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Loban K, Trinh E, Gaudio K, Nijjar D, Robert J, Lam N, McKay S, Badenoch H, Fortin M, Bugeja A, Mainra R, Dipchand C, Sandal S. Identifying the Views and Needs of Family Physicians on Providing Care to Living Kidney Donors: A Cross-Sectional Survey. Clin Transplant 2025; 39:e70085. [PMID: 39869425 PMCID: PMC11771600 DOI: 10.1111/ctr.70085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2024] [Revised: 01/07/2025] [Accepted: 01/11/2025] [Indexed: 01/29/2025]
Abstract
Optimizing the long-term care and follow-up of living kidney donors (LKDs) has been challenging, and prior LKDs have reported suboptimal healthcare experiences. Long-term care of LKDs is largely undertaken by primary care practitioners such as family physicians (FPs). We conducted a cross-sectional survey of Canadian FPs (n = 151). In our sample, 21.9% of participants reported that ≥1 patient had expressed interest in becoming a LKD, and 39.9% provided care to prior LKDs. While 55.5% knew how to find information on living kidney donation, 75.5% reported that information was not available in their practice. Only a minority had formal training in living kidney donation (<5%), and self-reported knowledge was low (median = 3 [scale 1 = not strong to 10 = very strong]). Knowledge improved significantly with educational activities, resources, experience, and practice needs. Attitudes toward living kidney donation were generally favorable with 71.5% stating that FPs should be involved in post-donation care. Clinical care guidelines (78.8%) were the most desired resource, followed by clear communication and reliable contact at transplant centers. Our findings inform the transplant community of an avenue to optimize LKD care by better-supporting FPs, who provide care to LKDs. This may enhance data collection on LKD outcomes and potentially increase donation rates.
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Affiliation(s)
- Katya Loban
- MEDICResearch Institute of the McGill University Health CentreMontrealQuebecCanada
- Division of Experimental Medicine, Department of MedicineMcGill UniversityMontrealQuebecCanada
| | - Emilie Trinh
- MEDICResearch Institute of the McGill University Health CentreMontrealQuebecCanada
- Division of Nephrology, Department of MedicineMcGill UniversityMontrealQuebecCanada
| | - Kathleen Gaudio
- MEDICResearch Institute of the McGill University Health CentreMontrealQuebecCanada
| | - Diya Nijjar
- MEDICResearch Institute of the McGill University Health CentreMontrealQuebecCanada
| | - Jorane‐Tiana Robert
- MEDICResearch Institute of the McGill University Health CentreMontrealQuebecCanada
| | - Ngan Lam
- Divisions of Transplant Medicine and NephrologyCumming School of MedicineUniversity of CalgaryCalgaryAlbertaCanada
| | - Scott McKay
- Department of Family MedicineSchulich School of Medicine & DentistryWestern UniversityLondonCanada
| | - Heather Badenoch
- Canadian Donation and Transplantation Research ProgramOttawaAlbertaCanada
| | - Marie‐Chantal Fortin
- Centre de recherche du Centre hospitalier de l'Université de MontréalMontrealQuebecCanada
- Division of Nephrology, Department of MedicineCentre hospitalier de l'Université de MontréalMontrealQuebecCanada
| | - Ann Bugeja
- Division of Nephrology, Department of MedicineThe Ottawa HospitalOttawaOntarioCanada
- Kidney Research Centre, Ottawa Hospital Research InstituteUniversity of OttawaOttawaOntarioCanada
| | - Rahul Mainra
- Division of NephrologyUniversity of SaskatchewanSaskatoonSaskatchewanCanada
| | | | - Shaifali Sandal
- MEDICResearch Institute of the McGill University Health CentreMontrealQuebecCanada
- Division of Experimental Medicine, Department of MedicineMcGill UniversityMontrealQuebecCanada
- Division of Nephrology, Department of MedicineMcGill UniversityMontrealQuebecCanada
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Al-Salhi A, Othman EH. Public knowledge about and attitudes toward organ donation, and public barriers to donate in Jordan: A cross-sectional study. World J Transplant 2024; 14:95419. [PMID: 39697461 PMCID: PMC11438934 DOI: 10.5500/wjt.v14.i4.95419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2024] [Revised: 06/11/2024] [Accepted: 07/01/2024] [Indexed: 09/20/2024] Open
Abstract
BACKGROUND Organ donation is a critical issue that is receiving greater attention worldwide. In Jordan, the public's knowledge about and attitudes toward organ donation play a significant role in the availability of organs for transplantation. AIM To assess the public knowledge about and attitudes toward organ donation in Jordan. METHODS A cross-sectional design was used to collect data from 396 Jordanian citizens via an online self-reported questionnaire. RESULTS Overall, 396 participants were recruited. Of the entire sample, 93.9% of the participants had heard about and had sufficient knowledge about organ donation but they had limited knowledge about brain death. The most common source of information about organ donation was social media networks. Females were found to score significantly higher than males for attitude. Those who had thought about organ donation or registered their names to donate scored significantly higher in terms of attitudes to donation than their counterparts who had not. The most common reasons for limited organ donation practices in Jordan were a lack of awareness programs and insufficient knowledge in society. CONCLUSION Greater public understanding of organ donation appears to be associated with more positive attitudes toward organ donation. Most participants responded positively regarding their attitude toward organ donation as they believed that this action could give another person a chance to live. Moreover, most agreed that they would donate their organs after their death. Otherwise, the participants had limited general knowledge about brain death, and most had not registered their names to donate their organs. These findings indicate the need for public awareness campaigns and educational programs to encourage more people to become organ donors.
