Refusal of Brain Death Diagnosis

Bosek, Marcia Sue DeWolf; Anderson, Janice A; Vernaglia, Lawrence W; Morrigan, Shirley P.; Bard, Terry R.

doi:10.1097/01.nhl.0000287971.21182.22

Cited by 2 publications

(1 citation statement)

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“…Organ donation discussions require intensivists to be familiar with relevant laws and be aware of religious scholars’ perspectives. Family ethical or religious understanding influences organ donation decisions and may lead to refusal of donation [ 34 – 36 ]. In our study, intensivists reported low comfort in legal, ethical, and religious considerations.…”

Section: Discussionmentioning

confidence: 99%

Assessing comfort level of organ donation competencies among pediatric intensivists in Saudi Arabia: a national survey

Kazzaz

Da’ar

2020

BMC Med Educ

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Background As increasing the number of organ donations presents a global challenge, Saudi Arabia is no different. Intensivists can play a major role in maximizing the organ donation process and minimize the challenges. The purpose of this study was to investigate Saudi pediatric intensivists’ comfort and importance levels of organ donation competencies. Methods We conducted a cross-sectional survey whose sampling frame included 100 pediatric intensivists. The pediatrician intensivists were identified through an updated list provided by the Saudi Critical Care Society. We assessed 14 competencies categorized into four domains: the general donation, donation after brain death (DBD), neurological determination of death, and medicolegal, religious, and ethical domains. Then we investigated the association between these competencies and physicians’ characteristics. Results With a response rate of 76%, we found that 40–60% of the surveyed pediatric intensivists rated their comfort in 6 out of 14 competencies as high or very high. There was a statistically significant gap in the intensivists’ rating of 10 competencies (i.e., high importance but low comfort levels). Ordinal regression showed that comfort levels with the general donation, neurological determination of death, and medicolegal, religious, and ethical domains were higher in intensivists who were frequently involved with DBD than those who had never been exposed. Conclusions Pediatric intensivists expressed low comfort levels to organ donation competencies that are essential for maximizing donation rates. Adapting mandatory comprehensive donation education programs and dedicated physician specialists may be beneficial in critical care units aiming to increase donation rates.

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Section: Discussionmentioning

confidence: 99%

Assessing comfort level of organ donation competencies among pediatric intensivists in Saudi Arabia: a national survey

Kazzaz

Da’ar

2020

BMC Med Educ

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Can a Parent Refuse the Brain Death Examination?

Lee¹,

Trowbridge²,

McEvoy³

et al. 2020

Pediatrics

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Dr Lee conceptualized the article, drafted the case summary, and drafted her commentary; Drs Trowbridge and Wightman conceptualized the article and each drafted their respective commentaries; Dr Clark, Ms McEvoy, and Ms Kraft each drafted their respective commentaries; and all authors reviewed and revised the manuscript in its entirety, approved the final manuscript as submitted, and agree to be accountable for all aspects of the work.

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Refusal of Brain Death Diagnosis

Cited by 2 publications

References 1 publication

Assessing comfort level of organ donation competencies among pediatric intensivists in Saudi Arabia: a national survey

Assessing comfort level of organ donation competencies among pediatric intensivists in Saudi Arabia: a national survey

Can a Parent Refuse the Brain Death Examination?

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