Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan.
Department of Nursing, Tzu Chi University of Science and Technology, Hualien, Taiwan.
PLoS One. 2021 Apr 23;16(4):e0250249. doi: 10.1371/journal.pone.0250249. eCollection 2021.
The literature on organ donation in Taiwan lacks a discussion of the roles of medical staff, organ donors, and transplant coordinators in organ donation. The biggest plight of organ donation is lack of the organ donations. When we probed the possibilities of not finish the organ donation procedure, such as religions, traditions and cultural belief, disease cognitions, and the failure of persuasion or the loss of organ donors. There are lots of research literature shown that the attitude of medical personnel would influence the willingness of organ donation or persuasion. This study considered such personnel and their participation in organ donation, specifically analyzing factors influencing their effectiveness. Snowball sampling was adopted to recruit medical staff, organ donors, and transplant coordinators for an online survey. The results revealed that some participants were unclear as to how to initiate the organ donation process and what practical operations are involved. Even with the necessary qualifications, some participants remained passive when soliciting organ donations in clinical practice. Organ donation coordinators with experience in caring for organ donors who attended organ donation courses performed well in soliciting organ donations. The researchers recommend that training courses on clinical planning and organ donation are incorporated into intensive care training and that they serve as the basis for counsellors soliciting organ donations to increase nurses' willingness to solicit organ donations.
台湾地区的器官捐赠文献缺乏对医护人员、器官捐赠者和器官移植协调员在器官捐赠中的角色的讨论。器官捐赠最大的困境是缺乏器官捐赠。当我们探讨无法完成器官捐赠程序的可能性时，如宗教、传统和文化信仰、疾病认知以及劝说失败或器官捐赠者的丧失。大量研究文献表明，医务人员的态度会影响器官捐赠或劝说的意愿。本研究考虑了这些人员及其参与器官捐赠的情况，具体分析了影响他们效力的因素。本研究采用雪球抽样招募医护人员、器官捐赠者和器官移植协调员进行在线调查。结果表明，一些参与者不清楚如何启动器官捐赠程序，也不清楚实际操作有哪些。即使具备必要的资格，一些参与者在临床实践中也很少主动寻求器官捐献。参加过器官捐献课程、有照顾器官捐献者经验的器官捐献协调员在器官捐献劝诫方面表现出色。研究人员建议将临床规划和器官捐赠培训课程纳入重症监护培训，并作为劝说器官捐献的顾问的基础，以提高护士捐献器官的意愿。
