A proposal for an anonymous living organ donation in Germany

Rittner, Christian; Besold, Andrea; Wandel, Evelyn

doi:10.1016/s1344-6223(02)00126-8

Cited by 11 publications

(8 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In fact, all of religious and cultural beliefs as well as ethical and emotional conflicts prevail over knowledge and scientific and practical teachings of our nurses and prevent from acceptance of death in patient absolutely. Rittner et al (2003) state that it is clear that donation of a living organ always raises this ethical question that if this action is against medical ethos or not (i.e. no harm) ( Bernat, 2005 ; Rittner, Besold, & Wandel, 2003 ).…”

Section: Discussionmentioning

confidence: 99%

“… Rittner et al (2003) state that it is clear that donation of a living organ always raises this ethical question that if this action is against medical ethos or not (i.e. no harm) ( Bernat, 2005 ; Rittner, Besold, & Wandel, 2003 ). Flodden (2011) expresses that understanding of brain death requires rational and emotional perception and it necessitates for nurses to deal with this concept and transparency of their attitude and perception of care-giving to the brain death patient as potential organ-donor ( Flodén et al, 2011 ).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Lived Experiences of Iranian Nurses Caring for Brain Death Organ Donor Patients: Caring as “Halo of Ambiguity and Doubt”

Keshtkaran

Sharif²,

Navab³

et al. 2015

GJHS

View full text Add to dashboard Cite

Background:Brain death is a concept in which its criteria have been expressed as documentations in Harvard Committee of Brain Death. The various perceptions of caregiver nurses for brain death patients may have effect on the chance of converting potential donors into actual organ donors.Objective:The present study has been conducted in order to perceive the experiences of nurses in care-giving to the brain death of organ donor patients.Methods:This qualitative study was carried out by means of Heidegger’s hermeneutic phenomenology. Eight nurses who have been working in ICU were interviewed. The semi-structured interviews were recorded by a tape-recorder and the given texts were transcribed and the analyses were done by Van-Mannen methodology and (thematic) analysis.Results:One of the foremost themes extracted from this study included ‘Halo of ambiguity and doubt’ that comprised of two sub-themes of ‘having unreasonable hope’ and ‘Conservative acceptance of brain death’. The unreasonable hope included lack of trust (uncertainty) in diagnosis and verification of brain death, passing through denial wall, and avoidance from explicit and direct disclosure of brain death in patients’ family. In this investigation, the nurses were involved in a type of ambiguity and doubt in care-giving to the potentially brain death of organ donor patients, which were also evident in their interaction with patients’ family and for this reason, they did not definitely announce the brain death and so far they hoped for treatment of the given patient. Such confusion and hesitance both caused annoyance of nurses and strengthening the denial of patients’ family to be exposed to death.Conclusion:The results of this study reveal the fundamental perceived care-giving of brain death in organ donor patients and led to developing some strategies to improve care-giving and achievement in donation of the given organ and necessity for presentation of educational and supportive services for nurses might become more evident than ever.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Lived Experiences of Iranian Nurses Caring for Brain Death Organ Donor Patients: Caring as “Halo of Ambiguity and Doubt”

Keshtkaran

Sharif²,

Navab³

et al. 2015

GJHS

View full text Add to dashboard Cite

show abstract

“…As we have seen in our study, another favorable subgroup to take into account is citizens of German origin who are on our waiting list, which are increasing in number [2], where nearly 90% are in favor of living kidney donation for a family member if necessary. What is more, these citizens come from a society where living donation activity is more common and accepted than in Spain, and where unrelated living donation is also being considered [21]. However, as seen in our study, living donation is mainly accepted when donation is for relatives where emotional factors play an important role.…”

Section: Discussionmentioning

confidence: 68%

Attitude of the Population of German Origin in the South East of Spain toward Living Kidney Donation

