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From Hesitation to Appreciation: the transformation of a single, local donation‐nurse project into an established organ‐donation service
Author(s) -
Gyllström Krekula Linda,
Malenicka Silvia,
Nydahl Anders,
Tibell Annika
Publication year - 2015
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/ctr.12497
Subject(s) - donation , organ donation , service (business) , medicine , nursing , unit (ring theory) , public relations , transplantation , marketing , business , psychology , surgery , law , political science , mathematics education
This study evaluates the transition from a local project to promote organ donation to a permanent county‐based donation service inspired by the Spanish model. To address the problem of declining donation rates, a project with one donation‐specialized nurse ( DOSS ) was initiated at a single neuro‐intensive care unit. This project was later expanded into a permanent on‐call service consisting of seven DOSS es, covering a large urban county. During the different periods ( before , during project and during permanent service ), the DOSS function's effect on donation rates was significant, and the number of eligible donors that became actual donors increased from 37% to 73% and 74%, respectively. The effect on family vetoes was as prominent with a decrease from 34% to 8% and 14%. The staff appreciation of the DOSS function was also evident during the periods; all areas included in the questionnaire (family care, donor care and staff support) have improved greatly owing to the DOSS . The transition from a single, local donation‐nurse project, to an on‐call service with several DOSS es covering a large urban county was a success considering the donation rates as well as the staff's appreciation. Hence, organizational models from abroad can be adjusted and successfully adopted.