A Case in Successful Organ Donation: Emergency Department Nurses Do Make a Difference

Zavotsky, Kathleen Evanovich; Tamburri, Linda M.

doi:10.1016/j.jen.2006.12.011

Cited by 5 publications

(20 citation statements)

References 3 publications

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“…HCPs must work effectively with OPO staff for organ donation to take place. Research shows that strong OPO-hospital collaboration yields better donation outcomes (8,(12)(13)(14)(15)(16). Additionally, hospitals must cultivate a positive donation climate (17), which includes the attitudes, knowledge and behaviors of HCP to optimize donation processes and outcomes (11,(18)(19)(20)(21)(22)(23)(24)(25)(26).…”

Section: Introductionmentioning

confidence: 99%

Interim Results of a National Test of the Rapid Assessment of Hospital Procurement Barriers in Donation (RAPiD)

Traino

Alolod

Shafer

et al. 2012

American Journal of Transplantation

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Organ donation remains a major public health challenge with over 114 000 people on the waitlist in the United States. Among other factors, extant research highlights the need to improve the identification and timely referral of potential donors by hospital health-care providers (HCPs) to organ procurement organizations (OPOs). We implemented a national test of the Rapid Assessment of hospital Procurement barriers in Donation (RAPiD) to identify assets and barriers to the organ donation and patient referral processes; assess hospital–OPO relationships and offer tailored recommendations for improving these processes. Having partnered with seven OPOs, data were collected at 70 hospitals with high donor potential in the form of direct observations and interviews with 2358 HCPs. We found that donation attitudes and knowledge among HCPs were high, but use of standard referral criteria was lacking. Significant differences were found in the donation-related attitudes, knowledge and behaviors of physicians and emergency department staff as compared to other staff in intensive care units with high organ donor potential. Also, while OPO staff were generally viewed positively, they were often perceived as outsiders rather than members of healthcare teams. Recommendations for improving the referral and donation processes are discussed.

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Section: Introductionmentioning

confidence: 99%

Interim Results of a National Test of the Rapid Assessment of Hospital Procurement Barriers in Donation (RAPiD)

Traino

Alolod

Shafer

et al. 2012

American Journal of Transplantation

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“…We identified this attribute, which included reports of the ability to communicate effectively or not with families, the healthcare team, and ODOs, in 14 papers. 25,26,39,41,44,[66][67][68][69][70][71][72][73][74] Effective communication may impact the performance of organ donation programs positively or negatively. Family interviews related to organ donation present a challenging step in the organ donation process.…”

Section: Process Factorsmentioning

confidence: 99%

“…75 Team approach. In 17 papers 26,35,36,38,39,42,52,61,62,71,74,[76][77][78][79][80] we identified this attribute that included the involvement of intensive care unit (ICU) teams and organ donation coordinators in the donation process. Ongoing collaboration among hospital and ODO staff is considered key to the success of various donation programs.…”

Section: Table 3 (Continued)mentioning

confidence: 99%

“…We identified this attribute, which included any recommendations or actions within the context of the role of OTDCs in acute care settings in any part or the whole deceased organ donation process, in 8 papers. 23,61,63,66,67,73,74,83,84,94,99,100 One action, to implement Note. There is no single path to success in organ donation programs.…”

Section: Table 3 (Continued)mentioning

confidence: 99%

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Defining Quality Criteria for Success in Organ Donation Programs: A Scoping Review

