Simulation-Based Communication Skills Training for Experienced Clinicians to Improve Family Conversations About Organ and Tissue Donation

Potter, Julie; Gatward, Jonathan; Kelly, Michelle; McKay, L; McCann, Ellie; Elliott, Rosalind; Perry, Lin

doi:10.1177/1526924817731881

Cited by 13 publications

(13 citation statements)

References 27 publications

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“…Our findings result certainly from combination of an opt-out system and a small well-structure, highly motivated experienced team. Key role of "human factor" in success of this deeply personal approach was reported before [25][26][27].…”

Section: Plos Onementioning

confidence: 84%

Corneal donation for research versus for transplantation: A-year prospective study of acceptance rates in a French University Hospital

et al. 2020

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Fresh corneal donation is essential for basic and preclinical research, but more unknown to public and the medical teams than donation for transplantation: it may raise concerns. We prospectively compared the acceptance rates and the characteristics of targeted corneal donation for research versus donation for transplantation during one year. The Agence de la Biomé decine authorized us to procure fresh corneas targeted for research, only from the donors with medical contraindications for transplantation, in order not to increase grafts shortage. Three nurses from the hospital coordination team of Saint-Etienne University Hospital, obtained consent for research and transplantation in parallel, screening all intra-hospital deaths cases, following standard protocol to check no refusal from families, despite the French opt-out system. They contacted 127 families for research and 244 for transplantation, in 71% of cases by telephone. Consent was obtained in 62% of cases for research and 54% for transplantation (P = 0.135). The main contraindication for transplantation was the cognitive disorders (66%) followed by the blood cancers (8%). This new specific activity, providing new source of fresh corneas for research immediately usable without any eyebank storage steps, didn't reduce the number of corneas procured for transplantation versus previous years (P = 0.998). Donors in the research group were 10 years older (P<0.001) without difference regarding endothelial cell quality (P = 0.071), allowing maximal clinical relevance for protocols using these fresh human scientific corneas provided by targeted donation.

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Section: Plos Onementioning

confidence: 84%

Corneal donation for research versus for transplantation: A-year prospective study of acceptance rates in a French University Hospital

et al. 2020

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“…There is evidence that communication training for emergency health care workers could improve family engagement and discharge safety (Burley, 2011; Lorenzati et al, 2016). Further, education involving simulation could provide opportunities for clinicians to improve communication skills and achieve authentic engagement for both the older person and their family (Jacklin et al, 2018; Potter et al, 2017). Communication interventions should form part of the orientation of ED staff, especially those who will be involved in discharge (Ackermann et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Family members' perceptions of older person discharge from emergency departments

Fry

Elliott

Curtis

et al. 2021

Int J Older People Nursing

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Background: People aged over 64 years account for approximately 20% of adult emergency presentations, with up to 60% of people discharged home from emergency departments (EDs). Many older people discharged home are supported by family. Objectives:The objective of this study was to explore the family members' perspectives of older people's discharge from ED to inform new alternative or innovative models of care. Methods:The design was a descriptive exploratory study. A convenience sample of family members was recruited from three EDs across Sydney, New South Wales.Telephone interviews were conducted over a six-month period and data were analysed using statistics or thematic analysis.Results: Interviews were conducted with 133 family members of whom the majority were female (n = 80, 60%) with a median age of 70 years . Over 87% of family members were satisfied with ED care and discharge processes that were provided to the older person. The majority (n = 129, 97%) of family members reported

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“…Confidence and having a successful conversation are directly linked to experience, but simulation-based education can also help in this regard. 39,40 Clinicians that work in critical care and palliative care are well placed to utilise their communication skills for patients near the end of life, and those who look after patients with chronic conditions are well placed to start the conversation earlier than this. Organ and tissue donation should form a standardised part of trainees' curricula in specialties such as critical care, palliative medicine and general practice.…”

Section: What Can We Do To Further Address the Issue Of Organ And Tismentioning

confidence: 99%

Will the unusual become usual? A new legal change that aims to increase discussions around organ and tissue donation in England

Khiroya

Sharif

Jones

et al. 2021

Future Healthcare Journal

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UK guidelines recommend that discussions about organ and tissue donation are conducted as part of end-of-life care. However, there are several barriers to discussing organ donation, and this is reflected in a critical shortage of donors. This article explores who should start the conversation about donation and how all healthcare practitioners can maximise their communication skills to have success in this area. It is particularly pertinent to be upskilled in this area in light of the recent legal change in England, where the system moved from an opt-in to a 'soft' opt-out one. Based on a similar legal change that took place in Wales and global data, it is unlikely that the legal change alone will prompt an increase in donation rates in England. This article proposes suggestions to increase awareness and conversations among healthcare professionals and patients with education, public health campaigns and interventions rooted in psychological theory.

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Simulation-Based Communication Skills Training for Experienced Clinicians to Improve Family Conversations About Organ and Tissue Donation

Abstract: Simulation-based communication training for the designated requester role in FDCs increased the knowledge and confidence of clinicians to raise the topic of donation.

Cited by 13 publications

References 27 publications

Corneal donation for research versus for transplantation: A-year prospective study of acceptance rates in a French University Hospital

Corneal donation for research versus for transplantation: A-year prospective study of acceptance rates in a French University Hospital

Family members' perceptions of older person discharge from emergency departments

Will the unusual become usual? A new legal change that aims to increase discussions around organ and tissue donation in England

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