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干预策略在调节医疗保健专业人员对促进器官捐赠的知识和态度方面的有效性:印度北部三级护理公立医院的一项研究。

Effectiveness of Interventional Strategies in Modulating Knowledge and Attitude of Health Care Professionals for Promoting Organ Donation: A Study in Tertiary Care Public Hospital of North India.

作者信息

Mahajan Pranay, Koushal V, Chhabra R, Dhaliwal N, Pandey N, Kaur R

机构信息

Department of Hospital Administration, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.

Department of Neurosurgery, PGIMER, Chandigarh, India.

出版信息

Ann Neurosci. 2020 Jul;27(3-4):242-256. doi: 10.1177/0972753121990238. Epub 2021 Mar 18.

Abstract

OBJECTIVE

To evaluate the impact of interventional "educational module" on knowledge and attitude regarding organ donation amongst resident doctors and nurses in the Institute of National Importance.

STUDY DESIGN

Interventional and prospective.

METHODS

We devised an interactive educational module covering various aspects of organ donation through a series of audiovisual lectures and information booklets. Resident doctors and nurses posted in those areas of the 1948-bedded Postgraduate Institute of Medical Education and Research (PGIMER), where head injury patients were treated and were subject to intervention using this module. The pre and postinterventional scores of their knowledge and attitude regarding organ donation were compared to find out impact of the intervention.

RESULTS

A total of 242 nurses and 87 resident doctors participated in this research. Higher knowledge score was observed preintervention amongst doctors as compared to nurses. Significant improvement was seen in total knowledge scores of both groups postintervention. Doctors had better scores for the "concept of organ donation," while nurses were more familiar with "procedures and protocols." Both had low knowledge about "clinical criteria for brain death" and "legal issues" preintervention which improved significantly postintervention. The positive impact of intervention was also observed on attitude in both categories. A significant impact of intervention was observed on overall propensity of doctors and nurses to promote organ donation, for pledging their own organs and for counseling of the patient/attendants on this cause.

CONCLUSION

Scientifically designed educational modules have a promising role in improving awareness and attitude of health care professionals regarding organ donation and their propensity to be prospective donors, effective counselors, and advocates of organ donation.

摘要

目的

评估介入性“教育模块”对一所具有国家重要地位的机构中住院医生和护士关于器官捐献的知识及态度的影响。

研究设计

介入性和前瞻性研究。

方法

我们通过一系列视听讲座和信息手册设计了一个涵盖器官捐献各个方面的互动教育模块。在拥有1948张床位的医学教育与研究研究生学院(PGIMER)中,对在收治头部受伤患者区域工作的住院医生和护士使用该模块进行干预。比较他们在干预前后关于器官捐献的知识和态度得分,以了解干预的影响。

结果

共有242名护士和87名住院医生参与了这项研究。与护士相比,干预前医生的知识得分更高。两组干预后的总知识得分均有显著提高。医生在“器官捐献概念”方面得分更高,而护士对“程序和协议”更熟悉。两组在干预前对“脑死亡临床标准”和“法律问题”的了解都较少,但干预后有显著改善。干预对两类人员的态度也产生了积极影响。干预对医生和护士促进器官捐献、承诺捐献自己器官以及就此问题为患者/家属提供咨询的总体倾向产生了显著影响。

结论

科学设计的教育模块在提高医护人员对器官捐献的认识和态度以及他们成为潜在捐献者、有效咨询者和器官捐献倡导者的倾向方面具有重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f36/8455009/2a8fa87dfc91/10.1177_0972753121990238-fig1.jpg

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