Attitude and knowledge of medical students toward donation after circulatory death

Martino, Rodrigo; Guidotte, Diogo Visconti; Waisberg, Daniel Reis; Santos, Alexandre Guerra dos; Cassenote, Alex Jones Flores; Arantes, Rubens Macedo; Haddad, Luciana Bertocco; Galvão, Flávio Henrique Ferreira; Carneiro-D’Albuquerque, Luiz Augusto

doi:10.1590/1806-9282.20210012

Cited by 4 publications

(3 citation statements)

References 10 publications

(11 reference statements)

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“…Those findings are different from those recently reported in a survey conducted on a representative sample of the Brazilian population (personal communication), which revealed that 67% of the students would consent to PMOD, and only half have talked about this issue with a relative. This is in accordance with some 2,3 , but not all, reports 4 from Brazil and elsewhere 5,6 Q1: In case of death, would you like to donate your organs? ; Q3: If your decision is to become an organ donor in case of death, does your family know about your will to donate your organs?…”

Section: Discussionsupporting

confidence: 91%

“…In accordance with previous reports from Brazil, the US, and Europe [5][6][7]13 , most of the medical students who were not willing to PMOD were in doubt, and few reported religious or cultural beliefs to justify their decision. This is in contrast to several other reports from Asia and the Middle East, where religion, fear of body mutilation and/or handling, family reaction, and distrust in the transplantation system are the main reasons against PMOD 14 .…”

Section: Discussionsupporting

confidence: 87%

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Perception of Brazilian medical students toward organ donation

Batista

NASCIMENTO

Castro

et al. 2022

Rev. Assoc. Med. Bras.

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OBJECTIVE: Brazil ranks second in gross numbers of kidney and liver transplantations, but deceased organ donation is still far below the national demand for organs. Apart from a high family refusal rate, another significant barrier is healthcare workers' inappropriate knowledge concerning organ donation and transplantation. Since most of them have recently graduated from university, this study aimed to evaluate the awareness and attitudes of medical students concerning organ donation. METHODS: Between August and September 2021, a web-based survey with 10 overlapping questions was sent to medical students from several Brazilian universities after advertisements on social media. RESULTS: A total of 391 (60% female, mean age: 23 [17-41] years) students answered the survey. Most of them (91%) would like to donate organs in case of death, and 75% have already notified their family. The main reasons for not becoming a donor were fear of body manipulation (n=3) or family reaction (n=2) and religious reasons (n=2). When inquired, 54% were unaware of brain death criteria, and half of them claimed to have never discussed the topic in medical classes. Except for Glasgow coma scale (97%), pupillary (72%), and corneal (53%) reflexes, less than 25% knew other reflexes required for brain death diagnosis. CONCLUSION: Most medical students declared themselves as organ donors, and most informed their families. However, many students have never learned about crucial steps toward organ donation, which may impact their adequate recognition of potential organ donors later in life.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 87%

Perception of Brazilian medical students toward organ donation

Batista

NASCIMENTO

Castro

et al. 2022

Rev. Assoc. Med. Bras.

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“…6 Similar misunderstandings surrounding basic facts about WBD have been reported elsewhere. [7][8][9][10] This likely owes to a lack of education on medical and legal criteria for death determination within medical education.…”

mentioning

confidence: 99%

Education Research: Changes in Medical Students' Knowledge and Attitudes Toward Clinical Death After Teaching the Philosophy of Death