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Affiliation(s)
- Adham Al-Salhi
- Faculty of Nursing, Applied Science Private University, Amman 11962, Jordan
- Department of Nursing, Jordan Hospital, Amman 11152, Jordan
| | - Elham H Othman
- Faculty of Nursing, Applied Science Private University, Amman 11962, Jordan
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Costa Silva A, Pina-Vaz T, Henriques M, Nóbrega J, Fuente de Carvalho JL, Martins-Silva C, Antunes-Lopes T, Alturas Silva J. Knowledge Gaps and Educational Needs in Organ Transplantation: A Study of Portuguese Medical Students. Transplant Proc 2024; 56:2298-2301. [PMID: 39616072 DOI: 10.1016/j.transproceed.2024.11.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2024] [Accepted: 11/05/2024] [Indexed: 12/17/2024]
Abstract
OBJECTIVE Kidney transplantation has been a life-changing procedure for patients with end-stage renal disease (ESRD). Portugal ranks high globally in transplantation, benefiting from an "opt-out" system that presumes consent for organ donation. The effectiveness of transplantation programs depends significantly on public knowledge and the willingness to donate, where medical students play a crucial role. This study assesses the knowledge and educational needs of medical students regarding organ transplantation and donation. DESIGN A cross-sectional survey was conducted using a structured questionnaire distributed to fifth-year medical students from 2 universities in Porto, Portugal, affiliated with different hospital centers during the 2022-2023 academic year. RESULTS A total of 427 students responded, with a response rate of 85.0%, higher at Center 1 (93.0%) compared to Center 2 (70.0%) (P-value < .001). The majority were aware of the opt-out legislation (92.3%) and recognized ESRD as the primary cause of kidney transplantation (96.1%). Knowledge of donation types was high, particularly for brain death (92.6%) and living donation (91.5%), but lower for donation after circulatory death (73.1%). Awareness of donation after circulatory death was significantly higher among respondents from Center 1 (79.4%) than Center 2 (59.1%; P < .001). Only a minority were familiar with immunosuppressive drugs (36.0%) and had practical exposure to transplant-related activities. Satisfaction with transplantation education was low (8.2%), with significant differences between the centers. CONCLUSION The findings suggest that medical schools should enhance educational content and provide more experiences to prepare future healthcare providers adequately.
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Affiliation(s)
- Alberto Costa Silva
- Urology Department, University Hospital Center of São João, Porto, Portugal; Faculty of Medicine, University of Porto, Porto, Portugal.
