Are Front Line Health Professionals Responsible for the Organ Crisis?

Walters, Thomas P.

doi:10.1177/175114370901000310

Cited by 7 publications

(6 citation statements)

References 30 publications

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“…(9) A review of 45 studies published by Walters in 2009 showed that the responsibility for OD may be best placed within the domain of specialist personnel working in critical care areas. (22) These professionals are directly involved in recognising and diagnosing BD; they establish a relationship with the family early on and may advocate OD once the diagnosis of BD has been confirmed. (23) They are also responsible for contacting transplant coordinators and initiating the OD process.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and attitudes of healthcare professionals and the impact on willingness to donate organs: a tertiary hospital survey

Oo¹,

Ong²,

Foong³

et al. 2020

smedj

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RESULTS Of the 412 respondents (response rate 98.1%), the majority were nurses (60.4%), Malay (71.1%) and female (77.2%). Overall, 68.0% were willing to donate. The independent predictors of willingness to donate were profession (p < 0.001) and the Hindu religion (p = 0.001). Ethnicity (p = 0.003), religious belief (p < 0.001), knowledge (p = 0.016), belief in brain death (p = 0.018) and confidence in transplantation (p < 0.001) also independently correlated with willingness to donate, while attitudes to OD did not. Of those willing to donate, only 37.3% were carrying a donor card and only 63.1% had informed their family of their intention to donate. CONCLUSION Although willingness to donate was higher in critical care HCPs than HCPs in general, significant knowledge gaps as well as certain beliefs and perceptions that could pose a barrier to OD were identified in this group. Measures to improve OD rates in Malaysia should include targeted educational programmes for HCPs working in critical care areas.

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Section: Introductionmentioning

confidence: 99%

Knowledge and attitudes of healthcare professionals and the impact on willingness to donate organs: a tertiary hospital survey

Oo¹,

Ong²,

Foong³

et al. 2020

smedj

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“…( 17 ) In a literature review by Walters, 58% of papers recommended educating and training HCPs in the organ donation process. ( 18 ) Lack of communication between the regional procurement agency and health care professionals working in critical care is one of the causes of POD loss. ( 13 ) In this study, just over half of the respondents contacted INCUCAI.…”

Section: Discussionmentioning

confidence: 99%

Lung donation and donor lung management: a survey among health care professionals in Argentina

Ruiz

Terrasa²,

Bauque³

et al. 2021

Crit Care Sci

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“…Although health care practitioners exhibited strong approval, they lacked understanding of key facts, and educational programs as well as an in-house coordinator are needed to increase awareness of organ donation and transplantation in nontransplant hospitals. Knowledge of donation process was recognized by many studies reviewed by Walters to be influential on general attitudes, with 58% of papers recommending education and training [ 23 ]. Educational shortage may easily lead to results observed by Abbud-Filho et al, who found that 15% of their doctors refused to acknowledge that BD patients were potential organ donors [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Attitude of Healthcare Professionals: A Major Limiting Factor in Organ Donation from Brain-Dead Donors

Kosieradzki

Jakubowska-Winecka

Feliksiak³

et al. 2014

Journal of Transplantation

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Public attitude toward deceased donor organ recovery in Poland is quite positive, with only 15% opposing to donation of their own organs, yet actual donation rate is only 16/pmp. Moreover, donation rate varies greatly (from 5 to 28 pmp) in different regions of the country. To identify the barriers of organ donation, we surveyed 587 physicians involved in brain death diagnosis from regions with low (LDR) and high donation rates (HDR). Physicians from LDR were twice more reluctant to start diagnostic procedure when clinical signs of brain death were present (14% versus 5.5% physicians from HDR who would not diagnose death, resp.). Twenty-five percent of LDR physicians (as opposed to 12% of physicians from HDR) would either continue with intensive therapy or confirm brain death and limit to the so-called minimal therapy. Only 32% of LDR physicians would proceed with brain death diagnosis regardless of organ donation, compared to 67% in HDR. When donation was not an option, mechanical ventilation would be continued more often in LDR regions (43% versus 26.7%; P < 0.01). In conclusion, low donation activity seems to be mostly due to medical staff attitude.

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Are Front Line Health Professionals Responsible for the Organ Crisis?

Cited by 7 publications

References 30 publications

Knowledge and attitudes of healthcare professionals and the impact on willingness to donate organs: a tertiary hospital survey

Knowledge and attitudes of healthcare professionals and the impact on willingness to donate organs: a tertiary hospital survey

Lung donation and donor lung management: a survey among health care professionals in Argentina

Attitude of Healthcare Professionals: A Major Limiting Factor in Organ Donation from Brain-Dead Donors

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