Silva

Schirmer

Roza

et al. 2021

Can J Kidney Health Dis

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Background: Well-established performance measures for organ donation programs do not fully address the complexity and multifactorial nature of organ donation programs such as the influence of relationships and organizational attributes. Objective: To synthesize the current evidence on key organizational attributes and processes of international organ donation programs associated with successful outcomes and to generate a framework to categorize those attributes. Design: Scoping Review using a mixed methods approach for data extraction. Setting: Databases included PubMed, CINAHL, Embase, LILACS, ABI Business ProQuest, Business Source Premier, and gray literature (organ donation association websites, Google Scholar—first 8 pages), and searches for gray literature were performed, and relevant websites were perused. Sample: Organ donation programs or processes. Methods: We systematically searched the literature to identify any research design, including text and opinion papers and unpublished material (research data, reports, institutional protocols, government documents, etc). Searches were completed on January 2018, updated it in May 2019, and lastly in March 2020. Title, abstracts, and full texts were screened independently by 2 reviewers with disagreements resolved by a third. Data extraction followed a mixed method approach in which we extracted specific details about study characteristics such as type of research, year of publication, origin/country of study, type of journal published, and key findings. Studies included considered definitions and descriptions of success in organ donation programs in any country by considering studies that described (1) attributes associated with success or effectiveness, (2) organ donation processes, (3) quality improvement initiatives, (4) definitions of organ donation program effectiveness, (5) evidence-based practices in organ donation, and (6) improvements or success in such programs. We tabulated the type and frequency of the presence or absence of reported improvement quality indicators and used a qualitative thematic analysis approach to synthesize results. Results: A total of 84 articles were included. Quantitative analysis identified that most of the included articles originated from the United States (n = 32, 38%), used quantitative approaches (n = 46, 55%), and were published in transplant journals (n = 34, 40.5%). Qualitative analysis revealed 16 categories that were described as positively influencing success/effectiveness of organ donation programs. Our thematic analysis identified 16 attributes across the 84 articles, which were grouped into 3 categories influencing organ donation programs’ success: context (n = 39, 46%), process (n = 48, 57%), and structural (n = 59, 70%). Limitations: Consistent with scoping review methodology, the methodological quality of included studies was not assessed. Conclusions: This scoping review identified a number of factors that led to successful outcomes. However, those factors were rarely studied in combination representing a gap in the literature. Therefore, we suggest the development and reporting of primary research investigating and measuring those attributes associated with the performance of organ donation programs holistically. Trial Registration: Not applicable.

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“…The pilot test successfully identified new and persistent barriers to donation, recommended intervention strategies for OPOs and hospitals to implement, and documented improvements in the donation environments at 75% of the hospitals upon reevaluation after 12 months. 26,27 Building on the pilot's promising results and keeping in mind that strong OPO-hospital partnerships yield better donation outcomes, [28][29][30][31][32][33] a national test of the RAPiD was launched to examine its efficacy in hospitals across the United States and to determine the extent to which OPO-based hospital development staff could implement RAPiD as designed and intended. Baseline findings revealed unresolved tensions between many participating hospitals and their respective OPOs as well as deficits in HCP knowledge of hospitals' organ donation policies and procedures.…”

Section: Introductionmentioning

confidence: 99%

Utility and Usability of the Rapid Assessment of Hospital Procurement Barriers in Donation (RAPiD) as a Tool for OPO Hospital Development Staff

2016

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More HCPs interviewed in the autonomous condition were positive toward the concept of organ donation. However, HCPs in the assisted condition were more candid about and critical of the OPO. As for knowledge, fewer HCPs in the autonomous condition reported familiarity with the donation process, need for donors, and generally accepted timely referral criteria. With respect to behaviors, more respondents in the autonomous condition reported frequent or occasional contact with the OPO and routine or occasional referral criteria use. Due to issues of bias, inadequate research experience, conflicts of interest, and ongoing OPO hospital development initiatives, the RAPiD's usability by OPO-based hospital development staff is questionable and not recommended in its current form. A next generation of the RAPiD is described for future consideration.

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A Case in Successful Organ Donation: Emergency Department Nurses Do Make a Difference

Cited by 5 publications

References 3 publications

Interim Results of a National Test of the Rapid Assessment of Hospital Procurement Barriers in Donation (RAPiD)

Interim Results of a National Test of the Rapid Assessment of Hospital Procurement Barriers in Donation (RAPiD)

Defining Quality Criteria for Success in Organ Donation Programs: A Scoping Review

Utility and Usability of the Rapid Assessment of Hospital Procurement Barriers in Donation (RAPiD) as a Tool for OPO Hospital Development Staff

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