A Study of the Presumptive Approach to Consent for Organ Donation

Zink, Sheldon; Wertlieb, Stacey

doi:10.4037/ccn2006.26.2.129

Cited by 32 publications

(8 citation statements)

References 6 publications

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“…We found evidence of profiling families for their receptivity to organ donation, particularly among ED staff and physicians. Not only does required request legislation stipulate that donation be presented as an option (39), past research clearly demonstrates that many families find comfort in knowing that their loved one was able to save others’ lives (40–42). For patients who have designated themselves as posthumous organ donors, timely referrals uphold individual autonomy by assuring donation wishes are fulfilled.…”

Section: Discussionmentioning

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: Discussionmentioning

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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“…Acquiring a clear understanding and realistic appraisal of the risks and benefits for both the patient and donor may facilitate the request process for patients. It is noteworthy that we spend considerable time and resources on training organ procurement professionals to make a sensitive and effective request of family members to donate a loved one's organs at the time of death (29)(30)(31). Why would we not have an equally intensive approach in educating, training and assisting patients to make a similar request for organ donation, albeit from a living donor?…”

Section: Discussionmentioning

confidence: 99%

Increasing Live Donor Kidney Transplantation: A Randomized Controlled Trial of a Home-Based Educational Intervention

Rodrigue

Cornell

Lin

et al. 2007

American Journal of Transplantation

180

195

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With the shortage of deceased donor kidneys and the superior clinical outcomes possible with live donor kidney transplantation (LDKT), more patients should seriously consider LDKT. However, little is known about how best to educate patients and their family members about LDKT. We evaluated the effectiveness of a home-based (HB) educational program in increasing LDKT. Patients were randomized to clinic-based (CB) education alone (CB, n = 69) or CB plus HB education (CB+HB, n = 63). Compared to CB, more patients in the CB+HB group had living donor inquiries (63.8% vs. 82.5%, p = 0.019) and evaluations (34.8% vs. 60.3%, p = 0.005) and LDKTs (30.4% vs. 52.4%, p = 0.013). Assignment to the CB+HB group, White race, more LDKT knowledge, higher willingness to discuss LDKT with others, and fewer LDKT concerns were predictors of having LDKT (p-values < 0.05). Both groups demonstrated an increase in LDKT knowledge after the CB education, but CB+HB led to an additional increase in LDKT knowledge (p < 0.0001) and in willingness to discuss LDKT with others (p < 0.0001), and a decrease in LDKT concerns (p < 0.0001). Results indicate that an HB outreach program is more effective in increasing LDKT rates than CB education alone.

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“…The findings indicate that although organ donation carries no effect on the depression of the family members, donor families find it effective in alleviating the sorrow of losing a beloved one which confirms to the findings of Pearson et al [30] . In a study in England in 1985 through a comprehensive educational program on raising the public awareness on brain death and organ donation phenomenon, there had been success in raising the number of donors by 16% following the instances of brain death from 1986 to 1988 [29,31] . Our findings indicate that the role of transplantation coordinators in encouraging the families of the brain dead patients to donate is of utmost significance.…”

Section: Discussionmentioning

confidence: 99%

Socio-cultural acceptability of cadaver Transplantation in Iran

et al. 2012

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Organ transplantation is known to be a new and innovative treatment for patients with progressive organ failures. The present study investigates the current status of transplantation from cadaver along with its socio-cultural acceptability in Iran. The present study is a descriptive research in a systematic review method. Here, by investigating previously conducted researches in Iran during the period 2002- 2010, the status of transplantation from cadaver and its socio-cultural acceptability in Iran has been investigated. To collect the data, the access to Iranmedex website, the premier medical data center in Iran, was made possible using the related keywords. The obtained data indicate whereas there is an increase in the number of organ donations from cadaver, it is still low in comparison to other countries. The lack of consent from families of brain-dead patients is a major hurdle on the way of organ transplantation in Iran. In the cases of willingness to donate organs, the major effective factors were the deceaseds religious beliefs and prior tendency. In 66% of the cases, the donors families deemed organ donation phenomenon effective in alleviating the sorrow after the death of their beloved ones. The number of organ donation from cadaver in Iran is low contrary to other countries. It seems that general instructions to raise the knowledge on the subject and lay the foundation to increase the tendency towards posthumous organ donation are necessary.International Journal of Natural Sciences (2012), 2(3):63-66 DOI: http://dx.doi.org/10.3329/ijns.v2i3.12133

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A Study of the Presumptive Approach to Consent for Organ Donation

Cited by 32 publications

References 6 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)

Increasing Live Donor Kidney Transplantation: A Randomized Controlled Trial of a Home-Based Educational Intervention

Socio-cultural acceptability of cadaver Transplantation in Iran

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