Deemed consent to organ donation: what critical care nurses need to know

Walton, Phil; Miller, Cathy; Maycock, Steven; Nicol, Kristian

doi:10.12968/bjon.2020.29.15.910

Cited by 2 publications

(2 citation statements)

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“…Specific engagement must be undertaken to ensure these groups understand their role under the consent model. Although, in most cases‚ the law change will have minimal impact on their practice, 95 OTDT systems can use these moments to reinforce general “best practices” in organ donation (eg, identification and referral). Organizational readiness is critical to the successful implementation of complex changes in healthcare settings.…”

Section: Intended Audience and Applicationmentioning

confidence: 99%

“…Organizational readiness is critical to the successful implementation of complex changes in healthcare settings. 96 A change of this magnitude will require project management that includes oversight, governance, and accountability across all workstreams to ensure that the change process is controlled and that interdependencies are aligned.…”

Section: Intended Audience and Applicationmentioning

confidence: 99%

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Organ and Tissue Donation Consent Model and Intent to Donate Registries: Recommendations From an International Consensus Forum

Walton

Pérez‐Blanco

Beed

et al. 2023

Transplantation Direct

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Background. Consent model and intent to donate registries are often the most public facing aspects of an organ and tissue donation and transplantation (OTDT) system. This article describes the output of an international consensus forum designed to give guidance to stakeholders considering reform of these aspects of their system. Methods. This Forum was initiated by Transplant Québec and cohosted by the Canadian Donation and Transplantation Program partnered with multiple national and international donation and transplantation organizations. This article describes the output of the consent and registries domain working group, which is 1 of 7 domains from this Forum. The domain working group members included administrative, clinical, and academic experts in deceased donation consent models in addition to 2 patient, family, and donor partners. Topic identification and recommendation consensus was completed over a series of virtual meetings from March to September 2021. Consensus was achieved by applying the nominal group technique informed by literature reviews performed by working group members. Results. Eleven recommendations were generated and divided into 3 topic groupings: consent model, intent to donate registry structure, and consent model change management. The recommendations emphasized the need to adapt all 3 elements to the legal, societal, and economic realities of the jurisdiction of the OTDT system. The recommendations stress the importance of consistency within the system to ensure that societal values such as autonomy and social cohesion are applied through all levels of the consent process. Conclusions. We did not recommend one consent model as universally superior to others, although considerations of factors that contribute to the successful deployment of consent models were discussed in detail. We also include recommendations on how to navigate changes in the consent model in a way that preserves an OTDT system’s most valuable resource: public trust.

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Section: Intended Audience and Applicationmentioning

confidence: 99%

Section: Intended Audience and Applicationmentioning

confidence: 99%