Organ donation: A study of its representations among organ procurement coordinators and their staff

2021 ◽  
pp. 125-142
Author(s):  
Silvia Monaco ◽  
Francesca Greco ◽  
Barbara Cordella ◽  
Michela Di Trani
Keyword(s):  
Organ Donation ◽  
Healthcare Workers ◽  
Health Workers ◽  
Organ Procurement ◽  
Organ Donor ◽  
Health Staff ◽  
Symbolic Space ◽  
Life Saving ◽  
Training And Support ◽  
Deceased Individual

Making the life-saving treatment of transplantation available to patients who need it re-quires the cooperation of individuals and families who decide to donate organs. Healthcare workers navigate organizational, bureaucratic and relational aspects of this process, including cases in which a deceased individual has not specified a wish about organ donation and their surviving family members must be asked for consent to donate during a delicate phase of mourning. This research aims to understand the experience of these health workers regarding their work. We collected 18 interviews from organ donation healthcare workers in five of the major hospitals in Rome. The transcripts underwent a multivariate text analysis to identify the repre-sentations of organ donation and the symbolic categories organizing the practice of these workers. This research elucidated a symbolic space constructed of four factors: the "Context", in-volving family and health workers; the "Work purposes", including the procedures and the relationships; the "Transplant", which involves omnipotence and limits; the "Donation", which involves ideals versus reality. The characterizing elements of these representations, belonging to organ donation work-ers, are the prestige, the certification of brain death, the communication, the transplant, and the salvation. In the lives of these workers, to be a "bridge between life and death2 evokes feelings of prestige rather than difficult feelings associated with confronting one's limitations. These aspects concern the difficulties met by the health staff in their work, and they are useful ele-ments to design a focused training and support program for organ donor workers.

scholarly journals Hospital-based organ donation memorial ceremony: a grounded theory pilot study

2015 ◽  
Vol 4 (3) ◽  
pp. 1
Author(s):  
Charles Calhoun Reed ◽  
Elma I Fonseca ◽  
Regina I Reed ◽  
Stacy Foremski ◽  
Sara L Gill
Keyword(s):  
Grounded Theory ◽  
Pilot Study ◽  
Organ Donation ◽  
Organ Procurement ◽  
Social Process ◽  
Organ Donor ◽  
Hospital Staff ◽  
Tree Planting ◽  
Individual Level ◽  
Organ Procurement Organizations

Objective: Various types of organ donation memorials, to include tree planting, rose garden memorials, candle lighting, donor memorial wall events are conducted throughout the year primarily by organ procurement organizations (OPOs). Although the benefits of such events have not been explored there has been continued interest by hospital staff and administrators to host such events. The purpose of this grounded theory pilot study was to describe the process of healing that a hospital-based organ donation memorial ceremony creates at the individual level and organ donation awareness and advocacy at the community level.Methods: The researchers interviewed nine organ donor family members who were invited to attend a hospital-based organ donation memorial ceremony at one Level I Trauma Center located in South Texas.Results: A 4-stage social process, “makes the hole in the heart smaller”, was identified from the qualitative interview data. Participants journeyed through a four stage process to make the hole in their hearts smaller. The four stages are: choosing to attend, being able to connect, keeping the memory alive and knowing something good came from it. As participants moved between stages their meaning for attendance changed. Families shifted from personal grieving and needing support to supporting other donor families and in the process became advocates for organ donation.Conclusions: The findings from this study validate the benefits of hospital-based organ donation memorial ceremonies. Families reported these ceremonies support their decision to donate, while also providing a means of continued emotional support throughout their grief process. The memorial event provides a safe venue for organ donor families to connect and share with others who have had a similar experience, while acknowledging their loved ones gift of life. Hospital-based organ donation memorial ceremonies and the permanent memorial structure increase awareness of organ donation for the community of donor families, hospital visitors and hospital staff.

