Attitudes toward Organ Donation and Donor Behavior: A Review of the International Literature

Wakefield, Claire E.; Watts, Kaaren; Homewood, Judi; Meiser, Bettina; Siminoff, Laura A.

doi:10.1177/152692481002000412

Cited by 119 publications

(80 citation statements)

References 40 publications

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“…It would therefore appear that educational interventions associated with prior preparation could increase the rate of consent to organ donation. While public campaigns may be helpful in promoting organ donation generally, community educational intervention may be more productive in challenging cultural attitudes and beliefs (Wakefield, Watts, Homewood, Meiser, & Siminoff, 2010), for example, reported misconceptions about religious perspectives and donor age. Raising public knowledge and awareness is essential to the provision of informed choice for family members, in overcoming their fears and concerns, and in reducing elements of surprise when approached about organ donation.…”

Section: Discussionmentioning

confidence: 97%

Factors Influencing Bereaved Families’ Decisions About Organ Donation

2013

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This article reports on the process and outcomes of a systematic integrative literature review, designed to enhance understanding of the factors influencing bereaved families' decisions to agree or decline the donation of their deceased relative's organs for transplantation. Research originating from eight Western countries (N = 20 studies) provided an international perspective to the review. Thematic analysis and synthesis of textual data culminated in the development of three global themes (past, present, and future) that captured the temporal dimensions of family decision making. The review findings provide valuable insight into ways of increasing the rate of consent to organ donation through the development family-centered care interventions that reflect the needs of the bereaved. Further research to explore the pathway of donation after circulatory death and the experiences of bereaved families who decline organ donation is essential to providing a more complete understanding of the factors affecting donation decisions.

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Section: Discussionmentioning

confidence: 97%

Factors Influencing Bereaved Families’ Decisions About Organ Donation

2013

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“…3 In this sense, a favorable attitude toward organ donation has been found in more than 75% of respondents and it is similar to that described in some population groups that are not related to donation and transplantation. [11][12][13][14] These data are not universal and cannot be generalized in all areas, and important variations exist from one country to the next. Of particular note is that in Spain, one of the countries included in the study and which has one of the highest deceased donation rates in the world, the attitudes of health care workers are among least favorable.…”

Section: Discussionmentioning

confidence: 99%

Level of awareness of personnel in hospital services related to the donation process: A Spanish and Latin American multicenter study

Zambudio¹,

López-Navas²,

Ayala-García³

et al. 2012

The Journal of Heart and Lung Transplantation

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“…These findings are generally consistent with previous studies on willingness to donate. 9,11,12,17 More importantly, we found that there is a more than two-fold variation across DMVs in rates of organ donor designation. Use of SDDRs that adjust for characteristics of DMV patrons greatly reduced this variation and may more accurately describe the performance of DMVs in promoting organ donation.…”

Section: Discussionmentioning

confidence: 66%

A Standardized Donor Designation Ratio to Assess the Performance of Driver's License Agencies

Sehgal

Sullivan

Figueroa

et al. 2017

Transplantation Proceedings

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Evaluating Department of Motor Vehicles (DMV) locations based on the percent of patrons who register as donors does not account for individual characteristics that may influence willingness to donate. We reviewed the driver’s licenses of 2997 randomly selected patients at an urban medical system to obtain donor designation, age, gender, and DMV location and linked patient addresses with census tract data on race, ethnicity, income, and education. We then developed a Standardized Donor Designation Ratio (SDDR), i.e. the observed number of donors at each DMV divided by the expected number of donors based on patient demographic characteristics. Overall, 1355 (45%) patients were designated as donors. Donor designation was independently associated with younger age, female gender, non-black race, and higher income. Across 18 DMVs, the proportion of patients who were donors ranged from 30–68% while SDDRs ranged from 0.82–1.17. Among the 6 facilities in the lowest tertile by SDDR, 3 were in the lowest tertile by percent donation. In conclusion, there is a great deal of variation across DMVs in rates of organ donor designation. SDDRs that adjust for DMV patron characteristics are distinct measures that may more accurately describe the performance of DMVs in promoting organ donation.

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Attitudes toward Organ Donation and Donor Behavior: A Review of the International Literature

Cited by 119 publications

References 40 publications

Factors Influencing Bereaved Families’ Decisions About Organ Donation

Factors Influencing Bereaved Families’ Decisions About Organ Donation

Level of awareness of personnel in hospital services related to the donation process: A Spanish and Latin American multicenter study

A Standardized Donor Designation Ratio to Assess the Performance of Driver's License Agencies

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