Evidenced Based Practice Will education and training vs. no education and training help ICU nurses feel comfortable initia...
Attitudes Toward Donation <ul><li>Before we can assess how to make organ donations more common, we have to understand how ...
Questionnaire <ul><li>Expert Validated Questionnaire </li></ul><ul><li>Used Ordinal/Interval Levels of Measurement </li></...
Results in Spain <ul><li>Nurse attitudes were affected by: </li></ul><ul><ul><li>Whether the nurse had a favorable attitud...
Results in Korea <ul><li>Barriers to Organ Donation: </li></ul><ul><ul><li>Nurses ability to accept brain death as true de...
Results in America <ul><li>96% of nurses surveyed indicated a positive attitude toward organ donation. </li></ul><ul><li>8...
Jean Watson’s  Theory of Human Caring <ul><li>A descriptive survey, based on Jean Watson’s Theory of Human Caring, was don...
Theory of Human Caring <ul><li>Survey found: </li></ul><ul><ul><li>It may be difficult to recognize the feelings of the pa...
Education <ul><li>The next step is to educate nurses.  We spend 24 hours a day with our patients and their families.  This...
Multi-Disciplinary Coordination <ul><li>These studies have a recurring theme.  </li></ul><ul><ul><li>Nurses need further e...
The statistics are staggering.  <ul><ul><li>More than 30,000 people nationally are waiting for an organ transplant. </li><...
It is your voice <ul><li>With continuing educational opportunities, nurses can feel confident in the organ procurement ref...
References <ul><li>Zambudio, A., Martinez-Alarcon, L., Parrilla, P., & Ramirez, P. (2009). Attitude of nursing staff towar...
References <ul><li>Kim, J., Fisher, M., & Elliott, D. (2006). Attitudes of intensive care nurses towards brain death and o...
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Poster presentation organdonation_marchese-mcbride_b

  1. 1. Evidenced Based Practice Will education and training vs. no education and training help ICU nurses feel comfortable initiating a conversation regarding organ donation resulting in the family members agreeing to organ donation?
  2. 2. Attitudes Toward Donation <ul><li>Before we can assess how to make organ donations more common, we have to understand how nurses who care for these patients feel about organ donation. </li></ul><ul><li>Many studies have used Likert-Style questionnaires to determine nursing personnel’s attitudes toward donation and the factors that determine those attitudes. </li></ul>
  3. 3. Questionnaire <ul><li>Expert Validated Questionnaire </li></ul><ul><li>Used Ordinal/Interval Levels of Measurement </li></ul><ul><li>Psychosocial Evaluation </li></ul><ul><li>Multiple-Choice Answers </li></ul><ul><li>Anonymously, Self-Administered </li></ul><ul><li>Ranked Knowledge of Organ Donation </li></ul><ul><li>Ranked Attitude of Nurses Regarding Organ Donation </li></ul>
  4. 4. Results in Spain <ul><li>Nurse attitudes were affected by: </li></ul><ul><ul><li>Whether the nurse had a favorable attitude toward donating the organs of a loved one. </li></ul></ul><ul><ul><li>Their full understanding of brain death. </li></ul></ul><ul><ul><li>Whether the nurse felt they had open communication within their own family. </li></ul></ul><ul><ul><li>Whether the nurse had a favorable attitude toward autopsy. </li></ul></ul><ul><ul><li>Fear of mutilation. </li></ul></ul>
  5. 5. Results in Korea <ul><li>Barriers to Organ Donation: </li></ul><ul><ul><li>Nurses ability to accept brain death as true death. </li></ul></ul><ul><ul><li>Reluctance to discuss the issue with families at a time of intense grief. </li></ul></ul><ul><ul><li>Failure to identify potential donors. </li></ul></ul><ul><ul><li>Religious belief in reincarnation. </li></ul></ul><ul><ul><li>Concern about legal and ethical issues surrounding removal of organs. </li></ul></ul>
