Department of Cancer Epidemiology, H. Lee Moffitt Cancer and Research Institute, , Tampa, Florida, USA.
J Med Ethics. 2014 Feb;40(2):139-42. doi: 10.1136/medethics-2013-101340. Epub 2013 Apr 4.
In preparation for the development of a rapid tissue donation (RTD) programme, we surveyed healthcare providers (HCPs) in our institution about knowledge and attitudes related to RTD with lung cancer patients. A 31-item web based survey was developed collecting data on demographics, knowledge and attitudes about RTD. The survey contained three items measuring participants' knowledge about RTD, five items assessing attitudes towards RTD recruitment and six items assessing HCPs' level of agreement with factors influencing decisions to discuss RTD. Response options were presented on a 5-point Likert scale. Ninety-one HCPs participated in the study. 66% indicated they had never heard of RTD prior to the survey, 78% rated knowledge of RTD as none or limited and 95.6% reported not having ethical or religious concerns about discussing RTD with patients. The majority were either not comfortable (17.8%) or not sure if they felt comfortable discussing RTD with cancer patients (42.2%). 56.1% indicated their knowledge of RTD would play an integral role in their decision to discuss RTD with patients. 71.4% reported concerns with RTD discussion and the emotional state of the patient. Physicians and nurses play an important role in initiating conversations about recruitment and donation to research that can ultimately influence uptake. Increasing HCP knowledge about RTD is a necessary step towards building an RTD programme. Our study provides important information about characteristics associated with low levels of knowledge and practice related to RTD where additional education and training may be warranted.
为了筹备快速组织捐献（RTD）项目，我们调查了本院的医疗保健提供者（HCP），了解他们与肺癌患者 RTD 相关的知识和态度。我们开发了一个包含 31 个项目的在线调查，收集有关人口统计学、RTD 知识和态度的数据。该调查包含三个衡量参与者 RTD 知识的项目、五个评估 RTD 招募态度的项目和六个评估 HCP 对影响讨论 RTD 决策的因素的同意程度的项目。答案选项采用 5 点李克特量表呈现。91 名 HCP 参与了这项研究。66%的人表示，在调查之前从未听说过 RTD，78%的人对 RTD 知识的评价是“没有”或“有限”，95.6%的人表示，他们在与患者讨论 RTD 时没有道德或宗教方面的顾虑。大多数人要么感到不舒服（17.8%），要么不确定他们是否愿意与癌症患者讨论 RTD（42.2%）。56.1%的人表示，他们对 RTD 的了解将对他们与患者讨论 RTD 的决定起到重要作用。71.4%的人表示对 RTD 讨论和患者的情绪状态表示担忧。医生和护士在发起关于招募和捐赠研究的对话方面发挥着重要作用，这最终可能会影响参与度。提高 HCP 对 RTD 的了解是建立 RTD 项目的必要步骤。我们的研究提供了与 RTD 相关的知识和实践水平较低有关的特征的重要信息，这可能需要额外的教育和培训。