| | - Teresa Pina-Vaz
- Urology Department, University Hospital Center of São João, Porto, Portugal; Faculty of Medicine, University of Porto, Porto, Portugal
| | | | - João Nóbrega
- Faculty of Medicine, University of Porto, Porto, Portugal
| | - José La Fuente de Carvalho
- Urology Department, Local Health Unit of Santo António, Porto, Portugal; School of Medicine and Biomedical Sciences, Porto, Portugal
| | - Carlos Martins-Silva
- Urology Department, University Hospital Center of São João, Porto, Portugal; Faculty of Medicine, University of Porto, Porto, Portugal
| | - Tiago Antunes-Lopes
- Urology Department, University Hospital Center of São João, Porto, Portugal; Faculty of Medicine, University of Porto, Porto, Portugal
| | - João Alturas Silva
- Urology Department, University Hospital Center of São João, Porto, Portugal; Faculty of Medicine, University of Porto, Porto, Portugal
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Basubrain O. Brain Death Knowledge and Attitudes Among Fourth-Year Medical Students at Umm Al-Qura University. Cureus 2024; 16:e69247. [PMID: 39282496 PMCID: PMC11398725 DOI: 10.7759/cureus.69247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/11/2024] [Indexed: 09/19/2024] Open
Abstract
Background Despite clear definitions of brain death, students and medical professionals may have varying understandings. This study investigated the knowledge and attitudes of medical students regarding brain death. Methods A cross-sectional survey was administered to 142 fourth-year medical students at Umm Al-Qura University. The survey used single-choice and Likert scale questions to assess knowledge of brain death definition, diagnosis procedures, and student attitudes. Prior to administration, the questionnaire underwent content validation by experts in medicine, ethics, and public health. Results A significant proportion of students lacked knowledge of the legal definition of brain death in Saudi Arabia (26.1%), brain death diagnostic procedures (43.7%), and prerequisites for declaring brain death (38%). While some students expressed confidence in diagnosing brain death, concerns about misdiagnosis were also present. Conclusion Fourth-year medical students in this study demonstrated significant knowledge gaps regarding brain death. Medical education programs may need to be revised to provide more comprehensive training on brain death and its implications. Additionally, public awareness campaigns could improve understanding and facilitate informed decision-making about organ donation. Further research, including multicenter studies, is warranted to confirm these findings and guide educational interventions.
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Affiliation(s)
- Omar Basubrain
- Faculty of Medicine, Department of Medicine, Umm Al-Qura University, Makkah, SAU
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Qin J, Zhou L, Zhang Y, Chen Q, Chen Y. The Anchor of Traditional Culture and Medical Students' Knowledge, Attitudes, and Willingness Towards Organ Donation during Internships: A Cross-Sectional Descriptive Study. Transplant Proc 2024; 56:1222-1230. [PMID: 38991902 DOI: 10.1016/j.transproceed.2024.05.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2024] [Accepted: 05/25/2024] [Indexed: 07/13/2024]
Abstract
OBJECTIVES The purpose of this study was to understand the knowledge, attitudes, and willingness of medical students in their clinical internships towards organ donation and to assess how traditional oriental culture plays a role. METHODS This study conducted an online cross-sectional survey using a cell phone application with a self-designed questionnaire based on the Delphi method. This study was conducted among medical students in their internships in hospitals in nearly 20 provinces of China. The questionnaire consisted of 17 main questions and a knowledge quiz. The results were analyzed with descriptive statistics using the software Microsoft Excel 2021 and SPSS 26. RESULTS A total of 225 medical students participated in this study, distributed among college, undergraduate, and postgraduate clinical internships. 96% of the medical students agreed with the value of organ donation, but the highest willingness to donate the whole body was only 38.22%. Among them, traditional culture, family values, and religious factors played important both positive and negative roles. CONCLUSION Medical students have better knowledge about organ donation, but it rarely comes from professional education. Traditional concepts, family values, and religious factors play both a facilitating and hindering role, which can easily lead to moral dilemmas. Although it is not possible to make productive changes in the short term, we could still make improvements through educational changes, research breakthroughs, and institutional improvements.
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Affiliation(s)
- Jianan Qin
- Operation Department, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, China.
