Development of a Canadian deceased donation education program for health professionals: a needs assessment survey

Hancock, Jennifer; Shemie, Sam D.; Lotherington, Ken; Appleby, Amber; Hall, Richard

doi:10.1007/s12630-017-0882-4

Cited by 22 publications

(20 citation statements)

References 9 publications

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“…Our study presents several strengths, including the application of statistical and methodological approaches to organ donation competencies and related factors for the rst time in Saudi Arabia. The relatively higher response rate (76%) compared to similar studies [23], a representation of responses across all health sectors and regions of Saudi Arabia, bolsters our ndings. Findings from this study are relevant and potentially generalizable to other countries with low organ donation rates who are seeking to reform organ donation programs.…”

Section: Discussionsupporting

confidence: 54%

“…However, in comparison, a higher number of Canadian intensivists rated four competencies as high or very high [23]-including offering families opportunities for organ donation, the referral process of organ donation, consent discussion, and ethical considerations.…”

Section: Discussionmentioning

confidence: 93%

“…We used a previously validated Canadian survey, and permission to use the survey was obtained from the authors [23]. The survey contained competencies in ve domains-including general topics in organ and tissue donation, the neurological determination of death donation, the circulatory determination of death donation, medicolegal and religious considerations, and transplant.…”

Section: Methodsmentioning

confidence: 99%

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Assessing comfort level of organ donation competencies among pediatric intensivists in Saudi Arabia: A national survey

Kazzaz

Da’ar

2020

Preprint

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Background: As increasing the number of organ donations presents a global challenge, Saudi Arabia is no different. Intensivists can play a major role in maximizing the organ donation process and minimize the challenges. The purpose of this study was to investigate Saudi pediatric intensivists’ comfort and importance levels of organ donation competencies.Methods: We conducted a cross-sectional survey whose sampling frame included 100 pediatric intensivists. The pediatrician intensivists were identified through an updated list provided by the Saudi Critical Care Society. We assessed 14 competencies categorized into four domains: the general donation, donation after brain death (DBD), neurological determination of death, and medicolegal, religious, and ethical domains. Then we investigated the association between these competencies and physicians’ characteristics.Results: With a response rate of 76%, we found that 40%–60% of the surveyed pediatric intensivists rated their comfort in 6 out of 14 competencies as high or very high. There was a statistically significant gap in the intensivists’ rating of 10 competencies (i.e., high importance but low comfort levels). Ordinal regression showed that comfort levels with the general donation, neurological determination of death, and medicolegal, religious, and ethical domains were higher in intensivists who were frequently involved with DBD than those who had never been exposed.Conclusions: Pediatric intensivists expressed low comfort levels to organ donation competencies that are essential for maximizing donation rates. Adapting mandatory comprehensive donation education programs and dedicated physician specialists may be beneficial in critical care units aiming to increase donation rates.

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Section: Discussionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 93%

Section: Methodsmentioning

confidence: 99%

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Assessing comfort level of organ donation competencies among pediatric intensivists in Saudi Arabia: A national survey

Kazzaz

Da’ar

2020

Preprint

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“…There are also gaps in HCPs’ knowledge, with donor ID&R identified as a top priority for organ donation education. 20 Lastly, across Canada, access to donation services, including ICU care, operating rooms, and surgical retrieve teams varies by location. Many ICUs operate at, or near, capacity, compromising the potential donors’ access to an ICU bed.…”

Section: Theme 3: Enhancing Accountability: Gaps and Solutionsmentioning

confidence: 99%

Potential organ donor identification and system accountability: expert guidance from a Canadian consensus conference