A Qualitative Study of Turning Points or Aha! Moments in Older Adults’ Discussions About Organ Donation

2018 ◽  
Vol 28 (3) ◽  
pp. 207-212 ◽  
Author(s):  
Kimberly Downing ◽  
Linda L. Jones
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Organ Donation ◽  
Organ Procurement ◽  
Turning Points ◽  
Age Groups ◽  
Organ Donor ◽  
Younger Age ◽  
Donation Process ◽  
Dialogue Process

Introduction: Older adults (50-70 years old) have lower organ donor registration rates than younger adults. Older adults have different informational needs and donor registration behavior than younger age groups. Objective: The objective of this qualitative study was to understand insights of older adults about organ donation to effectively address the barriers to becoming an organ donor. This study identified turning points as “Aha!” moments that occurred during a dialogue intervention where older adults discussed benefits, barriers, and process to organ donation. Setting and Participants: Dialogues were held with small groups of older adults in 11 communities in a Midwestern organ procurement organization service area. Participants were positive to organ donation, but not registered as an organ donor. Methods/Approach: Qualitative analysis of verbatim comments from the dialogue and a follow-up survey were used to examine turning points or “Aha!” moments of participants’ decision-making about organ donation and organ donor registration. Findings: Twenty-one separate in-depth dialogues were conducted with 198 participants, with mean age of 60.57 years. There were 2757 separate comments coded with 465 of the comments (17%) identified as providing Aha! moments during the dialogue. Three themes include benefits of organ donation (30%), barriers about organ donation (39%), and organ donation process (31%). Discussion: The research identified moments in the dialogue where possible learning about organ donation may have occurred. After participation in the dialogue process, there was an increase in intent to register to be an organ donor, organ donation discussion with family and friends, and organ donor registration.

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.

Prevalence of Needle Stick and Sharp Injuries Among Surgical Specialist Hospital-Cardiac Center in Erbil City: A Cross-Sectional Study

2020 ◽  
Author(s):  
Shalaw Faris Ahmed ◽  
Jamal Kareem Shakor ◽  
Titi Rahmawati Hamedon ◽  
Dlovan Mohammed Fatel Jalal ◽  
Dlzar Omer Qadir
Keyword(s):  
Healthcare Workers ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Individual Characteristics ◽  
Working Environment ◽  
Health Staff ◽  
Sectional Study ◽  
Cross Sectional ◽  
Needle Stick ◽  
Cardiac Center

Introduction: Needle-stick and sharp injuries (NSSI) pose a serious problem and a major risk of work-related transmitted diseases among healthcare workers. The extent of NSI in the Kurdistan region / Iraq hospitals has been unknown. The factors related to NSIs among healthcare workers were evaluated in the present study. The main purpose of this study is to determine the prevalence of NSI and its associated factors among the respondents. Material and Methods: The cross-sectional study was conducted on 150 randomly selected healthcare staff with a working experience of at least 1 year in the hospital. The study location is a surgical specialist hospital-cardiac center, situated in Erbil/Iraq. The self-administered questionnaire was used to collect information on socio-demographic, employment and individual characteristics, as well as data on NSSI, suffered in the past 12 months. Results: The majority of participants (34%) were in the 30 to 35year age group. Most were male (60.7%), married (61.3%), have at least degree qualification (89%). The prevalence of NSSI was 67%. Needle stick was the main frequent of NSSRs (66%). Needle recap was all the time done among health workers 104 (69%), they almost use both hands for recap 136 (91%). Education, working environment satisfaction, sleeping quality of the health staff have been considered the main indicators of NSSI. Conclusion: The rate of NSSI was considered high in this study compared to the rates in many developing countries. Arrangement schedules for work and sleeping of staff could decrease the NSSI rate.

scholarly journals Organ Donation: from Point of View of Students Doing Medical Internship in India

2016 ◽  
Vol 14 (2) ◽  
pp. 67-72
Author(s):  
Vaishaly K. Bharambe ◽  
Vasanti U. Arole ◽  
Vatsalaswamy Puranam ◽  
Purushottam Manvikar ◽  
Hetal K. Rathod
Keyword(s):  
Organ Donation ◽  
Health Care Professionals ◽  
Medical Curriculum ◽  
Organ Procurement ◽  
Organ Donor ◽  
Point Of View ◽  
Medical College ◽  
Knowledge And Attitude ◽  
Key Aspects ◽  
Donation Activity