| | - Li Zhou
- Operation Department, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, China
| | - Yuyi Zhang
- Operation Department, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, China
| | - Qiaozhen Chen
- Operation Department, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, China
| | - Yu Chen
- Operation Department, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, China
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Kowalski K, Marschollek J, Nowakowska-Kotas M, Budrewicz S. The impact of clinical education on knowledge and attitudes towards brain death among Polish medical students - a cross-sectional study. BMC MEDICAL EDUCATION 2023; 23:669. [PMID: 37710211 PMCID: PMC10503106 DOI: 10.1186/s12909-023-04637-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 08/30/2023] [Indexed: 09/16/2023]
Abstract
BACKGROUND Understanding brain death is essential for progress in organ transplantation; however, it remains a challenging ethical matter. In 2019, Poland revised its legislation on brain death to align with international standards. This study aimed to evaluate the knowledge and worldview concerning brain death among Polish medical students, categorised according to their stage of education. METHODS An online questionnaire was administered to 169 medical students from four Polish medical universities. The participants were divided into preclinical (n = 94) and clinical (n = 75) groups. The questionnaire consisted of two parts, with the first part comprising 13 questions focusing on knowledge about brain death and the process of its determination. The second part contained six questions related to the participants' worldview regarding brain death, particularly concerning organ transplantation. RESULTS The average score obtained by the respondents was 7.53 (± 2.35; min. 1, max. 13) in knowledge checking part of the developed questionnaire (maximal score:13). Students in the clinical stage of their education achieved significantly higher scores compared to preclinical students (mean 8.84; ± 1.89 vs mean 6.49; ± 2.15; p < 0.001). Significant correlations were found between the results of the knowledge part of the questionnaire and responses to worldview questions. CONCLUSIONS The stage of education influenced the knowledge of brain death among medical students, although the overall test scores were unsatisfactory. Higher test scores were associated with worldview responses indicating compliance with the current legislation in Poland and evidence-based medicine.
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Affiliation(s)
- Krzysztof Kowalski
- Department of Psychiatry, Wroclaw Medical University, wyb. L. Pasteura 10, Wroclaw, 50-367, Poland
| | - Julia Marschollek
- Department of Neurology, Wroclaw Medical University, Borowska 213, Wroclaw, 50-556, Poland
| | - Marta Nowakowska-Kotas
- Department of Neurology, Wroclaw Medical University, Borowska 213, Wroclaw, 50-556, Poland.
| | - Sławomir Budrewicz
- Department of Neurology, Wroclaw Medical University, Borowska 213, Wroclaw, 50-556, Poland
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Alwahaibi N, Al Wahaibi A, Al Abri M. Knowledge and attitude about organ donation and transplantation among Omani university students. Front Public Health 2023; 11:1115531. [PMID: 37304098 PMCID: PMC10248022 DOI: 10.3389/fpubh.2023.1115531] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Accepted: 05/11/2023] [Indexed: 06/13/2023] Open
Abstract
Background Despite the importance of organ donation and transplantation in improving the quality of life, still, there is a shortage of organ donations, worldwide. Lack of knowledge among the public could be the reason. In previous studies, the focus was predominantly on medical students at universities. The aim of this study was to assess university students' knowledge and attitude about organ donation and transplantation among different colleges at the university. Method A cross-sectional study was conducted among university students between August 2021 and February 2022 using a validated self-designed questionnaire. The questionnaire consisted of five sections. The first section was about the research information. The second section was informed consent. The third section was about sociodemographic information. The fourth section was about the knowledge of organ donation. The last section was about the attitude toward organ donation. The data were analyzed by descriptive statistics and chi-square tests. Results The study included 2,125 students. 68.1% were females, and 93.1% were in the age group 17-24 years old. Only 34.1% had good knowledge about organ donation, 70.2% had a low attitude, and 7.53% had adequate information about brain death. The most common reason for supporting donating organs among university students was to save a life (76.8%) and the most common reason for refusing organs, was I am still unaware. In addition, only 25.66% of the participants had a high attitude toward people with poor knowledge about organ donation. The majority of the students (84.13%) used online sources and social networks as the primary sources of information about organ donation. Conclusion The knowledge and attitudes of university students toward organ donation and transplantation were low. Saving a life was the most common reason for supporting organ donation, and knowledge was the biggest obstacle. Online sources and social networks were the primary sources of knowledge. The attitude was greatly influenced by knowledge. Organizing campaigns, and events, and incorporating organ donation and transplantation into university curricula will increase university students' knowledge and attitudes.
