Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
School of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada.
Transfusion. 2022 Aug;62(8):1571-1582. doi: 10.1111/trf.17000. Epub 2022 Jul 14.
Canadian Blood Services introduced new eligibility criteria that allows some sexually active gay, bisexual, and other men who have sex with men (gbMSM) to donate source plasma, marking a significant change from time-based deferral criteria. We aimed to identify potential barriers and enablers to implementing the new criteria from the perspective of donor center staff.
We conducted Theoretical Domains Framework-informed interviews with staff from two source plasma donation centers in Canada.
We completed 28 interviews between June 2020 and April 2021. Three themes representing eight domains captured key tensions. Valuing inclusive eligibility criteria: staff support inclusive criteria; many were concerned the new criteria remained discriminatory. Investing in positive donor experiences: staff wished to foster positive donor experiences; however, they worried gbMSM donors would express anger and disappointment regarding the new criteria, staff would experience unease over using stigmatizing criteria and convey nonverbal cues of discomfort, and recurring plasma donors may behave inappropriately. Supporting education, training, and transparency of eligibility criteria: participants believed providing in-person training (i.e., to explain criteria rationale, address discomfort, practice responding to donor questions) and ensuring donors and the public were well-informed of the upcoming changes would improve implementation.
Participant views emphasize the importance of supporting staff through training and transparent communication to optimize the delivery of world-class equitable care for a new cohort of donors who have previously been excluded from plasma donation. Findings inform which staff supports to consider to improve implementation as policies continue to shift internationally.
加拿大血液服务中心采用了新的资格标准，允许部分活跃的男同性恋者、双性恋者和其他与男性发生性行为的男性（MSM）捐献源血浆，这标志着与基于时间的延期标准相比发生了重大变化。我们旨在从献血中心工作人员的角度确定实施新标准的潜在障碍和促进因素。
我们对加拿大两个源血浆献血中心的工作人员进行了理论领域框架知情访谈。
我们在 2020 年 6 月至 2021 年 4 月期间完成了 28 次访谈。三个主题代表八个领域，捕捉到了关键的紧张局势。重视包容性资格标准：工作人员支持包容性标准；许多人担心新标准仍然存在歧视。投资于积极的献血者体验：工作人员希望培养积极的献血者体验；然而，他们担心 MSM 献血者会对新标准表示愤怒和失望，工作人员会对使用污名化标准感到不安，并传达出不适的非言语暗示，而复采血浆的献血者可能会表现不当。支持资格标准的教育、培训和透明度：参与者认为提供现场培训（即解释标准的基本原理、解决不适、练习回答献血者的问题）并确保献血者和公众充分了解即将发生的变化，将有助于实施。
参与者的观点强调了通过培训和透明沟通为员工提供支持的重要性，以优化为以前被排除在血浆捐献之外的新献血者群体提供世界级公平护理的实施。这些发现为继续在国际上转变政策时考虑哪些员工支持以提高实施效果提供了信息。
