Donation after Circulatory Death - an Innovative Educational Initiative
ALERT Presentation:Donation after Circulatory Death: An innovative educational initiative Elaine C. Meyer, Ph.D., R.N.
Background• Patients awaiting organ transplantation far exceed availability of healthy organs• The Institute of Medicine has advocated for Donation after Circulatory Death (DCD) protocols in hospitals to expand the potential donor pool• Staff knowledge and experience with DCD is limited and may negatively impact the implementation of protocols• A simulation-based educational film is available (focusing on ethics & family-staff conversations)
PICO Question• Population – Healthcare and organ procurement providers• Intervention – DCD educational film• Comparison – Each participating site will be compared to itself pre and post educational intervention; aggregate comparison across educational conditions• Outcome – Knowledge, attitudes, sense of preparation, confidence, communicative ability, compliance with established DCD protocols, use & evaluation of film, frequency of family-OPO staff meetings to initiate and discuss organ donation, frequency of consent to donate, frequency of organ procurement
Approach• Survey to all INSPIRE sites to determine absence/presence of DCD, current educational approach and educational needs• Among those with DCD, pre-post comparison after educational intervention with educational arms (no film, film to hospital educators, film to OPO educators, partnership and film to hospital & OPO)• Follow natural use, acceptability and efficacy of film as per outcome measures
3 Questions• How many INSPIRE sites have DCD protocols? What, if any, is the role of the simulation center in education for DCD?• Design-wise what makes most sense? Film/no film conditions with pre-post measures; pre-post measures across with all sites receiving the film• What are the outcomes that can realistically and should be measured? Frequency of family-OPO meetings, consent to donate, and organ procurement require partnership with regional OPOs. How realistic is this?