Blok G A, van Dalen J, Jager K J, Ryan M, Wijnen R M, Wight C, Morton J M, Morley M, Cohen B
University of Maastricht, Department of Educational Development and Educational Research, The Netherlands.
Transpl Int. 1999;12(3):161-7. doi: 10.1007/s001470050205.
The competence of critical care staff when it comes to death and organ donation can make the difference between a family's agreeing to or refusing the latter. Doctors and nurses often feel uncomfortable approaching relatives about donation and attribute this to a lack of training. Bereaved relatives express dissatisfaction with inappropriate communication and support when brain death is announced and thereafter when a request for donation is made. The European Donor Hospital Education Programme (EDHEP) was designed to meet the training needs of critical care staff in breaking bad news, caring for the bereaved, and requesting donation. EDHEP is a two-part educational package consisting of a presentation about the donor shortage followed by a one-day workshop. The implementation of EDHEP throughout the world has been facilitated through effective national working groups and standardised "train the trainer" courses. Several countries anecdotally report increases in donation following implementation. Controlled evaluation of the effect(s) of EDHEP, which started at the end of 1995, focuses on the satisfaction of the participants with EDHEP, on the competence of the participants in breaking bad news and requesting donation, on the teamwork regarding death and donation, on the satisfaction of bereaved relatives, and on organ donation rates.
在涉及死亡和器官捐赠问题时，重症护理人员的能力高低可能会决定一个家庭是否同意捐赠。医生和护士在与亲属谈论捐赠事宜时常常感到不自在，并将其归因于缺乏培训。当宣布脑死亡以及随后提出捐赠请求时，失去亲人的亲属对不恰当的沟通和支持表示不满。欧洲捐赠医院教育项目（EDHEP）旨在满足重症护理人员在告知坏消息、照顾遗属以及请求捐赠方面的培训需求。EDHEP是一个分两部分的教育套餐，包括一场关于捐赠短缺问题的讲座，随后是一个为期一天的研讨会。通过有效的国家工作小组和标准化的“培训培训师”课程，EDHEP在全球范围内得以推广实施。几个国家都有传闻称实施该项目后捐赠量有所增加。对EDHEP效果的对照评估始于1995年末，评估重点包括参与者对EDHEP的满意度、参与者在告知坏消息和请求捐赠方面的能力、关于死亡和捐赠的团队协作、遗属的满意度以及器官捐赠率。
