Khiroya Heena, Sharif Adnan, Jones June, Willis Derek
Queen Elizabeth Hospital, Birmingham, UK.
Edge Hill University, Ormskirk, UK.
Future Healthc J. 2021 Mar;8(1):e170-e173. doi: 10.7861/fhj.2020-0098.
UK guidelines recommend that discussions about organ and tissue donation are conducted as part of end-of-life care. However, there are several barriers to discussing organ donation, and this is reflected in a critical shortage of donors. This article explores who should start the conversation about donation and how all healthcare practitioners can maximise their communication skills to have success in this area. It is particularly pertinent to be upskilled in this area in light of the recent legal change in England, where the system moved from an opt-in to a 'soft' opt-out one. Based on a similar legal change that took place in Wales and global data, it is unlikely that the legal change alone will prompt an increase in donation rates in England. This article proposes suggestions to increase awareness and conversations among healthcare professionals and patients with education, public health campaigns and interventions rooted in psychological theory.
英国指南建议，关于器官和组织捐赠的讨论应作为临终关怀的一部分进行。然而，讨论器官捐赠存在若干障碍，这反映在捐赠者严重短缺上。本文探讨了谁应该开启关于捐赠的对话，以及所有医疗从业者如何最大限度地提高他们的沟通技巧，以便在这一领域取得成功。鉴于英国最近的法律变化，即从选择加入制转变为“软性”选择退出制，在这一领域提升技能尤为重要。根据威尔士发生的类似法律变化和全球数据，仅靠法律变化不太可能促使英国的捐赠率上升。本文提出了一些建议，通过开展基于心理学理论的教育、公共卫生运动和干预措施，提高医疗专业人员和患者之间的认识并促进对话。