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Intervention programme to improve knowledge, attitudes, and behaviour of nursing students towards organ donation and transplantation: A randomised controlled trial. Nurse Educ Pract 2023; 68:103596. [PMID: 36889166 DOI: 10.1016/j.nepr.2023.103596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2022] [Revised: 01/30/2023] [Accepted: 02/19/2023] [Indexed: 03/06/2023]
Abstract
AIM To develop and evaluate an educational programme aimed at undergraduate training to increase and improve knowledge, attitudes and behaviour towards the organ and tissue donation and transplants (OTDT). BACKGROUND The request for OTDT falls on the health personnel and the reduction of family refusals depends on their attitude and competence, which is vital to increase OTDT. The evidence highlights the efficacy of starting training at early stages and the implementation of educational programmes in universities is recommended to reduce family refusals. DESIGN A randomised controlled trial. METHODS A randomised controlled trial with an experimental group (EG) -theory class and round table- and a control group (CG) -theory class- that transitions to a delayed experimental group. A sample of 73 students was distributed in parallel randomised groups. RESULTS The groups increased their knowledge and improved their attitude, significantly changing their behaviour in the follow-up. These changes in the experimental groups were more significant than in CG in perceived quality of information (z = -4.948; p = <0.001), level of knowledge (EG1 and CG z = -2.245; p = 0.025) (EG2 and CG z = -2.215; p = 0.027), attitude (EG1 and CG z = -2.687; p = 0.007) (EG2 and CG z = -2.198; p = 0.028) and behaviour (EG1 and CG t = 2.054; p = 0.044) (EG2 and CG z = -2.797; p = 0.005). CONCLUSIONS The education programme has proven effective, promoting knowledge, change and entrenchment of attitudes, facilitating conversations with families, enabling willingness to donate and increasing potential donors.
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Mikla M, Cybulska AM, Schneider-Matyka D, Ríos A, Panczyk M, Kotwas A, Karakiewicz B, Grochans E. A Multicentre Study of the Attitude of Medical Students towards Organ Donation and Transplantation in Poland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3711. [PMID: 36834407 PMCID: PMC9961742 DOI: 10.3390/ijerph20043711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 02/10/2023] [Accepted: 02/17/2023] [Indexed: 06/18/2023]
Abstract
(1) The aim of the present study was to assess the effect of sociodemographic (age, sex, religion, place of residence) and university-related factors (university, year of studies) on the attitudes of students towards organ donation and transplantation. (2) Methods: The study was conducted on 1530 students from the Faculty of Medicine from three medical universities in Poland. The measurement tool was a validated questionnaire of attitude towards organ donation and transplantation (PCID-DTO RIOS: A questionnaire designed by the International Collaborative Organ Donation project about organ transplantation and donation). (3) Results: The completion rate was 88.10% (n = 1348). The vast majority declared a willingness to donate their organs in the future (86.60%), and 31.71% had an organ donation card. It was found that place of residence (p = 0.018) and religion (p = 0.003) had a significant effect on the attitude towards transplantation. Age, sex, and year of the study were not found to have a statistically significant effect on the decision. (4) Conclusions: The present study demonstrates that medical students show a favourable attitude towards transplantation in the first year of their study, and their knowledge and positive tendencies increase in the final years of medical education.
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Affiliation(s)
- Marzena Mikla
- Faculty of Nursing, University of Murcia, 30100 Murcia, Spain
- Biomedical Research Institute of Murcia (IMIB), 30120 Murcia, Spain
| | - Anna Maria Cybulska
- Department of Nursing, Pomeranian Medical University, Żołnierska 48, 71-210 Szczecin, Poland
| | - Daria Schneider-Matyka
- Department of Nursing, Pomeranian Medical University, Żołnierska 48, 71-210 Szczecin, Poland
| | - Antonio Ríos
- Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, 30100 Murcia, Spain
- Transplant Unit, Surgery Service, IMIB–Hospital Clínico Universitario Virgen de la Arrixaca, 30100 Murcia, Spain
| | - Mariusz Panczyk
- Department of Education and Research of Health Sciences, Faculty of Health Sciences, Medical University of Warsaw, Litewska 14/16 St., 00-518 Warsaw, Poland
| | - Artur Kotwas
- Subdepartment of Social Medicine and Public Health, Department of Social Medicine, Pomeranian Medical University in Szczecin, 70-213 Szczecin, Poland
| | - Beata Karakiewicz
- Subdepartment of Social Medicine and Public Health, Department of Social Medicine, Pomeranian Medical University in Szczecin, 70-213 Szczecin, Poland
| | - Elżbieta Grochans
- Department of Nursing, Pomeranian Medical University, Żołnierska 48, 71-210 Szczecin, Poland
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Jenkin RA, Garrett SA, Keay KA. Altruism in death: Attitudes to body and organ donation in Australian students. ANATOMICAL SCIENCES EDUCATION 2023; 16:27-46. [PMID: 35344291 PMCID: PMC10084255 DOI: 10.1002/ase.2180] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/20/2021] [Revised: 03/22/2022] [Accepted: 03/23/2022] [Indexed: 05/25/2023]
Abstract
Health education, research, and training rely on the altruistic act of body donation for the supply of cadavers. Organ transplantation and research rely on donated organs. Supply of both is limited, with further restrictions in Australia due to requirements for a next-of-kin agreement to donation, irrespective of the deceased's pre-death consent. Research suggests health workers are less likely to support the donation of their own bodies and/or organs, despite recognizing the public good of donation, and that exposure to gross anatomy teaching may negatively affect support for donation. Attitudes to body and organ donation were examined in Australian students studying anatomy. Support for self-body donation (26.5%) was much lower than support for self-organ donation (82.5%). Ten percent of participants would not support the election of a family member or member of the public to donate their body, and just over 4% would not support the election of a family member to donate their organs, with one-to-two percent not supporting this election by a member of the public. Exposure to gross anatomy teaching was associated with an increased likelihood of consideration of issues about body and organ donation, whether for self, family, or the public, and registration as an organ donor. Exposure decreased participants' willingness to donate their own body, with those who practiced a religion least likely to support body donation. Gross anatomy courses provide an opportunity to inform future healthcare workers about altruistic donation, albeit with a recognition that religious or cultural beliefs may affect willingness to donate.
