Nahafizadeh Katayoun, Radi Ehsan, Ghobadi Omid
From the Iranian Research Center of Organ Donation, and the School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Exp Clin Transplant. 2024 Apr;22(Suppl 4):47-54. doi: 10.6002/ect.BDCDSymp.L14.
In nations where organ donation is governed by the opt-in policy, the most crucial stage in the organ procurement process is the family approach and gaining the approval of families of decedents with brain death. In times of grief and sorrow, the ability of health care workers to communicate and have donation conversations is vital to the decision-making process of families and the subsequent consent rate. In this study, we investigated the effects of teaching important points to coordinators in the family approach and gaining consent of families for organ donation.
A new training program for Iranian coordinators was designed to increase the skills and knowledge of interviewers and increase the self-confidence of the coordinators. In the training program, 15 golden key points to have when meeting with families of brain dead decedents regarding organ donation consent were presented and discussed with participants. Three coordinating groups participated in this training program. The satisfaction rate of the families was assessed at comparable intervals (12 months for group 1, 6 months for group 2, and 3 months for group 3) before and after the training session to assess the continuity of the training impact. We used the Wilcoxon signed rank test for comparisons.
The family consent rate was significantly different for all participants, before and after the 15 golden key points were presented, increasing from 50% to 62.5% (P = .037). In addition, participant sex (P = .051), previous training (P = .090), education (P = .068), and cooperation time (P = .008) had significant effects on family consent rate.
Our training approach can increase the performance of coordinators in achieving family satisfaction.
在器官捐赠采用“选择加入”政策的国家，器官获取过程中最关键的阶段是与家属沟通并获得脑死亡死者家属的同意。在悲痛时刻，医护人员的沟通能力以及进行捐赠相关谈话的能力对于家属的决策过程和随后的同意率至关重要。在本研究中，我们调查了在与家属沟通及获取器官捐赠同意方面，向协调员传授要点所产生的效果。
为伊朗协调员设计了一个新的培训项目，以提高访谈者的技能和知识，并增强协调员的自信心。在培训项目中，介绍了与脑死亡死者家属就器官捐赠同意进行面谈时应掌握的15个关键点，并与参与者进行了讨论。三个协调小组参与了该培训项目。在培训前后的可比时间段（第1组为12个月，第2组为6个月，第3组为3个月）评估家属的满意度，以评估培训影响的持续性。我们使用Wilcoxon符号秩检验进行比较。
在介绍15个关键点前后，所有参与者的家属同意率有显著差异，从50%提高到了62.5%（P = .037）。此外，参与者的性别（P = .051）、先前培训情况（P = .090）、教育程度（P = .068）和工作时长（P = .008）对家属同意率有显著影响。
我们的培训方法可以提高协调员在实现家属满意度方面的表现。
