Attitude and Impact Factors Toward Organ Transplantation and Donation Among Transplantation Nurses in China

doi:10.1016/j.transproceed.2017.02.060

Transplantation Proceedings

Volume 49, Issue 6, July–August 2017, Pages 1226-1231

https://doi.org/10.1016/j.transproceed.2017.02.060 Get rights and content

Highlights

•
Attitude toward transplantation and donation among transplantation nurses was investigated.
•
Factors that affected the transplantation nurses' attitude were explored.
•
Attitude toward donation and transplantation in the hospitals was not too optimistic.
•
Improvement in the training on transplantation and donation among nurses in China is necessary.

Abstract

Background

Health workers' awareness and knowledge of transplantation medicine can improve people's sensitivity and reduce their degree of opposition to donations. The medical literature contains numerous examples of attitudes toward organ transplantation and donation aimed at university students or medical staff members, but rarely for transplantation nurses.

Objective

The purposes of the study were to investigate the attitudes toward organ transplantation and donation among transplantation nurses and to explore the impact factors.

Methods

The study was conducted in 37 transplantation surgery wards in 22 hospitals using cross-sectional approach. SPSS (International Business Machines Corporation, Armonk, New York, USA) 7.0 software was used to analysis descriptive and inferential statistics for data.

Results

Five hundred thirty-six effective questionnaires were received and the effective rate was 89.33%. Nurses' mean age was 28.40 years with a mean service length of 6.54 years. Among these nurses, 66.6% and 78.0% were willing to accept organ transplantation surgery for themselves and their relatives, respectively. Of these nurses, 33.4% would donate their organs after death; whereas 39.9% were uncertain. Only 38.2% were willing to register in the national organ donation system. Of these nurses, 28.2% were willing to sign the organ donation consent forms when their relatives became potential organ donors, and 45.7% were uncertain. Eight independent variables that affected nurses' attitudes toward donating their organs from most to least significant were: ratio of nurse to bed, title, employment form, age, length of service, position, monthly income, and the highest educational degree earned. Pearson correlation analysis showed a significant correlation among nurses' attitudes toward organ transplantation, organ donation, and online registration.

Conclusion

The attitude toward donation and transplantation in the hospitals was not too optimistic, and an improvement in the training regarding transplantation and donation among nurses in China is necessary. Nurses are an important group who generate opinion in the patient population, and their negative attitudes can have a significant negative impact on society's attitudes toward organ donation.

Section snippets

Design

This study used a cross-sectional approach. Between July 2015 and November 2015, 600 nurses of transplantation surgery wards completed a self-designed questionnaire for assessing the attitudes toward organ transplantation and donation. The study was conducted in 37 transplantation surgery wards in 22 hospitals.

Subjects

The inclusion criteria were as follows: 1) length of service for at least 1 year; 2) working in organ transplantation surgery ward; 3) agreeing to participate in the study. The study

Demographic Information of Subjects

A total of 600 questionnaires were sent out; 591 were completed and returned, and 536 were valid for our study (89.33%). The mean age of the study group was 28.40 years (SD = 4.800, range: 20∼51 years), and the mean length of service was 6.54 years (SD = 5.302, range: 1∼31 years). The mean ratio of nurse to bed was 0.38 (SD = 0.11, range: 0.22∼0.59 years). As shown in Table 1, the majority of the participants were female (96.3%), their ages were between 26 years and 30 years (42.5%), they were

Discussion

Public acceptance of routine medical procedures is nearly universal, but controversy over invasive procedures such as transplantation is common. Organ transplantation is the most preferred treatment for end-stage organ disease and organ failure. It offers a better quality of life with better survival benefits. Therefore, the magnitude of organ retrieval is extremely important. Nurses play vital roles in imparting positive knowledge towards organ transplantation and donation. The multiple linear

Conclusions

This study showed that Chinese transplantation department nurses have little willingness toward transplantation and donation in the hospitals. They are a group that generates opinion in the population, and their negative attitudes can have a significant negative impact on society's attitudes toward organ donation. The proposed line of work to follow in the future is to ensure that health professionals, especially the transplantation nurses, are given adequate training regarding transplantation