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Affiliation(s)
- Rebekah A. Jenkin
- Anatomy and Histology, School of Medical Sciences, Faculty of Medicine and HealthUniversity of SydneyCamperdownNew South WalesAustralia
| | - Samuel A. Garrett
- Anatomy and Histology, School of Medical Sciences, Faculty of Medicine and HealthUniversity of SydneyCamperdownNew South WalesAustralia
- University of SydneyCamperdownNew South WalesAustralia
| | - Kevin A. Keay
- Anatomy and Histology, School of Medical Sciences, Faculty of Medicine and HealthUniversity of SydneyCamperdownNew South WalesAustralia
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Batista ELDO, Nascimento MMP, de Castro AR, Garcia JHP, Hyppolito EB, Codes L, Bittencourt PL. Perception of Brazilian medical students toward organ donation. Rev Assoc Med Bras (1992) 2022; 68:1675-1680. [PMID: 36449792 PMCID: PMC9779968 DOI: 10.1590/1806-9282.20220695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 09/03/2022] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVE Brazil ranks second in gross numbers of kidney and liver transplantations, but deceased organ donation is still far below the national demand for organs. Apart from a high family refusal rate, another significant barrier is healthcare workers' inappropriate knowledge concerning organ donation and transplantation. Since most of them have recently graduated from university, this study aimed to evaluate the awareness and attitudes of medical students concerning organ donation. METHODS Between August and September 2021, a web-based survey with 10 overlapping questions was sent to medical students from several Brazilian universities after advertisements on social media. RESULTS A total of 391 (60% female, mean age: 23 [17-41] years) students answered the survey. Most of them (91%) would like to donate organs in case of death, and 75% have already notified their family. The main reasons for not becoming a donor were fear of body manipulation (n=3) or family reaction (n=2) and religious reasons (n=2). When inquired, 54% were unaware of brain death criteria, and half of them claimed to have never discussed the topic in medical classes. Except for Glasgow coma scale (97%), pupillary (72%), and corneal (53%) reflexes, less than 25% knew other reflexes required for brain death diagnosis. CONCLUSION Most medical students declared themselves as organ donors, and most informed their families. However, many students have never learned about crucial steps toward organ donation, which may impact their adequate recognition of potential organ donors later in life.
