Document Detail


Critical Care staffs' attitudes, confidence levels and educational needs correlate with countries' donation rates: data from the Donor Action database.
MedLine Citation:
PMID:  20210934     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To investigate on the impact of Critical Care (CC) staffs' attitudes to donation, their acceptance of the brain death (BD) concept, their confidence with donation-related tasks and educational needs on national donation rates. Donor Action (DA) Hospital Attitude Survey (HAS) data were collected from 19 537 CC staff in 11 countries, including personal attitudes to donation, self-reported knowledge, involvement and comfort levels with donation-related tasks and educational requirements. Countries' donation performance was expressed as Procurement Efficiency Index (PEI) (organs procured and transplanted/deaths from eligible causes). National PEI rates correlated well with CC staffs' average support to donation (R = 0.700, P = 0.014), acceptance of the BD concept (R = 0.742, P = 0.007), confidence levels (R = 0.796, P = 0.002) and average educational requirements with donation-related tasks (R = -0.661, P = 0.025). Nurses reported significantly lower positive attitudes (P < 0.0001), acceptance of the BD concept (P < 0.0001), comfort levels (P < 0.0001) and requested more education (P = 0.0025) than medical staff members. DA's HAS is a powerful, standardized tool to assess CC staffs' attitudes and donation-related skills in different environments. Measures to improve countries' donation performance should focus on guidance and education of CC staff so as to ensure that all practitioners have sufficient knowledge and feel comfortable with donation-related issues.
Authors:
Leo Roels; Caroline Spaight; Jacqueline Smits; Bernard Cohen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-03-01
Journal Detail:
Title:  Transplant international : official journal of the European Society for Organ Transplantation     Volume:  23     ISSN:  1432-2277     ISO Abbreviation:  Transpl. Int.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-19     Completed Date:  2010-10-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908516     Medline TA:  Transpl Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  842-50     Citation Subset:  IM    
Affiliation:
Donor Action Foundation, Linden, Belgium. info@donoraction.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Attitude of Health Personnel*
Attitude to Death
Brain Death
Critical Care / psychology*,  statistics & numerical data*
Databases, Factual
Female
Humans
Inservice Training / statistics & numerical data
Internationality
Male
Medical Staff, Hospital / education,  psychology,  statistics & numerical data
Middle Aged
Needs Assessment / statistics & numerical data
Nursing Staff, Hospital / education,  psychology,  standards
Tissue and Organ Procurement / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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