References (27)

W.W. Tam et al.
Knowledge, attitudes and commitment toward organ donation among nursing students in Hong Kong
Transplant Proc
(2012)
R. Potenza et al.
Effectiveness of an education program on donation and transplant aimed at students of the nursing degree course
Transplant Proc
(2015)
B. Qiao et al.
A study on the attitude toward kidney transplantation and factors among hemodialysis patients in China
Transplant Proc
(2016)
J.L. Gore et al.
The socioeconomic status of donors and recipients of living unrelated renal transplants in the United States
J Urol
(2012)
P. Burra et al.
Changing attitude to organ donation and transplantation in university students during the years of medical school in Italy
Transplant Proc
(2005)
E. Georgiadou et al.
Attitudes and behavior toward organ donation in Greece
Transplant Proc
(2012)
N. Kabbali et al.
Attitude of hemodialysis patients toward renal transplantation: a Moroccan interregional survey
Transplant Proc
(2014)
M. Mikla et al.
Factors affecting attitude toward organ donation among nursing students in Warsaw, Poland
Transplant Proc
(2015)
M.M. Lomero et al.
Knowledge and attitude of health personnel at the Garraf Health Consortium regarding donation and transplantation
Transplant Proc
(2015)
L. Bøgh et al.
Attitudes, knowledge, and proficiency in relation to organ donation: a questionnaire-based analysis in donor hospitals in northern Denmark
Transplant Proc
(2005)

J.R. Kim et al.

Undergraduate nursing students' knowledge and attitudes towards organ donation in Korea: implications for education

Nurse Educ Today

(2006)

M. Kosieradzki et al.

Partnership for transplantation: a new initiative to increase deceased organ donation in Poland

Transplant Proc

(2012)

K. Chakradhar et al.

Knowledge, attitude and practice regarding organ donation among Indian dental students

Int J Organ Transplant Med

(2016)

Cited by (21)

