2007
DOI: 10.1097/01.pcc.0000262932.42091.09
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Abstract: This study provides a framework for understanding pediatric staff perspectives on DCD programs in children. Results suggest several possible elements that may be helpful in framing interdisciplinary dialogue and informing institutional practices in the design of a pediatric DCD program.

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Cited by 48 publications
(52 citation statements)
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“…Having to withdraw patients from life support caused some nurses to feel like "death nurses". HCPs in the study by Curley et al (16) were unsure when death could be declared and were concerned about when organ procurement could safely begin. In the study by Mathur et al (28), even after the educational intervention, 14% of the nurses felt that a 5-min observation period after asystole was too short to pronounce death.…”
Section: Concerns About the Dead Donor Rulementioning
confidence: 98%
“…Having to withdraw patients from life support caused some nurses to feel like "death nurses". HCPs in the study by Curley et al (16) were unsure when death could be declared and were concerned about when organ procurement could safely begin. In the study by Mathur et al (28), even after the educational intervention, 14% of the nurses felt that a 5-min observation period after asystole was too short to pronounce death.…”
Section: Concerns About the Dead Donor Rulementioning
confidence: 98%
“…Respondents made it clear that while the development of a protocol is an essential first step in the acceptance of DCD, the consistent implementation of the protocol is essential for eliminating ambiguity, creating a higher level of comfort, and ensuring a smoother transition from pre-DCD discussions through the postoperative phase (27). Detailed monitoring is needed to ensure that everyone continues to use the protocol to drive their actions.…”
Section: Solutions and Strategic Initiatives For Increasing Dcdmentioning
confidence: 99%
“…Advances in DCDD have been challenging for potential pediatric donors for several reasons, including: limited health professional experience and comfort; lack of standardized protocols 15 ; concern for potential compromised DCDD graft survival 16,17 ; and amplified ethical concerns, including parental emotions surrounding unanticipated, often traumatic, death that create a highly charged and potentially conflicted environment, which can be a burden to grieving families. 18,19 Although most national standards for DCDD programs and protocols were developed for adults, children comprise a critical percentage of those waiting and dying on the transplant list, and potential pediatric donors are often lost to the donor pool. 20 Infants in particular have the highest wait-list mortality due to size limitations and organ availability.…”
mentioning
confidence: 99%