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Affiliation(s)
| | | | | | - José Huygens Parente Garcia
- Universidade Federal do Ceará, Walter Cantidio University Hospital, Liver Transplantation Unit – Fortaleza (CE), Brazil.,Associação Brasileira de Transplantes de Órgãos – São Paulo (SP), Brazil
| | - Elodie Bomfim Hyppolito
- Universidade de Fortaleza – Fortaleza (CE), Brazil.,Universidade Federal do Ceará, Walter Cantidio University Hospital, Liver Transplantation Unit – Fortaleza (CE), Brazil.,Associação Brasileira de Transplantes de Órgãos – São Paulo (SP), Brazil.,Hospital São José de Doenças Infecciosas – Fortaleza (CE), Brazil.,Instituto Brasileiro do Fígado – São Paulo (SP), Brazil
| | - Liana Codes
- Instituto Brasileiro do Fígado – São Paulo (SP), Brazil.,Hospital Português – Salvador (BA), Brazil.,Escola Bahiana de Medicina e Saúde Pública – Salvador (BA), Brazil
| | - Paulo Lisboa Bittencourt
- Associação Brasileira de Transplantes de Órgãos – São Paulo (SP), Brazil.,Instituto Brasileiro do Fígado – São Paulo (SP), Brazil.,Hospital Português – Salvador (BA), Brazil.,Escola Bahiana de Medicina e Saúde Pública – Salvador (BA), Brazil.,Corresponding author:
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Sengul S, Sahin MK. The willingness and attitudes of medical students regarding organ donation and transplantation: a cross-sectional study from Turkey. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2022; 68:1631-1637. [PMID: 36449786 PMCID: PMC9779972 DOI: 10.1590/1806-9282.20220307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Accepted: 08/15/2022] [Indexed: 11/27/2022]
Abstract
OBJECTIVE Positive attitudes and motivation on the part of medical students concerning organ donation and transplantation are very important in terms of the growing need for these. This study aimed to evaluate the willingness and attitudes of medical students toward organ donation and transplantation. METHODS This cross-sectional study was performed at a state university in Turkey in February-March 2020. The questionnaire investigated sociodemographic characteristics and willingness toward organ donation and transplantation and contained the Organ Donation Attitude Scale. RESULTS A total of 309 medical students participated, of which 71.2% were willing to donate their organs. Medical students' willingness to donate organs increased depending on gender, academic year, receipt of education on the subject, discussing donation with family and friends, possession of an organ donation card, knowledge of the organ donation system, and willingness to receive organ donation if necessary. Positive attitudes toward organ donation increased after discussing the subject with family and friends, possessing an organ donation card, and knowing the path to be followed for organ donation. CONCLUSION Medical students exhibited high willingness and positive attitudes regarding organ donation and transplantation. However, education on the subject of organ donation and transplantation is needed.
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Affiliation(s)
- Seniz Sengul
- Ondokuz Mayıs University, School of Medicine, Department of Family Medicine – Samsun, Turkey
| | - Mustafa Kursat Sahin
- Ondokuz Mayıs University, School of Medicine, Department of Family Medicine – Samsun, Turkey
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Chu STW, Chung PPW, Hui YL, Choi HC, Lam HW, Sin LL, Law CS, Yan NY, Choi KY, Wan EYF. Knowledge and attitude regarding organ donation among medical students in Hong Kong: a cross-sectional study. Postgrad Med J 2022:7146670. [PMID: 37117044 DOI: 10.1136/pmj-2022-141781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 07/22/2022] [Indexed: 11/03/2022]
Abstract
ObjectivesThe rate of organ donation in Hong Kong is among the lowest in developed regions. Since medical students will play an important role in counselling patients for organ donation and identifying potential donors in the future, their knowledge, attitudes and action for organ donation are important. This study aims to understand knowledge, attitudes and actions with regard to organ donation among medical students and investigate the factors determining the knowledge and attitudes.DesignA cross-sectional study.Setting and participantsMedical students in Hong Kong were invited to complete a questionnaire. 377 medical students participated in the study.MethodsThe questionnaire assessed their attitudes, knowledge, action of organ donation, belief and perception on organ donation, and other factors. Linear regression analyses and logistic regression were performed to analyse the effect of the variables on knowledge, attitudes and action for organ donation.ResultsAlmost all medical students (99.5%) held a positive attitude towards organ donation, but only 28.1% have signed up as organ donors. Determinants of knowledge of organ donation included belief in preservation of intact body after death (β = –0.14, 95% CI = –0.24 to –0.04) and perceived confidence and competence of organ donation discussion (β = –0.12, 95% CI = –0.22 to –0.02). Predictors of organ donor registration status included knowledge of organ donation (OR=1.03, 95% CI=1.00 to 1.06), perceived convenience of organ donation registration (OR=3.75, 95% CI=1.62 to 8.71), commitment to organ donation (OR=3.81, 95% CI=2.01 to 7.21) and exposure to organ donation (OR=4.28, 95% CI=2.37 to 7.74).ConclusionsKnowledge is positively associated with organ donation action. The above determinants of organ donation could be emphasised in medical education.
