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Communicating effectively about donation: an educational intervention to increase consent to donation
Laura A Siminoff1, Heather M Marshall, Levent Dumenci
1Department of Social and Behavioral Health, School of Medicine, Virginia Commonwealth University, P.O. Box 980149, 1112 E. Clay St., Richmond, VA 23220, USA. lasiminoff@vcu.edu
Training organ procurement coordinators in communication skills increased family consent rates for organ donation. This intervention improved coordinator confidence and discussion quality, leading to a higher donation consent rate.
Area of Science:
- Transplantation science
- Medical communication
- Public health
Background:
- Family refusal to consent to organ donation significantly contributes to organ shortages in the US.
- Organ procurement coordinators are identified as key personnel for obtaining family consent.
- Limited research exists on the impact of coordinator training programs on organ donation consent rates.
Purpose of the Study:
- To evaluate the effectiveness of the "Communicating Effectively About Donation" intervention on solid organ donation consent rates.
- To assess the impact of enhanced communication skills training for organ procurement coordinators.
Main Methods:
- A nonrandomized repeated measures design was employed.
- The study involved 17 hospitals, 502 donor-eligible patients and families, and 22 coordinators from an Ohio organ procurement organization.
- Coordinators received a day-long training workshop focused on relational and affective communication techniques, including simulated scenarios.
Main Results:
- Coordinator training led to increased comfort in discussing donation and answering questions.
- The intervention resulted in more time spent discussing donation and a greater number of topics covered with families.
- Organ donation consent rates rose from 46.3% to 55.5% following the training.
Conclusions:
- Enhanced communication skills for organ procurement coordinators show promise for increasing family consent to organ donation.
- The study suggests that improving coordinator communication is a viable strategy to address organ deficits.
- Further research is recommended to definitively confirm the intervention's effectiveness.
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