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Evaluating Organ Donation Decision in ICU Patients' Families by Analytic Network Process Approach
Chia-Lun Lo1, Hsiao-Yun Chang2, Guang-Mao Lee3
1Department of Health-Business Administration, Fooyin University, Kaohsiung City 83102, Taiwan.
Journal of Healthcare Engineering
|April 25, 2022
Summary
Family decisions on organ donation prioritize psychological factors, followed by external, spiritual, and physiological aspects. Understanding these priorities can improve organ procurement strategies and increase donor registration rates.
Area of Science:
- Transplantation Medicine
- Bioethics
- Health Psychology
Background:
- Global organ shortage remains a critical issue despite donor registration efforts.
- Family consent significantly impacts organ procurement, yet their decision-making process is understudied.
- Existing research often overlooks the familial perspective in organ donation decisions.
Purpose of the Study:
- To identify and prioritize factors influencing family willingness to donate organs.
- To understand the decision-making hierarchy for organ donation from intensive care unit patients' families.
- To provide data for optimizing organ donation strategies.
Main Methods:
- Analytic Network Process (ANP) was employed for factor prioritization.
- Structured and ANP questionnaires were administered.
- 180 families from intensive care units in a Taiwanese regional teaching hospital participated.
Main Results:
- Psychological factors (47.6%) were the most influential domain in family organ donation decisions.
- External (20.3%), spiritual (19.7%), and physiological (12.3%) factors also played significant roles.
- Key decision-making factors included 'attitude' (31.5%) and 'organ selection' (31.9%).
Conclusions:
- Family organ donation decisions are complex, with psychological and attitudinal elements being paramount.
- Understanding these familial priorities is crucial for developing effective organ donation persuasion strategies.
- Tailored organ donation plans considering psychological, external, spiritual, and physiological factors can enhance consent rates.
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