A comparison of organ transplant patient and professional staff attitudes

Paris, Wayne; Cooper, D. K. C.; Samara, S.; Carpenter, William; Crockett, Susan J.; Calhoun-Wilson, G.; Quisenberry, M. Ellen.; Zuhdi, N

doi:10.1007/bf02214729

Cited by 9 publications

(3 citation statements)

References 16 publications

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“…In our experience, psychiatric and substance abuse/dependence disorders negatively affect outcomes and are more likely to occur in cases in which there is no acknowledgment of a problem, commitment to treatment, and clearly stated behavioral criteria. [24][25][26][27][28][29][30] In this case, the patient openly admitted his problems, was committed to his treatment plan, and remains compliant with behavioral objectives.…”

Section: Discussionmentioning

confidence: 99%

Pedophiles and Stalkers as Transplant Candidates: One Program's Experience

et al. 2005

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Transplant assessment of pedophiles and stalkers presents a challenge for clinicians and requires the ability to separate the science from the hysteria. Although rarely seen in organ transplant clinics, the presence of psychosexual disorders can result in both criminal charges and harsh societal reactions. Clinicians must be able to assess and make informed recommendations about the suitability of the candidate and any potential risks for staff, other patients, and society at large. Six patients (5 pedophiles and 1 stalker) were assessed at our major regional multiorgan transplant program; each patient presented with unique and challenging assessment, treatment, and selection issues for the transplant team. The objectives of this article are to raise awareness of the issues associated with pedophiles and stalkers, and to provide the basis for better-informed discussions based on one program's struggles with its candidate selection and follow-up.

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Section: Discussionmentioning

confidence: 99%

Pedophiles and Stalkers as Transplant Candidates: One Program's Experience

et al. 2005

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“…Even in the hospital setting, where xenotransplant patients might expect to find solace, they may be subjected to negative attitudes from some healthcare personnel. 40 Conflicts of interest may arise in instances where caregivers are ideologically opposed to xenotransplantation, as sometimes occurs with regard to women undergoing abortion. In our imperfect world, such prejudice might even interfere with the manner in which care is delivered to the patient.…”

Section: Public Attitudes and Acceptancementioning

confidence: 99%

Xenotransplantation: The Challenge to Current Psychosocial Attitudes

2000

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Because of the limited availability of transplantable human organs, xenotransplantation, the use of animal organs as an alternative source, has received considerable attention in recent years. Xenotransplantation would provide an unlimited supply of organs, and these organs would be available whenever required. Although the pig is considered the best source for organs, significant immunologic barriers currently prohibit the implementation of a clinical trial of organ transplantation. However, as medical research gains more insight into the mechanisms underlying rejection of pig organs in primates, therapeutic xenotransplantation is becoming more feasible. Clinical trials of porcine cell transplants are currently underway. Although xenotransplantation will minimize the waiting period for an organ and obviate the feelings of guilt or indebtedness commonly experienced by recipients of human organs, several psychosocial issues may hinder the reintegration of patients into society. For example, concerns that infectious pathogens could be transferred to recipients of pig organs will necessitate life-long monitoring and perhaps even temporary isolation of patients. The possible risk of the spread of a xenozoonosis from the patient to other members of the community may inspire public controversy and even fear, which may have an adverse impact on the patient's emotional state. Additionally, some patients may be psychologically disturbed by the need to incorporate pig organs into their body. This article addresses these and other psychosocial issues that may be associated with clinical xenotransplantation.

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“…Additionally, there were five national surveys in BMT units in USA (Caudell & Adams, 1990;Ezzone et al, 1993;Keller, 1994;Poe et al, 1994;Mueller et al, 1995) and a record-review study (Alexander, 1989). 5 Psychosocial therapeutics: 28 articles were identified, with 11 of them being research reports (Belec, 1992;Ferrell et al, 1992;Gaston-Johansson et al, 1992;Steeves, 1992;Haberman et al, 1993;Bush et al, 1995;Molassiotis et al, 1995a;Paris et al, 1995;Whedon et al, 1995;Gaston-Johansson & Foxall, 1996;Shuster et al, 1996). 6 Professional foundations for practice: 37 articles were identified, with only nine of them being research reports (Carney, 1987;Marsden, 1988;Copel & Smith, 1989;Kelly et al, 1992;Lovett & McMillan, 1993;Phipps et al, 1994;King et al, 1995;Molassiotis & van den Akker, 1995;Molassiotis & Haberman, 1996).…”

Section: Conceptual Fields O F Bmt Nur Sing R Esear Chmentioning

confidence: 99%

Nursing Research Within Bone Marrow Transplantation in Europe: An Evaluation

Molassiotis

1997

Eur J Cancer Care

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The limited contribution of nursing research and the utilisation of research findings in the field of bone marrow transplantation (BMT) in Europe have been identified as issues needing further attention. Reasons behind these issues include the lack of nursing training in research techniques, problems with funding nursing research, staff shortages and language barriers. An overall research strategy for nurses has been suggested as well as academic research support for those nurses who do not feel confident carrying out research projects. A small scale study in four European BMT centres identified that the main nursing research priorities included isolation techniques, psychosocial and quality of life issues, staff issues, central line catheter care and mouth care/management of oral mucositis. The same study also showed that only 20% of the BMT units regularly use research and research findings in their day-to-day nursing practice.

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A comparison of organ transplant patient and professional staff attitudes

Cited by 9 publications

References 16 publications

Pedophiles and Stalkers as Transplant Candidates: One Program's Experience

Pedophiles and Stalkers as Transplant Candidates: One Program's Experience

Xenotransplantation: The Challenge to Current Psychosocial Attitudes

Nursing Research Within Bone Marrow Transplantation in Europe: An Evaluation

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