  6. 6. Results in America <ul><li>96% of nurses surveyed indicated a positive attitude toward organ donation. </li></ul><ul><li>85% of nurses surveyed would consider donating one’s own organs. </li></ul><ul><li>There was a strong positive correlation between increased knowledge of organ donation and positive attitude toward organ donation. </li></ul>
  7. 7. Jean Watson’s Theory of Human Caring <ul><li>A descriptive survey, based on Jean Watson’s Theory of Human Caring, was done to analyze effective caring on the part of the nurse, and see if it could effect the family’s choice to donate organs. </li></ul>
  8. 8. Theory of Human Caring <ul><li>Survey found: </li></ul><ul><ul><li>It may be difficult to recognize the feelings of the patient/family member regarding organ donation. </li></ul></ul><ul><ul><li>Communication with family members regarding donation is more difficult without education. </li></ul></ul><ul><ul><li>The attitude of the nurse may be influenced by an increased base knowledge of organ donation. </li></ul></ul>
  9. 9. Education <ul><li>The next step is to educate nurses. We spend 24 hours a day with our patients and their families. This gives us the unique opportunity to have conversations regarding the patients’ view on organ donation. But nurses cannot open the tool box, if they do not have the right tools. We cannot begin a conversation about the benefits of organ donation, if we do not have the knowledge of what the steps are to achieve a successful donation. </li></ul>
  10. 10. Multi-Disciplinary Coordination <ul><li>These studies have a recurring theme. </li></ul><ul><ul><li>Nurses need further education regarding the sensitive nature of organ procurement. </li></ul></ul><ul><ul><li>Hospitals with successful organ donation programs educate their critical care and emergency care nurses. </li></ul></ul><ul><ul><li>Successful organ procurement programs have a designated coordinator to assist nurses in the process of organ procurement referrals. </li></ul></ul>
  11. 11. The statistics are staggering. <ul><ul><li>More than 30,000 people nationally are waiting for an organ transplant. </li></ul></ul><ul><ul><li>Seven of these people will die today, waiting. </li></ul></ul><ul><ul><li>Another person joins the list about every 20 minutes. </li></ul></ul><ul><ul><li>Only 4,000 transplants are performed each year </li></ul></ul>
  12. 12. It is your voice <ul><li>With continuing educational opportunities, nurses can feel confident in the organ procurement referral program. </li></ul><ul><li>Nurses can be an advocate for the patient that they likely will never meet. Lives are saved when the ultimate gift of life is given. </li></ul>
  13. 13. References <ul><li>Zambudio, A., Martinez-Alarcon, L., Parrilla, P., & Ramirez, P. (2009). Attitude of nursing staff toward organ donation in a Spanish hospital with a solid-organ transplant program. Progress in Transplantation , 19(4), 371-377. Retrieved from EBSCO host . </li></ul><ul><li>Bishop,M. (1996). Research. Nurses' knowledge, attitude may influence organ donation. Michigan Nurse , 69(5), 14. Retrieved from EBSCO host . </li></ul><ul><li>Ingram, J., Buckner, E., & Rayburn, A. (2002). Critical care nurses' attitudes and knowledge related to organ donation. Dimensions of Critical Care Nursing , 21(6), 249-255. Retrieved from EBSCO host . </li></ul>
  14. 14. References <ul><li>Kim, J., Fisher, M., & Elliott, D. (2006). Attitudes of intensive care nurses towards brain death and organ transplantation: instrument development and testing. Journal of Advanced Nursing , 53(5), 571-582. Retrieved from EBSCO host . </li></ul><ul><li>McNatt, G. (2008). Nursing and transplant coordination: a call for clarity. Progress In Transplantation, 18 (3), 208-215. </li></ul><ul><li>Ertin, H., Harmanci, A., Mahmutoglu, F., & Basagaoglu, I. (2010). Nurse-focused ethical solutions to problems in organ transplantation. Nursing Ethics. 17(6), 705-714. doi:10.1177/0969733010378933 </li></ul>

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