J Czerwiński1, A Jakubowska-Winecka2, A Woderska3, J Wilk4, W Łebkowski5, R Bohatyrewicz6, A Krawulska-Biegańska7, W Iwańczuk8, W Czapiewski9, T Kubik10, R Becler10, D Patrzałek11, D Zielińska12, R Danielewicz13. 1. Department of Surgical and Transplant Nursing, Medical University of Warsaw, Warsaw, Poland; Polish Transplant Coordinating Center Poltransplant, Warsaw, Poland. Electronic address: jczerwinski@poltransplant.pl. 2. Department of Health Psychology, Children's Memorial Health Institute, Warsaw, Poland. 3. Department of Transplantation and General Surgery, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland. 4. Department of Anesthesiology, Intensive Care and Emergency Medicine, Medical University of Silesia, Sosnowiec, Poland. 5. Department of Neurosurgery, Medical University of Białystok, Poland. 6. Department of Anesthesiology and Intensive Therapy, Pomeranian Medical University of Szczecin, Poland. 7. OPEN Training and Consulting, Poznan, Poland. 8. Department of Anesthesiology and Intensive Therapy, District Hospital, Kalisz, Poland. 9. Polish Transplant Coordinating Center Poltransplant, Warsaw, Poland; Department of Transplantation and General Surgery, Poznan Provincial Hospital, Poznan, Poland. 10. Second Department of Anesthesiology and Intensive Therapy, Medical University of Warsaw, Poland. 11. Department of Surgery, Fourth Military Clinical Hospital, Wrocław, and Faculty of Health Science, Wrocław Medical University, Wrocław, Poland. 12. Department of Gastroenterology and Transplant Surgery, Central Clinical Hospital, Ministry of Internal Affairs and Administration in Warsaw, Poland. 13. Department of Surgical and Transplant Nursing, Medical University of Warsaw, Warsaw, Poland; Polish Transplant Coordinating Center Poltransplant, Warsaw, Poland.
Abstract
BACKGROUND: Hospital training called ETPOD-Essentials in Organ Donation-was introduced in Poland in 31 hospitals with under-utilized potential of donation. The aim of this study was to assess the effect in hospitals included and not included in program, before and after trainings. METHODS: The number of potential and effective donors, organs used, and number (%) of family refusals were compared at 10 and in 20 months after the training and in equal periods before. RESULTS: In trained hospitals, the number of potential donors increased (17% in 10 months, 10% in 20 months); in remaining hospitals, donors increased in 5% in both periods. In hospitals included in ETPOD, the number of effective donors increased (2% and 4.5%); in the whole country, donors also increased (5.6% and 2.7%). In ETPOD hospitals, the number of utilized organs increased (14.5% and 8.5%); in the rest, the increase was 3% and 7%. In trained hospitals, family refusals increased from 6.9% to 16.2% and from 8.9% to 10.7%; in the whole country, family refusals decreased from 11.7% to 11% in the short term and increased from 9.6% to 12.1% in the long term. CONCLUSIONS: In hospitals involved in the ETPOD program, the increase in organ donation is greater than in the rest of hospitals. Distinct benefit was observed in consent to organ donation.
BACKGROUND: Hospital training called ETPOD-Essentials in Organ Donation-was introduced in Poland in 31 hospitals with under-utilized potential of donation. The aim of this study was to assess the effect in hospitals included and not included in program, before and after trainings. METHODS: The number of potential and effective donors, organs used, and number (%) of family refusals were compared at 10 and in 20 months after the training and in equal periods before. RESULTS: In trained hospitals, the number of potential donors increased (17% in 10 months, 10% in 20 months); in remaining hospitals, donors increased in 5% in both periods. In hospitals included in ETPOD, the number of effective donors increased (2% and 4.5%); in the whole country, donors also increased (5.6% and 2.7%). In ETPOD hospitals, the number of utilized organs increased (14.5% and 8.5%); in the rest, the increase was 3% and 7%. In trained hospitals, family refusals increased from 6.9% to 16.2% and from 8.9% to 10.7%; in the whole country, family refusals decreased from 11.7% to 11% in the short term and increased from 9.6% to 12.1% in the long term. CONCLUSIONS: In hospitals involved in the ETPOD program, the increase in organ donation is greater than in the rest of hospitals. Distinct benefit was observed in consent to organ donation.
Authors: Marloes Witjes; Nichon E Jansen; Jacqueline van Dongen; Ingeborg H F Herold; Luuk Otterspoor; Bernadette J J M Haase-Kromwijk; Johannes G van der Hoeven; Wilson F Abdo Journal: Nurs Crit Care Date: 2019-07-11 Impact factor: 2.325
Authors: Vanessa Silva E Silva; Janine Schirmer; Bartira D'Aguiar Roza; Priscilla Caroliny de Oliveira; Sonny Dhanani; Joan Almost; Markus Schafer; Joan Tranmer Journal: Can J Kidney Health Dis Date: 2021-02-20