Investigation and Strategic Analysis of Family Barriers to Organ Donation in China
2021, Transplantation Proceedings
Citation Excerpt :
Limited knowledge was regularly listed as the reason for organ donation refusals [14,16–18]. Many college students who were potentially more open to organ donation had insufficient knowledge regarding the process of organ donation [1,19,20]. It is essential to target younger generations with public education to maximize in various ways their positive beliefs about organ donation.
Families play a prominent role in the eventual organ donation decision. Because the deceased cannot directly express their wishes, their families become the actual decision makers. In China, families are permitted to make decisions regarding organ donation that may not be in accordance with the wishes of the deceased family member, and objections by families are a main bottleneck in the donation process.
Face-to-face questioning was conducted with organ procurement organization coordinators. At the same time, questionnaires were distributed in 11 cities in Zhejiang Province.
Of the respondents, 69.9% considered family consent necessary and 77.1% thought that the view of their family had a great, even decisive, influence on them to decide to become donors. If the deceased family member had registered as an organ donor, 65.2% of families decided that they would respect the wishes of the deceased person. Adult children (58.6%) were more likely to donate than parents (37.4%; χ² = 123.009, P < .001). Those born after 2000 and after 1990 (62.5% and 52.8%, respectively) were much more likely to donate than those born after 1960 (18.1%; χ² = 191.485, P < .001). The interviews indicated that there were high rates of donation refusals within potential donation families. Most donor families chose to make hidden donations, and the majority of donor families had a simple family structure.
To promote organ donation, China needs to reconsider the role of families in the decision-making process. It is essential to increase organ donation awareness within the younger generation and encourage them to discuss with their families their willingness to donate.
Factors Affecting Attitudes Toward Organ Donation in Health Care Professionals
2019, Transplantation Proceedings
Health care professionals can affect attitudes toward organ donation in society. The aim of this study was to examine health care professionals’ attitudes toward and the affecting factors of organ donation.
This descriptive and cross-sectional study was conducted between June and September in 2018. The sample consisted of 220 health professionals (nurses and physicians) who worked in the University Hospital and Family Health Centers located in Northern Turkey. The data were collected by using a sociodemographic form, an organ donation questionnaire, and the Organ Donation Attitudes Scale. Descriptive statistics (means, standard deviations, and ratios), independent t test, Kruskal-Wallis test, and correlation analyses were used.
The mean age of the participants was 36.05 ± 7.52 years (range, 20–52 years). The mean score of the participants was 100.98 ± 13.18 for the positive dimension and 46.81 ± 17.61 for the negative dimension of the scale. It was found that nurses and health care professionals working in university hospitals and intensive care units have higher negative organ donation attitudes (P < .01). It was found that negative attitudes toward organ donation decreased as age increased (r = 0.146; P = .016). Overall, 17.7% of the participants had a donor card.
Because the negative attitudes of nurses are higher in this study, the results reflect the need for intervention studies to determine the sensitivity to organ donation. It is striking that health care professionals who work in intensive care units have high negative attitudes toward organ donation. It can be recommended that interventional studies be performed with intensive care health care professionals.
Surgical Nurses’ Views on Organ Transplantation and Donation: A Sample From Turkey
2018, Transplantation Proceedings
Citation Excerpt :
The studies identified in the literature review emphasized that providing education specifically for organ donation in the context of general vocational training is important for the development of health workers' attitudes toward organ donation [12,13]. It was also found that 69% of nursing students [14] and 82% of nurses working in intensive care units [15] showed positive attitudes toward organ donation, and another study found that 48% of participants wanted to be donors [10]. In this study, it was found that 9.89% of the nurses donated their organs (Table 1).
To evaluate the opinions and behaviors of nurses working in surgical clinics regarding organ transplantation and donation.
This research study was carried out as a descriptive study. It was carried out on 293 nurses at the Turgut Ozal Medical Center (TOMC) of Malatya İnönü University between September and December 2012. The research population consisted of 348 nurses working at the surgical clinics of TOMC. No sampling strategy was used; nurses who agreed to participate in the study were taken as a sample. During data collection, a questionnaire consisting of 33 questions, including sociodemographic characteristics of the nurses and their opinions about organ transplantation and donation, was used by the researcher.
Only 9.89% (n = 29) of the nurses were themselves registered as organ donors. The vast majority of the nurses included in the study favored the idea of artists (61.4%), scientists (75.8%), and clergy (70.3%) leading the society to organ transplantation and donation. Of the nurses who participated in the study, 147 (50.2%) thought that they were not sufficiently knowledgeable about organ transplantation and donation during their vocational training, and 210 (71.7%) thought that health professionals were not sufficiently knowledgeable about organ transplantation and donation.
It was determined that nurses' organ donations were low level, and they needed to be informed.
Factors affecting acceptance of organ donation in mainland China: A national cross-sectional study
2023, Journal of Clinical Nursing
Factors Associated with Willingness toward Organ Donation in China: A Nationwide Cross-Sectional Analysis Using a Social–Ecological Framework
2023, Healthcare (Switzerland)
Knowledge, Attitude, and Barriers Toward Deceased Organ Donation Among Health Care Professionals and Medical Students in Southern Saudi Arabia: A Cross-Sectional Study
2023, Experimental and Clinical Transplantation

View all citing articles on Scopus

: Supported by the National Natural Science Foundation of China Youth Science Fund Project (NO. 81502701).

View full text

Advances in TransplantationOrgan donation and procurementAttitude and Impact Factors Toward Organ Transplantation and Donation Among Transplantation Nurses in China

Highlights

Abstract

Background

Objective

Methods

Results

Conclusion

Section snippets

Design

Subjects

Demographic Information of Subjects

Discussion

Conclusions

Transplant Proc

Transplant Proc

Transplant Proc

J Urol

Transplant Proc

Transplant Proc

Transplant Proc

Transplant Proc

Transplant Proc

Transplant Proc

Nurse Educ Today

Transplant Proc

Knowledge, attitude and practice regarding organ donation among Indian dental students

Int J Organ Transplant Med

Advances in Transplantation
Organ donation and procurement
Attitude and Impact Factors Toward Organ Transplantation and Donation Among Transplantation Nurses in China