Benefit of a hospital course about organ donation and transplantation: an evaluation by Spanish hospital transplant personnel.
ABSTRACT A considerable percentage of hospital personnel are against organ donation, which at a crucial time could act as an obstacle to donation. Moreover, there is often a lack of training of personnel necessary for them to provide accurate information about organ donation and transplantation. Our objective was to determine the acceptability of a training course about organ donation among hospital workers in a center with an ongoing solid organ transplant program.
A random sample (n = 1168) was stratified by type of service and job category among workers in hospital services within an organ transplant program. An evaluation was made of attitudes toward donation and acceptance of a training course using a validated psychosocial questionnaire. Distribution of the survey was made by the head of each service and job category. The survey was completed anonymously and self-administered.
Sixty-nine percent (n = 808) of respondents were in favor of donating their own organs. With respect to the benefit of a training course about organ donation and transplantation, 50% (n = 584) of respondents considered it to be a useful idea, whereas 15% (n = 176) did not, and 35% (n = 408) were not sure. An important finding was that 56% (n = 452) of those who are in favor of donation would take part in the course compared to only 37% (n = 132) of those who were against or undecided. There was a significant relationship between those workers who believed that the training course will be of use and the following factors: younger age (P = .000); women (P = .000); single (P = .000); nursing job category (P = .000); a temporary contract (P = .012); a worker in nonsurgical services (P = .000); prior understanding of the concept of brain death (P = .003); favoring cadaveric organ donation (P = .000); performing pro-social voluntary type activities (P = .000); discussions of organ donation and transplantation within the family (P = .022); Catholic religion (P = .001); a partner in favor of organ donation and transplantation (P = .001); and a belief that he may need a transplant (P = .000).
A training course about organ donation and transplantation might be useful given that only half of the workers would be prepared to take part and with respect to the target population, only 37% of them stating that they would participate. Its main use would be to reinforce the positive attitude of those who are already in favor and increase their knowledge about the subject. What is more, if these workers received adequate training they would serve to promote donation both directly and indirectly to the general public and other hospital personnel.
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ABSTRACT: Given the persisting shortage of organs for transplantation, it is time to consider whether the message that is sent to society to encourage donation is unsuitable. This message is mainly based on altruism and solidarity, and it has failed. Patients die because of the lack of cadaver organs that society refuses to offer; paradoxically, society is denying itself a chance of life. The reasons for this enigma are (1) lack of awareness that transplantation is a common practice; (2) the persistence of the "cult of dead body integrity;" and (3) the myths surrounding transplantation.A pathway to solving this organ shortage may be education, to make society understand their need of organs for transplantation and its role to resolve this necessity. It should focus on youth but must also reach adults, through their children receiving this education, or from the media or other sources. It should erase the concept of integrity of the cadaver and establish that using cadaver organs means sharing and guaranteeing a source of health for humanity.Similarly, a new message should stress that "using" cadaver organs means "sharing a source of health for humankind." Rather than "a gift of life" we should convey the idea of "sharing a social right and obligation" or that "My decision today assures my and my family health tomorrow."Transplantation 07/2002; 73(11):1844-6. · 3.78 Impact Factor
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ABSTRACT: The teenage population has a more favourable attitude towards organ donation than other population groups. Teenagers represent the future of the community and their opinion directly affects other family members and friends. Therefore, teenagers who are in favour of donation become promoters of organ donation in their area of influence. Our aim was to determine the opinion and fears of the teenage population regarding organ donation in order to define the profile of the subgroup, which is opposed to donation. We used a random stratified sample according to gender and geographical location of 15-19-year-old adolescents. The attitude towards organ donation was assessed using the questionnaire on psychosocial aspects of donation. The variables were grouped into socio-personal, donation awareness, social interaction, pro-social activities and attitude towards the body. Data were analysed by descriptive statistics, the chi(2) test, Student's t-test and a logistic regression analysis. Seventy-three per cent of teenagers have a favourable attitude towards organ donation. Twenty-seven per cent are undecided or have negative attitudes; the main reason given is fear of apparent death (48%). Variables with statistical significance, which are against donation, are a low level of education (P = 0.0456), no previous experience with organ donation (P = 0.0254), no knowledge of the brain death concept (P = 0.0054) and refusal to accept cadaver manipulation (P = 0.0037). The profile of the teenager who is opposed to organ donation is one who has only primary schooling or who left school early, is not engaged in pro-social activities, rejects cadaver manipulation and has no knowledge of the brain death concept.Nephrology Dialysis Transplantation 06/2004; 19(5):1269-75. · 3.37 Impact Factor
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ABSTRACT: To reduce the number of family organ donation refusals, it is necessary not only to act on the general public but also on the health care system. In this respect, there are data suggesting that the percentage of hospital personnel against donation is high, especially among ancillary personnel. The objective herein was to analyze the attitudes of ancillary hospital professionals toward donation of their own organs and determine factors that conditioned such attitudes. A random sample in a third-level hospital with a solid organ transplant program was stratified by ancillary services: administrative, porters, maintenance, cleaning, and cooking. Attitudes toward donation of one's own organs after death were evaluated using a questionnaire on psychosocial aspects validated in our area. It included various psychosocial variables that could affect such attitudes. The Student t test and chi-square test were used to evaluate the data. We analyzed 277 respondents of mean age 43 +/- 8 years and 96% women. The level of acceptance of organ donation was 64% (n = 178), whereas 46% were either against or undecided (n = 98). The variables which determined the attitudes were understanding of brain death (P = .004); attitude toward cadaveric manipulation, especially toward autopsy (P = .013) and cremation (P = .004); concern about mutilation after donation (P = .014); religion (P = .032); partner's attitude toward donation (P < .0001); and possibility of needing an organ in the future (P = .031). Ancillary hospital personnel had similar attitudes toward donation as those of the general public as observed in other studies. The attitudes were determined by many psychosocial factors. A campaign to raise awareness among professionals has become a priority, given that working in a hospital, their unfavorable attitude could have a strong negative impact on the general public.Transplantation Proceedings 05/2006; 38(3):858-62. · 0.95 Impact Factor