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Prog Transplant. 2009 Mar;19(1):35-43.

Communicating effectively about donation: an educational intervention to increase consent to donation.

Author information

1
Department 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

Abstract

CONTEXT:

Families' refusal to consent to solid organ donation is a major contributor to the organ deficit in the United States. Previous research has identified organ procurement coordinators as best able to obtain consent from families; however, few studies have examined the effects of coordinator training programs on consent rates.

OBJECTIVE:

To test the effects of the Communicating Effectively About Donation intervention on the rate of family consent to solid organ donation.

DESIGN:

A nonrandomized repeated measures design.

SETTING AND PARTICIPANTS:

Participants included 17 hospitals, 502 donor-eligible patients and their families, and 22 coordinators from an organ procurement organization in Ohio.

INTERVENTION:

Coordinators were given in-service training on the use of effective relational and affective communication techniques through a day-long interactive workshop and simulated donation scenarios.

MAIN OUTCOME MEASURES:

Families' final donation decision and coordinators' donation-related behaviors.

RESULTS:

Training of coordinators was associated with increases in coordinators' comfort speaking with patients' families about donation and answering donation-related questions, in the amount of time coordinators spent discussing donation with family members, and in the number of donation-related topics discussed with families. Consent rates increased from 46.3% to 55.5% after the intervention.

CONCLUSIONS:

The results suggest that improving coordinators' communication skills may be a fruitful avenue for increasing the rate of family consent to donation; however, a more definitive test of the training is needed to confirm the intervention's effectiveness.

PMID:
19341061
[Indexed for MEDLINE]

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