Exploration of the role of critical care professionals in improving organ donation within Canada has been limited to tertiary care centers while donor potential in smaller nontransplant hospitals remains unknown.
Objective
To gain an understanding of the knowledge, attitudes, and perceived barriers that healthcare professionals in 5 nontransplant hospitals in Alberta have toward organ donation and transplantation, and to identify factors that influenced participation in the donation process.
Design
A descriptive survey of critical care professionals.
Setting
Five nontransplant hospitals in Alberta, Canada.
Results
Of the 135 respondents, 98 were critical care nurses, 32 were physicians, and 5 were hospital administrators. Respondents were least knowledgeable about transplant statistics and religious beliefs regarding donation, although overall, attitudes reflected positive support for organ donation. Respondents exhibited reluctance in approaching a potential donor family, and believed inadequate resources were allocated for organ donation.
Conclusions
Educational programs are needed to increase knowledge of organ donation and transplantation as well as the development of an in-house coordinator program in nontransplant hospitals for critical care personnel.
EvansRWKitzmannDJ. An economic analysis of kidney transplantation. Surg Clin North Am.1998;78:149–174.
3.
AnyanwuACMcGuireARogersCAMurdayAJ. An economic evaluation of lung transplantation. J Thorac Cardiovasc Surg.2002;123:406–408.
4.
Canadian Institute for Health Information. 2000 Report, Volume 2: Organ and Transplantation, Canadian Organ Replacement Register.Ottawa, Ontario: Canadian Institute for Health Information; 2002.
5.
StillerCRAbbottC. What will increase the number of organs for transplantation? Some strategies to consider. Can Med Assoc J.1994;150:1401–1407.
6.
BoroznyML. Brain death and critical care nurses. Can Nurs.1988;84:24–27.
7.
StoeckleML. Attitudes of critical care nurses towards organ donation. Dimens Crit Care Nurs.1990;9:354–361.
8.
EttnerBJYoungsteinKPAmesJE. Professional attitudes toward organ donation and transplantation. Dial Transplant.1998;17:72–76.
9.
SophieLRSallowayJCSorockGVolekPMerkelFK. Intensive care nurses' perceptions of cadaver organ procurement. Heart Lung.1983;12:261–267.
10.
YoungerSJLandefeldCSCoultonCJJuknialisBWLearyM. ‘Brain death’ and organ retrieval: A cross-sectional survey of knowledge and concepts among health care professionals. JAMA.1989;261:2205–2210.
11.
BidigareSAOermannMH. Attitudes and knowledge of nurses regarding organ procurement. Heart Lung.1991;20:20–24.
12.
KiberdMCKiberdBA. Nursing attitudes towards organ donation, procurement, and transplantation. Heart Lung.1992;21:106–111.
13.
KennedyHBFarrandL. Attitudes of emergency nurses toward organ and tissue donation. J Emerg Nurs.1996;22:393–397.
14.
HickeyMLewandowskiL. Critical care nurses' role with families: A descriptive study. Heart Lung.1988;17:670–676.
15.
WakefordREStepheyR. Obstacles to organ donation. Br J Surg.1989;76:435–439.
16.
RobinetteMAStillerCRMarshallWJS. Barriers to organ donation within hospitals and involving healthcare professionals: Findings of the Ontario Government Task Force on kidney donation. Transplant Proc.1986;18:397–398.
17.
SkelleyL. Practical issues in obtaining organs for transplantation. Law Med Health Care.1985;13:35–37.
18.
VernaleC. Critical care nurses' interactions with families of potential organ donors. Focus Crit Care.1991;18:335–339.
ProttasJBattenHL. Health professionals and hospital administrators in organ procurement: Attitudes, reservations and their resolutions. Am J Public Health.1988;78:642–645.
21.
MolzahnAE. Knowledge and attitudes of physicians regarding organ donation. Ann R Coll Physicians Surg Can.1997;30:29–32.
22.
Alberta Advisory Committee on Organ and Tissue Donation and Transplantation. A Framework for Action: A Coordinated and Integrated Organ and Tissue Donation and Transplant System for Alberta.Alberta, Canada: Advisory Committee on Organ and Tissue Donation and Transplantation; 2000.
23.
KlassenACKlassenDKAronoffRHallAGBraslowJ. Organizational characteristics of solid-organ donor hospitals and nondonor hospitals. J Transpl Coord.1999;9:87–96.
24.
MolzahnAE. Organ donation: What do nurses know and believe?Can Nurse.1996;92:25–30.
25.
MattenMRSliepcevichEMSarvelaPD. Nurses' knowledge, attitudes and beliefs regarding organ and tissue donation and transplantation. Public Health Rep.1991;106:155–166.
26.
McGoughEA. Chopek MW. The physicians' role as asker in obtaining organ donations. Transplant Proc.1990;22:267–272.
27.
DeYoungSTemmlerLAdamsEFJustG. Brief: Organ referrals—would nurses do more if they knew more?J Contin Educ Nurs.1991;22:219–221.
28.
PetersDA. Rationales for organ donation: Charity or duty?J Med Humanit Bioeth.1986;7:106–121.
29.
WatkinsonGE. A study of the perception and experiences of critical care nurses in caring for potential and actual organ donors: Implications for nurse education. J Adv Nurs.1994;22:929–940.
30.
PelletierM. The organ donor family members' perception of stressful situations during the organ donation experience. J Adv Nurs.1992;17:90–97.
31.
SutherlandFR. Legislating organ donation: Problems with this approach. Ann R Coll Phys Surg Can.1997;30:33–34.
32.
BenoitGSpiraANicouletIMoukarzelM. Presumed consent law: Results of its application/outcome from an epidemiologic survey. Transplant Proc.1990;22:320–322.
33.
HibbertM. Stressors experienced by nurses while caring for organ donors and their families. Heart Lung.1995;24:399–407.
34.
ColpittsDBFreitagCL. Organ donation and transplantation in the Canadian healthcare system. J Transpl Coord.1997;7:59–66.
35.
ShaferTJDurandRHuenekeMJ. Texas non-donor-hospital project: A program to increase organ donation in community and rural hospitals. J Transpl Coord.1998;8:146–152.
