Evaluation of the Effect of Clinical Scenario-Based Educational Workshop and Reflection on the Knowledge and Attitude of Head Nurses and Clinical Supervisors toward in the Brain Death and Organ Donation

Bijani, Mostafa; Hamidizadeh, Saeed; Rostami, Khatereh; Haghshenas, Aboutaleb; Mohammadi, Fatemeh; Ghasemi, Afsaneh; Assodeh, Razieh

doi:10.29333/ejgm/7903

Cited by 7 publications

(3 citation statements)

References 29 publications

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“…69 Table 3 illustrates 25 empirical studies retrieved that examined HCP understanding of BD. Twenty studies used a quantitative approach 53,68-86 and 3 used a qualitative approach. 73,87,88 Only 2 studies reported conducting literature reviews to illustrate gaps in HCPs understanding of death and death determination.…”

Section: Resultsmentioning

confidence: 99%

“…73,76,77,81,82 Formal training is shown to correlate with improved attitudes and knowledge of BD. 69,84…”

Section: Resultsmentioning

confidence: 99%

“…73,76,77,81,82 Formal training is shown to correlate with improved attitudes and knowledge of BD. 69,84 One specific gap in knowledge among HCPs is regarding the institutional and regional protocols and policies surrounding BD diagnosis. 69,89 For example, although most clinicians believed in the moral equivalence of BD to circulatory death, TABLE 2.…”

Section: Controversies Around Brain Deathmentioning

confidence: 99%

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Healthcare Professionals’ Understandings of the Definition and Determination of Death: A Scoping Review

Zheng

Sutherland

Hornby

et al. 2022

Transplantation Direct

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Background. During the 1950s, advances in critical care, and organ transplantation altered the relationship between organ failure and death. There has since been a shift away from traditional cardiocirculatory based to brain-based criteria of death, with resulting academic controversy, despite the practice being largely accepted worldwide. Our objective is to develop a comprehensive description of the current understandings of healthcare professionals regarding the meaning, definition, and determination of death. Methods. Online databases were used to identify papers published from 2003 to 2020. Additional sources were searched for conference proceedings and theses. Two reviewers screened papers using predefined inclusion and exclusion criteria. Complementary searches and review of reference lists complemented the final study selection. A data extraction instrument was developed to iteratively chart the results of the review. A qualitative approach was conducted to thematically analyze the data. Results. Seven thousand four hundred twenty-eight references were identified. In total, 75 papers met the inclusion criteria. Fourteen additional papers were added from complementary searches. Most were narratives (35%), quantitative investigations (21%), and reviews (18%). Identified themes included: (1) the historical evolution of brain death (BD), (2) persistent controversies about BD and death determination, (3) wide variability in healthcare professionals’ knowledge and attitudes, (4) critical need for BD determination revision. Conclusions. We concluded that although BD is widely accepted, there exists variation in healthcare providers’ understanding of its conceptual basis. Death determination remains a divisive issue among scholars. This review identified a need for increased opportunities for formal training on BD among healthcare providers.

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