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A ustralian emergency clinicians' perceptions and use of the GIVE C linical T rigger for identification of potential organ and tissue donors
Author(s) -
Neate Sandra,
Marck Claudia H,
Weiland Tracey J,
Cunningham Nicola,
Hickey Bernadette B,
Dwyer Bernadine M,
Jelinek George A
Publication year - 2012
Publication title -
emergency medicine australasia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.602
H-Index - 52
eISSN - 1742-6723
pISSN - 1742-6731
DOI - 10.1111/j.1742-6723.2012.01598.x
Subject(s) - medicine , competence (human resources) , family medicine , emergency department , identification (biology) , intensive care , emergency medicine , medical emergency , nursing , intensive care medicine , psychology , social psychology , botany , biology
Objectives In 2010 the A ustralian O rgan and T issue A uthority introduced a nationally consistent indicator, the GIVE C linical T rigger, for early identification of potential organ and tissue donors in EDs and intensive care units. This national survey of emergency clinicians aimed to assess emergency clinicians' perceptions and use of the T rigger. Methods National cross‐sectional survey of A ustralasian C ollege for E mergency M edicine ( ACEM ) fellows and trainees and members of the C ollege of E mergency N ursing A ustralia ( CENA ); online questionnaire; 12 items addressing implementation of the GIVE T rigger; graded and free‐text responses. Results Five hundred and ninety‐nine (20.2%) of 2969 ACEM members and 212 (20.7%) of 1026 CENA members responded. Four hundred and seventy‐four respondents (62.7%) were familiar with the T rigger; 472 (63.8%) agreed it was easy to recognise patients who activated the T rigger; 490 (64.9%) had sufficient time to use the T rigger; 511 (67.7%) felt they had the necessary competence and knowledge to identify a potential donor; 464 (61.5%) felt competent and 501 (66.4%) felt comfortable referring a potential donor when identified. Overall 587 (77.7%) ED clinicians supported the use of the T rigger, but most (587 [77.7%]) perceived barriers to its use; 628 (80%) had never activated the T rigger and 557 (71%) had never referred a potential donor to relevant authorities. Conclusion Most A ustralian emergency clinicians are familiar with and support the GIVE C linical T rigger, and feel they have the necessary skills to use the T rigger; however, most perceive barriers to its use and have not yet used the T rigger.