Organ Procurement From Donors After Brain Death During the COVID-19 Pandemic: Experience of a High Prevalence Country

Dezfuli, Mojtaba Mokhber; Eslami, Faezeh; Mostafavi, Keihan; Khoshkholgh, Roxana; Nejatollahi, Seyed Mohammad Reza; Montazeri, Sadra; Abdolmohammadi, Yazdan; Ghorbani, Fariba

doi:10.6002/ect.2021.0398

Cited by 1 publication

(1 citation statement)

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“…It is defined as the proportion of potential donors from whom at least one organ is recovered for donation. The organ procurement network (OPN) of our center reported a conversion rate of 27%–30% in 2020 [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Facilitators and barriers in the donor family interview process from the perspective of hospital staff: a cross-sectional study

Reza Nejatollahi,

Abdolmohammadi,

Ahmadi

et al. 2023

Korean J Transplant

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Background Obtaining consent from potential donor families is a challenging step in the donation process and is influenced by various factors. Methods In this cross-sectional study, we utilized a questionnaire containing 14 questions about facilitators and barriers in the family interview process. The questionnaire was distributed in March 2023 to intensive care unit (ICU) nurses who had experience with donor family interviews. We collected the opinions of these respondents on hospital performance and drew comparisons between the studied hospitals. Results A total of 60 participating ICU nurses provided mean scores for hospital performance in family interviews of 2.60±0.84 for type I hospitals (those providing neurosurgery and trauma care) and 2.035±0.890 for type II hospitals (those without neurosurgery and trauma services; P=0.04). The mean scores for public and private hospitals were 1.86±0.86 and 2.59±0.85, respectively (P=0.008). Based on the findings, the most important facilitators were the availability of organ donation staff and access to a professional team for family discussions. Conversely, poor physician communication skills and limited communication capabilities among medical staff were identified as significant barriers. Implementation of a professional team for family interviews was found to be more critical for type II hospitals. Poor physician communication skills were a significant concern in public hospitals, while families’ lack of awareness of patient prognosis emerged as a key barrier in private hospitals. Conclusions This study highlights numerous facilitators and barriers that vary across hospitals. Addressing these issues individually and developing tailored plans to enhance hospital performance in interviewing donor families is essential.

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Section: Introductionmentioning

confidence: 99%