with improved knowledge (AOR=2.127 95% CI: 1.036, 4.368). A favorable attitude towards donation was found in 219(52.9%) of the study participants. Participants who had completed secondary education were more likely to have unfavorable attitude towards organ donation (AOR=0.498, 95% CI: 0.290, 0.857).CONCLUSION: Knowledge about organ donation was found to be poor, and attitudes towards organ donation were found to be unfavorable among patient companions at a major medical center in Ethiopia. Strategies focused on education of the general public and broad dissemination of information on the benefits of organ donation will be critical for improving the organ donor pool.

scholarly journals Knowledge and attitude of law, medicine, and mass-communication students towards deceased organ donation

2020 ◽  
Vol 8 (1) ◽  
pp. 22
Author(s):  
Pragya Paneru ◽  
Shyam S. Budhathoki ◽  
Samyog Uprety ◽  
Birendra K. Yadav ◽  
Rashmi Mulmi ◽  
...  
Keyword(s):  
Organ Donation ◽  
Organ Failure ◽  
Organ Transplantation ◽  
Mass Communication ◽  
Organ Donor ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Deceased Organ Donation ◽  
Knowledge And Attitude

Background: With the global increase in the incidence organ failure and subsequent advancement in the medical technology, organ transplantation is growing as the best choice of treatment among the patients with various kinds of organ failure. However, the rate of deceased organ donation is relatively low in South-East Asia regions, including Nepal. This has created a mismatch between the demand and supply of organs for transplantation. World Health Organization encourages organ transplantation from a deceased organ donor as there is no risk to the donor. Thus, this paper aimed to assess knowledge and attitude of literate group specifically towards deceased organ donation.Methods: This was a cross-sectional study conducted among 299 students selected conveniently from medicine, law, and mass communication streams from 9 different colleges (3 colleges from each stream) of Kathmandu. Data was collected through a self-administered questionnaire. Knowledge level was classified into three different categories based on obtained scores and attitude was analyzed based on five-point Likert scale.Results: Almost half (48.8%) of the respondents while only 7% had high level of knowledge on the organ donation and transplantation. Similarly, 95% of the people had positive attitude towards organ donation. However, there was a weak correlation between knowledge and attitude of the respondents. None of the respondents carried an organ donation card.Conclusions: There is a need to plan robust strategies to educate people on organ donation so that they can make pragmatic decisions to register their names for deceased organ donation.

A survey of pediatric critical care nurses' knowledge of pain management

1997 ◽  
Vol 6 (4) ◽  
pp. 289-295 ◽  
Author(s):  
C Pederson ◽  
D Matthies ◽  
S McDonald
Keyword(s):  
Critical Care ◽  
Pain Management ◽  
Signs And Symptoms ◽  
Educational Interventions ◽  
Critical Care Nurses ◽  
Toxic Metabolite ◽  
Pediatric Critical Care ◽  
Related Information ◽  
Item Scale ◽  
Nurses Knowledge

BACKGROUND: Although nurses are accountable for pain management, it cannot be assumed that they are well informed about pain. Nurses' knowledge base underlies their pain management; therefore, it is important to measure their knowledge. OBJECTIVE: To measure pediatric critical care nurses' knowledge of pain management. METHOD: A descriptive, exploratory study was done. After a pilot study, an investigator-developed Pain Management Knowledge Test was distributed to 50 pediatric ICU nurses. Test responses were collected anonymously and coded by number. Item analysis was done, and descriptive statistics were calculated. Modified content analysis was used on requests for pain-related information. RESULTS: The test return rate was 38%. The overall mean score was 63%. Mean scores within test subsections varied from 50% to 92%. Other mean scores were 85% on a nine-item scale of drug-action items and 92% on a two-item scale of intervention items. However, no nurse recognized that cognitive-behavioral techniques can inhibit transmission of pain impulses; only 32% indicated that meperidine converts to a toxic metabolite, only 47% recognized nalbuphine as a drug that may cause signs and symptoms of withdrawal if given to a patient who has been receiving an opioid; and only 63% indicated that when a child states that the child has pain, pain exists. Thirteen nurses requested pain-related information, and all requests focused on analgesic medications. CONCLUSIONS: Testing nurses' knowledge of pain indicated gaps that can be addressed through educational interventions. Research is needed in which the test developed for this study is used as both pretest and posttest in an intervention study with pediatric critical care nurses or is modified for use with nurses in other clinical areas.

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