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Building a successful DCD program: planning and leading change

Jane Chambers-Evans1, Lisa Goulet, Wendy Sherry

  • 1McGill University Health Centre, Montréal, QC.

Dynamics (Pembroke, Ont.)
|September 9, 2008
PubMed

Insights

Canada faces a critical organ donation shortage, prompting a re-evaluation of end-of-life care and transplant practices. Implementing donation after cardio-circulatory death programs requires an interdisciplinary approach, including clinical nurse leadership and ethics consultation.

Area of Science:

  • Organ transplantation research
  • Healthcare policy and practice
  • End-of-life care

Background:

  • A significant and growing gap exists in Canada between organ donation rates and transplantation needs.
  • This disparity necessitates a critical review of current end-of-life care and organ donation protocols.

Purpose of the Study:

  • To outline a comprehensive strategy for implementing donation after cardio-circulatory death (DCCD) programs.
  • To identify key components for successful interdisciplinary clinical practice changes in organ donation.

Main Methods:

  • Review of recommendations from a 2005 national forum on DCCD programs.
  • Description of a multifaceted approach involving clinical nurse specialist leadership, ethics consultation, and interdisciplinary collaboration.
  • Emphasis on comprehensive workshops for healthcare professionals.

Main Results:

  • Successful implementation requires strong leadership and collaboration across disciplines.
  • Ethics consultation and partnerships with physicians and administrators are crucial.
  • Workshops are essential for disseminating knowledge and fostering change.

Conclusions:

  • Establishing DCCD programs demands a coordinated, interdisciplinary effort.
  • Clinical nurse specialists play a pivotal role in driving these changes.
  • Sharing lessons learned is vital for refining organ donation practices in Canada.

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