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Updated: Jan 20, 2026
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Metal-Ligand Coordination Complex
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Complex cases and coordination: Reports from organ donation specialists in Canada
Amina Silva1, Ken Lotherington2, Sonny Dhanani3
1Brock University, St. Catharines, Canada.
Intensive & Critical Care Nursing
|January 18, 2026
Summary
Organ and Tissue Donation Coordinator nurses face complex emotional and ethical challenges in challenging cases, particularly with donation after circulatory determination of death and pediatric cases. Enhanced support systems are needed for these critical care professionals.
Area of Science:
- Nursing
- Critical Care
- Organ and Tissue Donation
Background:
- Organ and Tissue Donation Coordinators (OTDCs) play a vital role in managing complex cases.
- Understanding their experiences is crucial for improving support and processes.
Purpose of the Study:
- To explore OTDC nurses' experiences with challenging organ and tissue donation cases.
- To identify emotional, ethical, and procedural factors contributing to case complexity.
Main Methods:
- Qualitative descriptive study design.
- Semi-structured interviews with 29 OTDCs across Canada.
- Thematic analysis of interview data.
Main Results:
- Two key themes emerged: Donation Type (circulatory criteria, specific donor circumstances) and Pediatric vs. Adult Contexts.
- Circulatory criteria cases involved procedural pressure; specific donors (e.g., MAID) increased emotional/ethical strain.
- Pediatric cases amplified emotional complexity and family interaction.
Conclusions:
- OTDCs encounter significant challenges in complex donation cases.
- There is a need for targeted interventions to enhance psychosocial support and deceased organ donation coordination.
- Findings can inform training, psychosocial support, and communication strategies to improve donation care.
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