The experiences of clinical staff approaching families for organ donation consent: A systematic review and thematic synthesis of qualitative studies
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View abstract on PubMed
Summary
This summary is machine-generated.Healthcare professionals face complex challenges when discussing organ donation (OD) with families. Improving staff experiences requires addressing organizational and personal factors, though training alone shows limited impact on consent rates.
Area Of Science
- Medical Social Sciences
- Healthcare Management
- Bioethics
Background
- Healthcare professionals (HCPs) are crucial in facilitating organ donation (OD) by approaching families for consent.
- Understanding HCPs' experiences is vital for optimizing the organ donation process and improving consent rates.
Purpose Of The Study
- To synthesize existing evidence on the experiences of HCPs when approaching potential organ donor families.
- To identify factors influencing HCP experiences and their association with organ donation consent rates.
Main Methods
- A comprehensive search of fourteen electronic databases was conducted to identify relevant studies.
- Methodological quality was assessed using the Mixed Methods Appraisal Tool, with qualitative data analyzed thematically and quantitative data narratively.
Main Results
- Ninety-two studies were included, revealing HCP experiences as a paradox, navigating the boundaries of life and death.
- Organizational and personal factors significantly shape professional experiences; training shows potential but lacks strong quantitative evidence for improving consent rates.
- The complexity of family interactions highlights the lack of a uniform approach across different settings and countries.
Conclusions
- HCPs face significant challenges in organ donation consent discussions, influenced by both personal and organizational factors.
- Recommendations are needed to support staff involved in the organ donation process, addressing policy and practice complexities.
- Further research may explore effective strategies to enhance HCP experiences and potentially improve organ donation consent rates.
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