Zavalkoff

Shemie

Grimshaw

et al. 2018

Can J Anesth/J Can Anesth

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Purpose Deceased donation rates in Canada remain below the predicted potential and lag behind leading countries. Missing a potential donor leads to preventable death and disability of transplant candidates and increased healthcare costs. Methods Stakeholders were invited to a national consensus conference on improving deceased organ donor identification and referral (ID&R) and healthcare system accountability. In advance, participants received evidence-based, background documents addressing death audits, clinical triggers, required referral legislation, ethics, clinical pathways, and donation standards. At the conference, expert presentations and summaries of background information prepared by the Steering Committee informed group discussions of the preset questions. The conference’s themes were: 1) expectations of potential donors, recipients and their families; 2) donor ID&R: clinical and legal perspectives; 3) enhancing accountability: gaps and solutions; and 4) enhancing accountability: quality/safety organizations. Results Thirty-seven consensus statements were generated. At the healthcare professional (HCP) level, key statements include: 1) donation be consistently addressed as part of end-of-life care but only after a decision to withdraw life-sustaining treatment; 2) HCP know how and when to identify and refer potential donors; and 3) transplant candidates be informed of local allocation guidelines and performance. At the healthcare system level, key statements include: 1) national adoption of clinical criteria to trigger ID&R; 2) dedicated resources to match donation activities, including transfer of a potential donor; 3) performance measurement through death audits; 4) reporting and investigation of missed donation opportunities ( MDO ) ; 5) recognition of top performers; and 6) missed donor ID&R be considered a preventable and critical safety incident. Conclusion Our consensus statements establish HCP and healthcare system responsibilities regarding potential organ donor ID&R and include the tracking, reviewing and elimination of MDO through system-wide death audits. Once implemented, these consensus statements will help honour patients’ wishes to donate, improve service to potential transplant recipients, and support HCPs in fulfilling their ethical and legal responsibilitites. Next steps include implementation, assessment of their impact on donation rates, and investigation of new evidence-based targets for system improvement.

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“…role has an impact upon the organ donation and by that the organ transplantation process. The care by specialist nurses is the key to successful donor management in the critical-care (CC) setting since their actions and behavior are signi cantly associated with authorization to, or decline of, organ donation (OD) (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12). In addition, ICU nurses' attitudes have an impact on the availability of organs for individuals who need life-saving organ transplant treatment (5,(8)(9).…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation and psychometric validation of the Flodén ATODAI instrument in the North American context

Flodén¹,

Stadtler

Collazo

et al. 2020

Preprint

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Background: Intensive and critical-care nurses are the key to successful donor management in the critical-care setting. No studies measuring attitudes toward organ donor advocacy existed before 2011, when the 51-item Swedish “Attitudes Toward Organ Donor Advocacy Scale” was developed. The aim of this study was to translate, adapt and establish the psychometric properties of the North American version of the Flodén ATODAI (Attitudes Toward Organ Donor Advocacy Instrument) in terms of validity and reliability. Methods: A multi-step approach was used: Initial translation; Back-translation; Review and synthesis of these translations; Expert panel (N=7) rated the prefinal version of the instrument for content validity index (CVI); International panel made adjustments guided by the expert panel. Reliability testing with test and retest of the adjusted 46-item version was conducted using intraclass correlation coefficient (ICC), weighted kappa (ҡ Weight), sign test, and Cronbach’s alpha coefficient (α), (N=50); and finally Delphi technique procedure with a preselected Delphi panel (N=15).Results: The CVI was determined to be greater than the 0.05 significance level. Item level (I-CVI) ranged 0.82-1.0, with a mean of 0.97. Scale level (S-CVI) on the entire instrument was 0.97. Test-retest procedure was performed to estimate stability. In total, 34 of the items had good-to-high ICC. Accepting an ICC of >0.70 resulted in a total of 24 items. Homogeneity reliability was estimated by α and was calculated for these items where α=0.90. In total, 20 of the items had a substantial or almost perfect ҡ Weight and 23 showed a moderate ҡ Weight. None of the items showed systematical differences. The Delphi technique procedure was used on the 22 items with ICC <0.70 resulted in adjustments establishing that consensus was achieved.Conclusions: Undertaking this multi-step, cross-cultural adaptation procedure has effectively ensured that the 46-item Flodén ATODAI [North American version] produces valid and reliable measurements.

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Development of a Canadian deceased donation education program for health professionals: a needs assessment survey

Cited by 22 publications

References 9 publications

Assessing comfort level of organ donation competencies among pediatric intensivists in Saudi Arabia: A national survey

Assessing comfort level of organ donation competencies among pediatric intensivists in Saudi Arabia: A national survey

Potential organ donor identification and system accountability: expert guidance from a Canadian consensus conference

Cross-cultural adaptation and psychometric validation of the Flodén ATODAI instrument in the North American context

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