Abstract Introduction. To study the knowledge and attitude of a medical student doing internship with regards to organ donation. Methods. A total of 50 specially designed questionnaires were distributed among medical students doing internship at a medical college. Those who gave their consent to participate in the study were asked to fill out the questionnaire. Results. 86% gave their consent to participate in the study. 100% were aware of the concept of organ donation. 68% had obtained this knowledge from newspapers. 4% had obtained knowledge from the Medical College. 48%, 48% and 34% believed that an organ donor was live, brain dead and cardiac dead, respectively. Awareness regarding kidney, eye, liver, heart and skin donation was found to be 82%, 80%, 80%, 62% and 64%, respectively. 54% were aware of Law pertaining to organ donation. 90% were either positive or willing to consider organ donation themselves. 10% felt that the donated organ might be misused. Conclusion. Health care professionals are the first to establish relationship with the potential donor’s family and are a crucial link in the organ procurement process. Their attitude and level of knowledge regarding organ donation would reflect directly on the organ donation activity of any region. The interns in the present study had positive attitude towards organ donation but were lacking in knowledge about some key aspects such as brain death and legality involved in organ donation. Majority of the medical professionals had obtained their knowledge from newspapers and very few were taught about organ donation in the medical college. If education on organ donation and its various aspects was included in medical curriculum, it could empower the future medical care professionals with knowledge to further study the cause of organ donation and serve the society better.

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%.

Organ Donation, Brain Death and the Family: Valid Informed Consent

2015 ◽  
Vol 43 (2) ◽  
pp. 369-382 ◽  
Author(s):  
Ana S. Iltis
Keyword(s):  
Informed Consent ◽  
Brain Death ◽  
Organ Donation ◽  
Organ Procurement ◽  
Organ Donor ◽  
Public Understanding ◽  
Organ Procurement Organization ◽  
The Family ◽  
Driver's License ◽  
Brain Dead

In July 2013, parents in Ohio objected to their 21-year-old son becoming an organ donor. Elijah Smith was involved in an accident and pronounced dead using neurological criteria. The organ procurement organization (OPO) went to court and argued that because the young man was brain dead and because his driver's license indicated that he wished to be a donor, the court should allow them to use his organs. The mother argued that her son did not understand what he was signing when he signed his license and that his signature did not reflect an informed decision. The court disagreed with her, saying that he had indicated a wish to donate his organs and that no one but Elijah could revoke that wish. His organs were removed.Elijah's mother suspected that he did not understand what he was signing. She might have been right, given what we know about the process for obtaining permission for organ donation and the limited public understanding of brain death.

scholarly journals Covid-19 effects on the workload of Iranian healthcare workers

2020 ◽  
Author(s):  
Esmail Shoja ◽  
Vahideh Aghamohammadi ◽  
Hadi Bazyar ◽  
Hamed Rezakhani Moghaddam ◽  
Khadijeh Nasiri ◽  
...  
Keyword(s):  
Mental Health ◽  
Healthcare Workers ◽  
Health Workers ◽  
General Health Questionnaire ◽  
Well Being ◽  
The Other ◽  
Health Staff ◽  
Task Load ◽  
Nasa Tlx ◽  
The Impact

Abstract Background: In this study, we aimed to evaluate the impact of the COVID-19 epidemic on the workload and mental health of Iranian medical staff using the General Health Questionnaire (GHQ-12) and NASA -Task Load Index (NASA-TLX) Questionnaire between March and April 2020, respectively.Methods: The present cross-sectional study was conducted from March 5th to April 5th, 2020. To evaluate the workload and mental health of participants NASA-TLX and GHQ-12 online questionnaires were distributed. Data were entered into software SPSS (Version 23) and T-test, ANOVA, Regression methods were used for data analysis.Results: Health workers who encountered COVID- 19 patients, were subjected to more task load compared to those who had no contact with COVID- 19 patients at the workplace (p<0.001). In terms of the subscale score of NASA-TLX, nurses had more scores in mental pressure, physical pressure, time pressure(temporal), and frustration compared to the other jobs (p<0.05). Moreover, nurses had significantly more workload compared to the other jobs.Conclusions: Type of job, the shift of work, educational level, and facing COVID-19 affected the score of NASA-TLX. NASA-TLX scores were higher in nursing compared to the scores of other health staff groups. The results of this study indicate that the scores of NASA-TLX and GHQ-12 among staff who had contact with COVID-19 patients were significantly higher than those who did not face COVID-19 patients. We suggested that a comprehensive assistance should be provided to support the well-being of healthcare workers especially nurses and healthcare workers who treated COVID-19 patients.

