Blok Geke A
Department of Educational Development and Research, Faculty of Health Sciences, University of Maastricht, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
Patient Educ Couns. 2005 Jul;58(1):104-13. doi: 10.1016/j.pec.2004.07.008.
In the past decade several interventions have been undertaken to close the gap between demand and supply of donor organs. Family refusal is an important factor contributing to the shortage of donor organs. The importance of the quality of communication between staff and relatives has been underestimated. It is in the frontline of practice where decisions are made and behaviour of staff is critical. The current study, undertaken to explore if any changes had occurred in the behaviour of professionals involved in organ donation, took satisfaction ratings of relatives of donors in 1995, 1998 and 2001 as outcome measures. Our results show that relatives in 2001 are significantly more satisfied than those in 1995 and 1998 about staff behaviour. Changes all relate to specific interactions between key professionals and relatives. Results indicate that future interventions may be more effective if macro-oriented and regulatory policies are combined with competence-based educational programmes.
在过去十年中，已经采取了多项干预措施来缩小供体器官供需之间的差距。家属拒绝是导致供体器官短缺的一个重要因素。工作人员与亲属之间沟通质量的重要性一直被低估。在实际工作的第一线做出决策，工作人员的行为至关重要。本项研究旨在探讨参与器官捐赠的专业人员的行为是否发生了任何变化，以1995年、1998年和2001年捐赠者亲属的满意度评分作为结果指标。我们的结果表明，2001年的亲属对工作人员行为的满意度明显高于1995年和1998年的亲属。这些变化都与关键专业人员和亲属之间的特定互动有关。结果表明，如果将宏观导向和监管政策与基于能力的教育计划相结合，未来的干预措施可能会更有效。
