School of Nursing, Brock University, St. Catharines, ON, Canada.
Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.
JBI Evid Synth. 2024 Feb 1;22(2):195-233. doi: 10.11124/JBIES-22-00140.
The objective of this review was to collate and summarize the current literature on what is known about organ donation following medical assistance in dying (MAiD). For this second part of a 2-part scoping review, the focus is on the existing procedures and processes for organ donation following MAiD.
Organ donation following MAiD is a novel and contentious issue worldwide. To give direction for future research and initiatives, a comprehensive understanding of the available evidence of existing procedures and processes for organ donation following MAiD is needed.
For this review, the population of interest included all individuals who underwent organ donation following MAiD; the concept was defined as procedures and processes involved in organ donation after MAiD; and the context was reports of organ donation following MAiD at home or in any health care setting worldwide. We considered quantitative and qualitative studies, text and opinion papers, gray literature, and unpublished material provided by stakeholders.
This scoping review was conducted in line with JBI methodology. Published studies were retrieved from MEDLINE (Ovid), Embase (Ovid), CINAHL (EBSCOhost), PsycINFO (Ovid), Web of Science Core Collection, and Academic Search Complete (EBSCOhost). Gray and unpublished literature included reports from websites and organ donation organizations in Canada, Belgium, and The Netherlands. Two independent reviewers screened all reports (both title and abstract, and full text) against the predetermined inclusion criteria, extracted data, and completed a content analysis. Any disagreements between the 2 reviewers were resolved through discussion or with another reviewer.
We included 121 documents across parts I and II, and we report on 107 documents in this second part. The majority of the 107 documents were discussion papers, published in English, and in Canada from 2019 to 2021. In the content analysis, we identified 5 major categories regarding existing procedures and processes of organ donation following MAiD: i) clinical pathways for organ donation following MAiD; ii) organ donation following MAiD and the donor; iii) clinical practice tools for organ donation following MAiD; iv) education and support for health care providers involved in organ donation following MAiD; and v) health care providers' roles and perceptions during organ donation following MAiD.
Findings from this review can be used to provide support and guidance for improvements in procedures and processes, as well as a rich resource for countries currently planning to establish programs for organ donation after MAiD.
本次综述旨在汇集和总结目前关于在医疗辅助死亡（MAiD）后器官捐献的相关文献。这是一篇由两部分组成的范围综述的第二部分，重点是 MAiD 后器官捐献的现有程序和流程。
在全球范围内，MAiD 后器官捐献是一个新颖而有争议的问题。为了为未来的研究和举措提供指导，需要全面了解 MAiD 后器官捐献现有程序和流程的现有证据。
在本次综述中，感兴趣的人群包括所有接受 MAiD 后器官捐献的个体；概念定义为 MAiD 后器官捐献所涉及的程序和流程；范围为全球范围内家庭或任何医疗保健环境中 MAiD 后的器官捐献报告。我们考虑了定量和定性研究、文本和观点论文、灰色文献以及利益相关者提供的未发表材料。
本范围综述符合 JBI 方法进行。通过 MEDLINE（Ovid）、Embase（Ovid）、CINAHL（EBSCOhost）、PsycINFO（Ovid）、Web of Science 核心合集和 Academic Search Complete（EBSCOhost）检索发表的研究。灰色和未发表的文献包括来自加拿大、比利时和荷兰的网站和器官捐赠组织的报告。两名独立的审查员根据预定的纳入标准筛选所有报告（标题和摘要以及全文），提取数据并完成内容分析。如果两名审查员之间存在分歧，则通过讨论或由另一名审查员解决。
在第一部分和第二部分中，我们共纳入了 121 篇文献，在第二部分中我们报告了 107 篇文献。107 篇文献中的大多数是讨论文件，以英文出版，且于 2019 年至 2021 年在加拿大出版。在内容分析中，我们确定了 MAiD 后器官捐献现有程序和流程的 5 个主要类别：i）MAiD 后器官捐献的临床途径；ii）MAiD 后器官捐献和供体；iii）MAiD 后器官捐献的临床实践工具；iv）参与 MAiD 后器官捐献的医疗保健提供者的教育和支持；以及 v）医疗保健提供者在 MAiD 后器官捐献过程中的角色和看法。
本综述的结果可用于为程序和流程的改进提供支持和指导，并为当前计划建立 MAiD 后器官捐献计划的国家提供丰富的资源。
