ISODP2011 1

Critical Care staffs’ attitudes towards donation in Korea and Europe:

Donor Action® Database findings

Won-Hyun Cho1, Young-Hoon Kim, Seok-Ju Park, Leo Roels2, Jacqueline Smits3, Bernard Cohen2

1Keimyung University, Daegu, Korea, 2Donor Action Foundation, Linden, Belgium, 3Eurotransplant International Foundation, Leiden, The Netherlands

ISODP20112.

Background

Average* support of donation**

*average of:- support of donation in general- willing to donate own organs after death- willing to donate relatives’ organs- willing to donate own child’s organs

R = .700P = .014

**Roels L, Spaight C, Smits J, Cohen B. Transplant Int 2010, 23;842-850

0

2

4

6

8

10

0 10 20 30 40 50 60

average confidence levels - donation related tasks

Pro

cure

men

t E

ffic

ien

cy In

dex

*average of ‘feeling comfortable with…’:- notifying a transplant coordinator- explaining brain death to next of kin- introducing subject of organ donation- obtaining consent for donation

Average* confidence levels**

R = .796P = .002

Countries’ donation performances correlate strongly with their Critical Care (CC) staffs’ attitudes, confidence levels and educational needs** which may vary depending on cultural and religious beliefs.

ISODP2011

• to compare CC staffs’ attitudes to organ donation, their self-reported confidence levels with donation related tasks and their educational needs

• between 7 European countries (Belgium, Finland, France, Italy, Norway, Poland, Switzerland) and Korea

• by using the Donor Action® (DA) Hospital Attitude Survey* (HAS) methodology

*Donor Action® Hospital Attitude Survey (HAS):- is a quick, simple, anonymous questionnaire to assess CC staffs’:

• attitudes & knowledge about donation and transplantation• their support, involvement & skills in the donation process• their educational & training requirements

- establishes a baseline against which to monitor improvements- should be used alongside DA’s Medical Record Review in selected CC units

3.

Study aims

Materials & methods

• Hospital Attitude Survey records collected from nearly 16,000 CC staff members (physicians, nurses, auxiliary staff…)

• between January 2007 and December 2010

• from 191 hospitals in 7 European countries (19.3 deceased donors p.m.p. on average in 2009) (15,643 records)

• and 9 hospitals in Korea (5.3 donors p.m.p.) (304 records)

• HAS data entered into DA System Database for further analysis

ISODP20114.

% physicians% nurses% others

% male% female71.6%

23.3%

% physicians% nurses% others

% male% female

19.4%78.3%

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Respondents’ profile (1)

Professional background Gender

18.2%

70.4%

13.8%

77%

<35 years35+ years

< 10 years10+ years

49.3%50.7%

<35 years35+ years

< 10 years10+ years

31%79%

ISODP20116.

Respondents’ profile (2)

Age Experience – organ donation

36.6% 63.4%

24%76%

P <.0001 P <.0001

orga

n do

natio

n in

gen

eral

willing

to d

onat

e ow

n or

gans

willing

to d

onat

e re

lativ

es' o

rgan

s

brai

n de

ath

conc

ept

0

20

40

60

80

100 92.786.4

92.486.188.2

49.5

61.6 58.9

EuropeKorea

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% positive attitudes to…

P <.0001 P <.0001 P <.0001

0

20

40

60

8067.9 67.9

38.2

13.9

EuropeKorea

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% aware of …

P <.0001 P <.0001

0

20

40

60

80

100

80.6

58.7 59.1

47.1

70.6

53

29.5 30.1

EuropeKorea

P = .066

ISODP20119.

% self-reported confidence with…

P <.0001

P <.0001

P <.0001

… on donation related issues0

5

10

15

2018.1

6.8

EuropeKorea

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% received education …

P <.0001

ISODP201111.

Conclusions

• Data presented shows significant discrepancies between Europe and Korea with regard to:o CCU staffs’ attitudes towards donation and concept of brain deatho CCU staffs’ communication with next-of-kin about donation related

issueso CCU staffs’ self-reported confidence levels with donation related taskso CCU staffs’ donation related education received

• Due attention to Korean’s staffs’ educational demands re donation related tasks could help this country in achieving European donation rates from deceased donors and becoming a champion in organ donation in Asia.

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