Attitude of health care professionals to brain death: influence on the organ donation process

Cohen, Jonathan; Ami, Sharona Ben; Ashkenazi, Tamar; Singer, Pierre

doi:10.1111/j.1399-0012.2007.00776.x

Cited by 68 publications

(56 citation statements)

References 17 publications

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“…19,20 In future situations involving patients, the difficulty of the decision for DBD may thus be assuaged. Several studies on nurses and doctors [21][22][23] have already demonstrated that more information on brain death results in greater acceptance of brain death diagnostics. The questionnaire further reveals that students' motivation to engage with DBD is high both before and after the course ("I am motivated to engage with the topic: evaluation of brain death"), providing evidence that this topic is of fundamental relevance for medical students.…”

Section: Resultsmentioning

confidence: 98%

Teaching the Concept of Brain Death in Undergraduate Medical Education

Holling

Stummer

Friederichs

2015

Journal of Surgical Education

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Section: Resultsmentioning

confidence: 98%

Teaching the Concept of Brain Death in Undergraduate Medical Education

Holling

Stummer

Friederichs

2015

Journal of Surgical Education

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“…Previous studies agree with these assumptions, having found that most of the studied populations did not accept brain death as death. (4)(5)(6)(7)(8)(9)(10) In Brazil, the diagnosis of brain death in patients with clinical signs of brain death is confirmed by two clinical exams and one complementary test, which are part of care delivery for patient and their families. A major conflict reported by the nurses in our study concerns withdrawing therapeutic support for non-donor patients with a diagnosis of brain death.…”

Section: Discussionmentioning

confidence: 99%

“…(15)(16)(17) In general, research reveals that lack of knowledge about the organ donation process has a negative impact on attitudes toward organ donation, even among health professionals, which can lead to not identifying potential donors and not performing the brain death protocol, identified in practice by actions of professionals involved. (4)(5)(6)8) Nurses perceived religion, lack of communication, and scarcity of human and material resources as situations that could interfere in the process of organs donation.…”

Section: Discussionmentioning

confidence: 99%

Conflitos éticos vivenciados por enfermeiros no processo de doação de órgãos

Araújo¹,

Massarollo²

2014

Acta paul. enferm.

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Objective: To determine ethical conflicts experienced by nursing during the organ donation process. Methods: This qualitative study used the content analysis approach developed by Bardin. We interviewed eleven nurses who had cared for potential donors of organs for transplantation. Four questions were used to guide the interview. Results: After analysis, five categories emerged: difficulty in accepting brain death; non-acceptance of the multidisciplinary team for withdrawing mechanical ventilation of the non-donor patient after brain death; difficulty of the multidisciplinary team during the organ donation process; and situations that can interfere with the organ donation process and decision making in ethical conflicts. Conclusion: Ethical conflicts experienced by nurses during the organ donation process were difficulty of health care professionals in accepting brain death as the death of the individual, non-acceptance of withdrawing mechanical ventilation in non-donor patients after brain death, lack of knowledge to perform the brain death protocol, lack of commitment, negligence in care for potential donors, scarcity of human and material resources, religion, and lack of communication. ResumoObjetivo: Conhecer os conflitos éticos vivenciados pelos enfermeiros no processo de doação de órgãos. Métodos: Pesquisa qualitativa utilizando a análise de conteúdo de Bardin. Foram entrevistados onze enfermeiros, com experiência na assistência a potenciais doadores de órgãos para transplante. Foram utilizadas quatro questões norteadoras. Resultados: Emergiram cinco categorias: dificuldade em aceitar a morte encefálica; não aceitação da equipe multiprofissional de desconectar o ventilador mecânico do paciente em morte encefálica não doador de órgãos; dificuldades da equipe multiprofissional durante o processo de doação de órgãos; situações que podem interferir no processo de doação de órgãos e Tomada de decisão frente a conflitos éticos. Conclusão: Os conflitos éticos vivenciados pelos enfermeiros no processo de doação de órgãos foram: a dificuldade do profissional em aceitar a morte encefálica como morte do individuo, a não aceitação em desconectar o ventilador mecânico do paciente em morte encefálica e não doador de órgãos, o desconhecimento para a realização do protocolo de morte encefálica, a falta de comprometimento, o descaso no cuidado com o potencial doador a escassez de recursos humanos e materiais a crença religiosa e a falha na comunicação.

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“…One proposed topic is to examine the situation of health professionals who are key components of the process, particularly those related to transplantation teams, organ procurement and policy makers. 3 According to some authors, health professionals' knowledge, perceptions and attitudes can become either facilitators or barriers to organ procurement and transplantation 4 and can even influence the public's attitudes toward donation. 5 Nevertheless, few studies have been conducted in Mexico and other Latin American countries on what transplant staff think, say or do regarding the organ donation and transplantation process.…”

Section: Salud Pública De México / Vol 59 No 1 Enero-febrero De 2017mentioning

confidence: 99%

Organ donation and transplantation in Mexico. A transplantation health professionals’ perspective

2017

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HernándezResumen Objetivo. Explorar la donación y trasplante de órganos en México desde la perspectiva del personal de salud de trasplantes. Material y métodos. Investigación cualitativa. Participaron 26 profesionales de trasplantes en siete estados de México. Fueron realizadas entrevistas semi-estructuradas en los hospitales. Se hizo análisis crítico del discurso. Resultados. Según los participantes, el trasplante de vivo relacionado ofrece beneficios para el receptor y donador. Diversos factores inciden negativamente en el campo de los trasplantes, la carencia de recursos económicos impide la incorporación de nuevo personal, así como los conflictos entre los equipos de trasplantes con otros profesionales de la salud y autoridades. Conclusión. Es necesario aumentar los recursos económicos y sensibilizar al personal de salud de trasplante para evitar conflictos con los diferentes profesionales de la salud, así como realizar más estudios que incorporen la perspectiva de otros actores sociales.Palabras clave: trasplante de órganos; personal de salud; investigación cualitativa; México

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Attitude of health care professionals to brain death: influence on the organ donation process

Cited by 68 publications

References 17 publications

Teaching the Concept of Brain Death in Undergraduate Medical Education

Teaching the Concept of Brain Death in Undergraduate Medical Education

Conflitos éticos vivenciados por enfermeiros no processo de doação de órgãos

Organ donation and transplantation in Mexico. A transplantation health professionals’ perspective

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