Baughn Daniel, Auerbach Stephen M, Siminoff Laura A
Virginia Commonwealth University, Richmond, Virginia 23284, USA.
Prog Transplant. 2010 Sep;20(3):247-55. doi: 10.1177/152692481002000308.
Interpersonal relations with health care providers influence families' decisions to consent to solid-organ donation. However, previous research has been based on retrospective interviews with donation-eligible families and has not directly examined the interpersonal interactions between families and organ procurement coordinators.
To increase understanding of the interpersonal interaction between procurement coordinators and families during the organ donation discussion, with special attention to the influence of the sex and race of the procurement coordinator and the race of the potential donor's family.
A descriptive study in which standardized patients portrayed family members interacting with actual procurement coordinators in simulated donation request scenarios.
Thirty-three videotaped interactions between standardized patients and 17 procurement coordinators involving 2 different scenarios depicting deceased donation were evaluated.
Video recordings were rated by independent coders. Coders completed the Impact Message Inventory-Form C, the Participatory Style of Physician Scale, and the Siminoff Communication and Content and Affect Program-Global Observer Ratings scale.
African American procurement coordinators, particularly African American women, were rated as more controlling and work-oriented than white procurement coordinators. Male procurement coordinators were more affiliative with the white family than the African American family, whereas female procurement coordinators were slightly less affiliative with the white family. African American procurement coordinators expressed more positive affect when interacting with the African American family than the white family, whereas the opposite was true for white procurement coordinators. Research is needed to cross-validate these exploratory findings and further examine cultural mistrust between procurement coordinators and families of ethnic minorities, especially given the negative attitudes of many minorities toward donation.
与医疗服务提供者的人际关系会影响家庭做出同意实体器官捐赠的决定。然而，以往的研究是基于对符合捐赠条件的家庭进行回顾性访谈，并未直接考察家庭与器官获取协调员之间的人际互动。
增进对器官捐赠讨论过程中获取协调员与家庭之间人际互动的理解，特别关注获取协调员的性别和种族以及潜在捐赠者家庭的种族所产生的影响。
一项描述性研究，其中标准化患者扮演家庭成员，在模拟的捐赠请求场景中与实际的获取协调员进行互动。
对标准化患者与17名获取协调员之间的33次录像互动进行了评估，这些互动涉及2种不同的描述死者捐赠的场景。
录像由独立编码员进行评分。编码员完成了影响信息量表-C表、医生参与风格量表以及西米诺夫沟通与内容及情感项目-全局观察者评分量表。
非裔美国获取协调员，尤其是非裔美国女性，比白人获取协调员被评为更具控制欲和工作导向性。男性获取协调员与白人家庭的关系比与非裔美国家庭的关系更融洽，而女性获取协调员与白人家庭的关系则稍欠融洽。非裔美国获取协调员在与非裔美国家庭互动时比与白人家庭互动时表达出更多积极情感，而白人获取协调员则相反。需要进行研究以交叉验证这些探索性发现，并进一步考察获取协调员与少数族裔家庭之间的文化不信任，特别是考虑到许多少数族裔对捐赠的负面态度。