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Affiliation(s)
| | | | - Yau Long Hui
- University of Hong Kong Faculty of Medicine, Hong Kong, Hong Kong
| | - Hing Chung Choi
- University of Hong Kong Faculty of Medicine, Hong Kong, Hong Kong
| | - Hiu Wai Lam
- University of Hong Kong Faculty of Medicine, Hong Kong, Hong Kong
| | - Ling Ling Sin
- University of Hong Kong Faculty of Medicine, Hong Kong, Hong Kong
| | - Chui Shan Law
- University of Hong Kong Faculty of Medicine, Hong Kong, Hong Kong
| | - Nga Ying Yan
- University of Hong Kong Faculty of Medicine, Hong Kong, Hong Kong
| | - Ka Yung Choi
- University of Hong Kong Faculty of Medicine, Hong Kong, Hong Kong
| | - Eric Yuk Fai Wan
- University of Hong Kong Faculty of Medicine, Hong Kong, Hong Kong
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Akbulut S, Demyati K, Toman I, Gaygili Z, Kaya S, Akpolat VR, Cing A, Keles TY, Saritas H, Unsal S, Ozer A. Medical students' knowledge, attitudes and awareness toward organ donation. Transpl Immunol 2022; 73:101634. [PMID: 35623595 DOI: 10.1016/j.trim.2022.101634] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 05/05/2022] [Accepted: 05/20/2022] [Indexed: 11/28/2022]
Abstract
OBJECTIVE This survey study aimed to evaluate medical students' attitudes, knowledge, and awareness toward organ donation. METHODS For this questionnaire-based cross-sectional study, 1000 medical students were interviewed, out of which 950 students agreed to participate in the study and were enrolled. A questionnaire form consisting of 29 questions was used to determine the students' socio-demographic characteristics and rate their knowledge, attitudes, and behaviors about organ donation. RESULTS While 95.5% (n = 907) of the students stated that they had not donated organs, 41.1% stated that they had not yet decided to donate organs, and 59.7% stated that they had no specific reason for them not donating organs. Out of the participants, 68.1% stated that organ donation complies with the Islamic rules; 40.7% stated that the Directorate of Religious Affairs issued a fatwa on organ donation, and 39.4% stated that there are legal regulations on organ donation in the country. While 22.1% of the students stated that a person with brain death could come back to life, 19.7% stated that they did not know about this issue. The students who had donated organs and who did not show significant differences regarding the answers given to the questions about whether organ donation complies with religious rules (p < 0.001), where one must apply to donate organs (p = 0.032), the will to donate the organs of a relative with brain death (p = 0.004), and whether preaching in mosques and foundations is needed to increase organ donation rates (p = 0.042). Although there was a correlation between the students' grade and their attitude and knowledge about organ donation, this correlation was weak and showed no parallelism with increasing grades. CONCLUSION This study indicates that medical students have inadequate knowledge, attitudes, and behaviors about organ donation. In our opinion, it is of paramount importance to provide physician candidates, who should set an example for society, with periodic training on organ donation throughout their academic life in shaping the national organ donation policy in the future.
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Affiliation(s)
- Sami Akbulut
- Department of Surgery and Liver Transplant Institute, Inonu University Faculty of Medicine, 44280 Malatya, Turkey; Department of Public Health, Inonu University, Faculty of Medicine, 44280 Malatya, Turkey.
| | - Khaled Demyati
- Department of Surgery, An-Najah National University Hospital, An-Najah National University, Nablus, Palestine
| | - Irem Toman
- Medical Students, Inonu University, Faculty of Medicine, 44280 Malatya, Turkey
| | - Zeynep Gaygili
- Medical Students, Inonu University, Faculty of Medicine, 44280 Malatya, Turkey
| | - Semih Kaya
- Medical Students, Inonu University, Faculty of Medicine, 44280 Malatya, Turkey
| | - Vildan Rana Akpolat
- Medical Students, Inonu University, Faculty of Medicine, 44280 Malatya, Turkey
| | - Ayla Cing
- Medical Students, Inonu University, Faculty of Medicine, 44280 Malatya, Turkey
| | - Taha Yasin Keles
- Medical Students, Inonu University, Faculty of Medicine, 44280 Malatya, Turkey
| | - Hasan Saritas
- Department of Surgical Nursing, Inonu University Faculty of Nursing, 44280 Malatya, Turkey
| | - Selver Unsal
- Department of Nursing Service, Inonu University Faculty of Medicine, 44280 Malatya, Turkey
| | - Ali Ozer
- Department of Public Health, Inonu University, Faculty of Medicine, 44280 Malatya, Turkey
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