The Patients Save Lives Program to Facilitate Organ Donor Designation in Primary Care Offices

2019 ◽  
Vol 29 (3) ◽  
pp. 204-212 ◽  
Author(s):  
Howard B. Degenholtz ◽  
Kathleen Creppage ◽  
Damian DaCosta ◽  
Alexandra Drozd ◽  
Misty Enos ◽  
...  
Keyword(s):  
Primary Care ◽  
Organ Donation ◽  
Organ Procurement ◽  
Organ Donor ◽  
Control Group ◽  
Solid Organ ◽  
Waiting Room ◽  
No Donor ◽  
Web Based ◽  
Difficult Time

Background: There are about 120 000 people on the US waiting list for a solid organ transplant; nearly 22 people die every day who could be helped through organ donation. Joining a donor registry and informing one’s family of one’s preferences increases recovery rates and can avoid misunderstandings during an emotionally difficult time. Although the vast majority of people support organ donation, only about half of adults have joined a state donor registry. Methods. A 3-group design was used. Primary care physician offices were randomly assigned to either web-based training, in-person training, or a control condition. The control condition consisted of a poster and traditional brochure and donor form placed in the waiting room. In the 2 intervention groups, the Patients Save Lives form was distributed during the check-in process in addition to the poster. Results: A total of 1521 physicians and office staff at 81 clinic sites (48 in-person and 33 web-based) received the training; there were 33 control locations. A total of 21 189 patients were exposed to the intervention over a 6-month period; 761 (8.1%) of 9428 people who were not already registered completed the designation form to be organ donors. There were no donor designations in the control group locations. Conclusion: Organ donor designation can be incorporated into the office check-in procedure without disrupting the workflow or burdening clinicians. The program is available online and can be sustained inexpensively with cooperation between primary care offices and regional Organ Procurement Organizations.

Texas Non—Donor-Hospital Project: A Program to Increase Organ Donation in Community and Rural Hospitals

1998 ◽  
Vol 8 (3) ◽  
pp. 146-152 ◽  
Author(s):  
Teresa J. Shafer ◽  
Roger Durand ◽  
Martha J. Hueneke ◽  
William S. Wolff ◽  
Kimberly D. Davis ◽  
...  
Keyword(s):  
Organ Donation ◽  
Organ Procurement ◽  
Organ Donor ◽  
The United States ◽  
Rural Hospitals ◽  
Organ Donors ◽  
Geographically Dispersed ◽  
Johns Hopkins University ◽  
Organ Procurement Organizations ◽  
Hospital Deaths

Identifying and recovering donors from community and rural hospitals present a challenge to organ procurement organizations. A study of non-donor hospitals in the United States was undertaken at Johns Hopkins University, which identified 31 hospitals (in one service area) with the facilities to accommodate organ donation, though an organ donor had not been produced in 3 years. The purpose of this study was to determine whether donors could be produced from these hospitals. A large, geographically dispersed OPO initiated a program consisting of (1) in-house coordinators, and (2) routine notification of all hospital deaths. Following implementation of this program, organ donation increased 387% among the targeted 25 hospitals. The number of hospitals producing at least 1 organ donor increased 133%. The number of organs recovered in the project increased 449%. In-house coordinators, by identifying potential donors and facilitating an organ donor awareness program, can increase the number of organ donors in hospitals with low, but real, donor potential.

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