The Effect of Psychological Support for the Relatives of Intensive Care Unit Patients on Cadaveric Organ Donation Rate

Adanir, Tayfun; Erdogan, I.; Hunerli, G.; Unveren, G.; Dasci, H.; Çetin, Hasan; Özsan, İsmail; Aydin, Ülviyye

doi:10.1016/j.transproceed.2014.05.086

Cited by 18 publications

(16 citation statements)

References 27 publications

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“…Seventeen studies did not use a control group, which makes the criterion “intervention independent of other changes” for these studies at high risk. Two RCTs were performed [12, 32]. One of these studies did not use a correct randomization method.…”

Section: Resultsmentioning

confidence: 99%

“…One of these studies did not use a correct randomization method. They divided the groups by even and odd numbered beds [12]. In addition, most studies lacked adequate power or had selection bias leading to a high-risk score on the criterion “other risks of bias.”…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies focused on additional support of relatives [12, 18, 21, 22, 24, 31, 32]. Six out of seven studies showed a statistically significant increase in the main outcome measure after the intervention.…”

Section: Resultsmentioning

confidence: 99%

“…Six out of seven studies showed a statistically significant increase in the main outcome measure after the intervention. In the study by Adanir et al [12], psychologists performed therapeutic sessions with the relatives of ICU patients. Although the relatives were not relatives of potential organ donors, the percentage of people that would consent to donation, if they had to decide, was higher in the intervention group (75%) than the control group (32%) with p < 0.0001.…”

Section: Resultsmentioning

confidence: 99%

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Interventions aimed at healthcare professionals to increase the number of organ donors: a systematic review

Witjes¹,

Jansen²,

Hoeven³

et al. 2019

Crit Care

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Background The last decade, there have been many initiatives worldwide to increase the number of organ donors. However, it is not clear which initiatives are most effective. The aim of this study is to provide an overview of interventions aimed at healthcare professionals in order to increase the number of organ donors. Methods We systematically searched PubMed, EMBASE, CINAHL, PsycINFO, and the Cochrane Library for English language studies published until April 24, 2019. We included studies describing interventions in hospitals aimed at healthcare professionals who are involved in the identification, referral, and care of a family of potential organ donors. After the title abstract and full-text selection, two reviewers independently assessed each study’s quality and extracted data. Results From the 18,854 records initially extracted from five databases, we included 22 studies in our review. Of these 22 studies, 14 showed statistically significant effects on identification rate, family consent rate, and/or donation rate. Interventions that positively influenced one or more of these outcomes were training of emergency personnel in organ donation, an electronic support system to identify and/or refer potential donors, a collaborative care pathway, donation request by a trained professional, and additional family support in the ICU by a trained nurse. The methodological quality of the studies was relatively low, mainly because of the study designs. Conclusions Although there is paucity of data, collaborative care pathways, training of healthcare professionals and additional support for relatives of potential donors seem to be promising interventions to increase the number of organ donors. Trial registration PROSPERO, CRD42018068185 Electronic supplementary material The online version of this article (10.1186/s13054-019-2509-3) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Interventions aimed at healthcare professionals to increase the number of organ donors: a systematic review

Witjes¹,

Jansen²,

Hoeven³

et al. 2019

Crit Care

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“…Families should be treated with respect and appropriately educated and counseled about the meaning of DNC and about organ donation . Provision of psychological support to families of patients with catastrophic brain injuries significantly increases rates of organ donation .…”

Section: Discussionmentioning

confidence: 99%

Portrayal of Brain Death in Film and Television

Lewis

Weaver

Caplan

2017

American Journal of Transplantation

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We sought to evaluate whether television and cinematic coverage of brain death is educational or misleading. We identified 24 accessible productions that addressed brain death using the archives of the Paley Center for Media (160 000 titles) and the Internet Movie Database (3.7 million titles). Productions were reviewed by two board-certified neurologists. Although 19 characters were pronounced brain dead, no productions demonstrated a complete examination to assess for brain death (6 included an assessment for coma, 9 included an evaluation of at least 1 brainstem reflex, but none included an assessment of every brainstem reflex, and 2 included an apnea test). Subjectively, both authors believed only a small fraction of productions (13% A.L., 13% J.W.) provided the public a complete and accurate understanding of brain death. Organ donation was addressed in 17 productions (71%), but both reviewers felt that the discussions about organ donation were professional in a paucity of productions (9% for A.L., 27% for J.W.). Because television and movies serve as a key source for public education, the quality of productions that feature brain death must be improved.

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Angehörigenbegleitung bei irreversiblem Hirnfunktionsausfall

Deffner

Michels

2019

Med Klin Intensivmed Notfmed

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The Effect of Psychological Support for the Relatives of Intensive Care Unit Patients on Cadaveric Organ Donation Rate

Cited by 18 publications

References 27 publications

Interventions aimed at healthcare professionals to increase the number of organ donors: a systematic review

Interventions aimed at healthcare professionals to increase the number of organ donors: a systematic review

Portrayal of Brain Death in Film and Television

Angehörigenbegleitung bei irreversiblem Hirnfunktionsausfall

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