Ludka

Brummett

Wasserman

2023

Neurology Education

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Background and ObjectivesVaried meanings of death within medicine, bioethics, and society at large often produce disagreement and frustration between physicians and surrogate decision makers. We investigated whether teaching medical students about the philosophical aspects of death would change their attitude toward surrogate decision makers who assert nonstandard views of death.MethodsAn 80-minute lecture covering philosophical debates surrounding medico-legal standards of death was given to second-year medical students at Oakland University William Beaumont School of Medicine during a neuroscience course. Participants completed a questionnaire containing Likert scale and open-ended questions before and after the intervention assessing their acceptance of, frustration toward, and likelihood of accommodating a request for surrogate decision makers who posited either a whole-brain, high-brain, or circulatory view of death. Change in knowledge was analyzed using the McNemar test, whereas attitudinal scores were compared with pairedttests. Open-ended responses were narratively analyzed to identify themes that elaborate quantitative findings.ResultsA total of 43 paired responses were analyzed from second-year medical students. Following the intervention, students expressed less frustration (χ¯diff= −0.64, 95% CI −0.15 to −1.15), greater likelihood of accommodating ventilator removal (χ¯diff= 0.60, 95% CI 0.41–0.85), and greater acceptance (χ¯diff= 0.63, 95% CI 0.28–0.91) of surrogates who endorsed a whole-brain view of death. Although students rated the high-brain view as more acceptable after the lecture (χ¯diff= 0.63, 95% CI 0.28–0.91), they were not more likely to remove a ventilator from a patient who had experienced high-brain death (χ¯diff= 0.19, 95% CI −0.30 to 0.67). Students were less likely to continue artificial ventilation for a brain-dead patient (χ¯diff= −0.61, 95% CI −0.91 to −0.30) despite no change in frustration toward the surrogate (χ¯diff= −0.26, 95% CI 0.20 to −0.70).DiscussionChanges in attitudes across the 3 views of death suggest that increased awareness of the philosophical debate facilitates reflection of students' understanding and opinion of death. These findings support implementation of educational interventions to prepare students for future work with surrogate decision makers holding diverse sets of views on death.

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Knowledge and attitudes of medical students toward death: a cross-sectional comparative study between an Arab and a Western University

Hamadeh,

Abuelaish,

Yousufzai

et al. 2024

BMC Psychol

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Background Cultural factors influence attitudes toward death, and gender disparities are evident. Prior studies show that medical students have limited knowledge about death and are uncomfortable with it. Moreover, there is limited research that has examined factors that influence medical students’ knowledge and attitudes toward death. Objectives The objectives of the study were to compare cultural and gender differences in relation to knowledge and attitudes toward loss and grief and to screen for complicated grief among medical students at the Arabian Gulf University and the University of Toronto. Methods A cross-sectional study was disseminated to medical students at both universities in 2022. The variables in the survey included four parts: demographic characteristics of the participants, religious observance, history of encountering loss of a loved one, grief following loss, attitude toward death, and learning about how to deal with grief and death during medical school. The brief grief questionnaire and the death attitude profile-revised scales were used. Results The study sample consisted of 168 medical students, with 74.1% being female. Complicated grief scores were higher among Arabian Gulf University students (3.87 ± 2.39) than among University of Toronto students (2.00 ± 1.93) and were higher for participants with a higher degree of religious observance in both schools (p < 0.05). Death avoidance (p = 0.003), approach acceptance (p < 0.001), and escape acceptance (p = 0.038) domains were significantly higher among Arabian Gulf University students than among University of Toronto students. Almost three-quarters of University of Toronto students reported not being taught about grief, compared to 54% of Arabian Gulf University students. Conclusions Arabian Gulf University medical students scored higher on complicated grief, most likely due to cultural and religious factors. Females at both institutions as well as those who indicated a higher level of religious observance reported higher scores of complicated grief. The study highlights how cultural and religious beliefs influence medical students’ attitudes toward death and bereavement. It provides valuable insight into the knowledge and attitudes of medical students toward loss.

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Attitude and knowledge of medical students toward donation after circulatory death

Cited by 4 publications

References 10 publications

Perception of Brazilian medical students toward organ donation

Perception of Brazilian medical students toward organ donation

Education Research: Changes in Medical Students' Knowledge and Attitudes Toward Clinical Death After Teaching the Philosophy of Death

Knowledge and attitudes of medical students toward death: a cross-sectional comparative study between an Arab and a Western University

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