2013 - ISODP 2013 Congress


This page contains exclusive content for the member of the following sections: TTS, ISODP. Log in to view.

Oral Presentation 11 on Intensive Care and Donation

23.2 - Educational efforts impacting on Critical Care staff's attitudes towards donation: Donor Action data from Korea and Japan

Presenter: Beatrice, Pelleriaux, Sterrebeek, Belgium
Authors: Leo Roels, Beatrice Pelleriaux, Jongwon Ha, Tomonori Hasegawa, Jacqueline Smits

Educational efforts impacting on Critical Care staff’s attitudes towards donation: Donor Action data from Korea and Japan

Leo Roels1, Beatrice Pelleriaux1, Jongwon Ha2, Tomonori Hasegawa3, Jacqueline Smits4

1Donor Action Foundation, Linden, Belgium, 2Korea Organ Donation Agency, Seoul, Korea, 3Toho University School of Medicine, Tokyo, Japan, 4Eurotransplant International Foundation, Leiden, Netherlands

Background. Critical Care (CC) staff’s attitudes towards donation vary between professional categories, hospitals and countries, depending, amongst other co-factors, on educational efforts, and, hence, may influence donation rates.

Methods. 17,860 Donor Action (DA) Hospital Attitude Survey (HAS) questionnaires (Korea: n=1,454, Japan: n=16,406), collected between January 1, 2010 and December 31, 2012, were entered into the DA database to compare CC staff’s attitudes towards donation as well as their confidence levels with donation related tasks and their training needs. In Korea, a governmentally supported educational program by skilled transplant coordinators (81 training sessions in 27 hospitals) preceded this survey.   

Results. General support for donation was higher amongst Korean medical/nursing (M/N) staff (87.3%) compared to their Japanese colleagues (73.1%, P <.0001). Whilst 52.3% of Korean M/N staff would donate their own organs, only 41% of Japanese colleagues would do so (P<.0001). In Japan, 22.3% of M/N staff would object to donating their relative’s organs, versus only 15.4% in Korea (P<.0001). Confidence levels with referring a potential donor, explaining brain death (BD) or introducing the subject of donation were 66.9, 48.3 and 31.7% respectively amongst Korean staff, against only 9.5, 2.9 and 2.6% in Japan (P<.0001). BD was accepted as a valid determination of death by 84.6% of medical and 63.3% of nursing staff in Korea, versus only 60.9 and 32.9% in Japan (P<.0001). In Korea, 27% of medical and 17% of nursing staff on average had received specific training on organ donation related issues vs. only 6.5 and 4.5% in Japan (P<.01).

Conclusions. Data presented suggests a strong correlation between self-reported attitudes, skills and confidence levels and specific education received in 2 neighbouring Asian countries with an otherwise comparable socio-economic, technical level and religious background.  Further investigations to understand the subtle cultural disparities that may explain diverging relationships amongst CC and transplant professionals may help to adapt and export the ‘Korean model’ of targeted training of CC staff to other Asian countries and will ultimately increase donation rates in these countries.


Important Disclaimer

By viewing the material on this site you understand and accept that:

  1. The opinions and statements expressed on this site reflect the views of the author or authors and do not necessarily reflect those of The Transplantation Society and/or its Sections.
  2. The hosting of material on The Transplantation Society site does not signify endorsement of this material by The Transplantation Society and/or its Sections.
  3. The material is solely for educational purposes for qualified health care professionals.
  4. The Transplantation Society and/or its Sections are not liable for any decision made or action taken based on the information contained in the material on this site.
  5. The information cannot be used as a substitute for professional care.
  6. The information does not represent a standard of care.
  7. No physician-patient relationship is being established.

Social

Contact

Staff Directory
+1-514-874-1717
info@tts.org

Address

The Transplantation Society
International Headquarters
740 Notre-Dame Ouest
Suite 1245
Montréal, QC, H3C 3X6
Canada