Rı́os

Martı́nez-Alarcón

Sánchez³

et al. 2008

Nephron Clin Pract

View full text Add to dashboard Cite

Background: There is an increasing population of German origin living in the South East of Spain. Objective: To analyze the attitude toward living kidney donation in this population subgroup. Methods: A sample of German residents in the South East of Spain was taken randomly (n = 250) (November 2005–April 2006). Attitude was evaluated using a validated questionnaire. The survey was self-administered and completed anonymously. The control group comprised native Spanish citizens (n = 500). Results: The questionnaire completion rate was 87% (n = 218). Most respondents (92%, n = 201) are in favor of living-related donation. The following variables are related to attitude to donation: (1) marital status of the respondent (p = 0.002); (2) level of education (p < 0.001); (3) attitude toward cadaveric donation (p = 0.005); (4) having had previous experience with the donation and transplantation process (p < 0.001); (5) the respondent’s religion (p = 0.002); (6) the risk that they believe is involved in living kidney donation (p = 0.001), and (7) concern about ‘mutilation’ that could be caused by living donation (p < 0.001). Conclusions: Attitude toward related living kidney donation of German residents in the South East of Spain is favorable and is closely related to attitude toward cadaveric donation, fear of the after-effects of this type of donation and religious attitude.

show abstract

“…However, it transpired that the nurses working in ICU also suffer from this sense of uncertainty. The reason behind it is that they are of little knowledge on the concept of brain death and think of the brain dead patient as a living individual ( 38 ). Cohen argued that confusion and uncertainty on confirming brain death and different concepts of death among health care professions may lead to adverse consequences in the process of providing care for organ donors ( 37 ).…”

Section: Discussionmentioning

confidence: 99%

Analysis of the reasons for nurses' confusion in relation to the concept of brain death from clinical and legal points of view

Moghaddam¹,

Alireza²,

Manzari³

2018

Electron Physician

View full text Add to dashboard Cite

BackgroundNurses in intensive care units (ICU) play a key role in taking care of brain dead patients and they are often in contact with such patients given the high rate of brain deaths. Consequently, they are in a challenging and stressful condition, which may be aggravated due to the need for increased organ donation, and this may also affect the quality of care provided for these patients.ObjectiveThis review analyzes the different studies on the concept of brain death from both medical and legal points of view. The aim of this study was to identify the challenges the nurses face with the perception of the concept of brain death and its effects on the care provided for the patients suffering from brain death, as well as organ donation.MethodsThis Narrative review study summarizes the information obtained from relevant literature through a targeted search of library texts and electronic resources including Science Direct, PubMed, Google Scholar, Scientific Information Database (SID), IranMedex, and Magiran databases during 2000–2017 in English and Persian, on the subject of interest by keywords such as brain death, organ donation, care, legal, regulations and nursing. Finally, a total of 44 relevant articles were reviewed.ResultsNurses play an important role in taking care of brain dead patients; therefore, recognizing challenges can be the first step in taking accurate care of these patients and subsequently maintaining the organs’ health for transplants. Although there are clinical and legal uncertainties regarding the concept of brain death, nurses have an important effect on taking care of brain dead patients as well as the rate of organ donation.ConclusionNurses in intensive care units should have a clear understanding of the concept of brain death in order to be able to take care of brain dead patients by avoiding psychological effects. In this regard, it is recommended that a comprehensive educational program be designed on the dimensions of brain death. Therefore, the nurses’ awareness of brain death and their ability to clarify this concept to the patients’ relatives would have a great effect on the decrease in the challenges and the stress imposed on the nurses. Also, there would be an increase in the quality of the care given to brain dead patients and even the rate of organ donation.

show abstract

A proposal for an anonymous living organ donation in Germany

Cited by 11 publications

References 12 publications

Lived Experiences of Iranian Nurses Caring for Brain Death Organ Donor Patients: Caring as “Halo of Ambiguity and Doubt”

Lived Experiences of Iranian Nurses Caring for Brain Death Organ Donor Patients: Caring as “Halo of Ambiguity and Doubt”

Attitude of the Population of German Origin in the South East of Spain toward Living Kidney Donation

Analysis of the reasons for nurses' confusion in relation to the concept of brain death from clinical and legal points of view

Contact Info

Product

Resources

About