Family-Centered Care to Improve Family Consent for Organ Donation
| Autor: | Alessandra Ionescu Maddalena, Alessia Prestifilippo, Maria Grazia Bocci, Massimo Antonelli, AlessandroBarelli, Roberta Barelli, Alessandra Tersali, Emiliano Cingolani, Ciro D’Alò |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Medical staff business.industry media_common.quotation_subject Empathy University hospital Intensive care unit law.invention Family centered care Transplantation 03 medical and health sciences 0302 clinical medicine 030228 respiratory system law Donation Medicine 030212 general & internal medicine Organ donation business Intensive care medicine GeneralLiterature_REFERENCE(e.g. dictionaries encyclopedias glossaries) media_common |
| Zdroj: | Organ Donation and Transplantation-Current Status and Future Challenges |
| Popis: | The need for organ donation has increased over time, but the shortage of available donors is the major limiting factor in transplantation. Organ donation refusal from relatives of potential donors with brain death significantly reduces organ availability. We report a brief analysis about family conflicts in decision-making and causes for refusing donation; moreover, we describe new family-centered strategies in the intensive care unit (ICU) and our systematic communication approach between medical staff and patients’ relatives. In 2016 we conducted a single-center, non-randomized, controlled and before and after study in our ICU, an 18-bed intensive care unit (ICU) of a university hospital. We compared the rate of consent for organ donation before and after the introduction of the new communication approach. The application of a new communication approach between medical staff and relatives of brain-dead patients was associated with a significant increase in the rate of consent to donation. The positive results of the 3-year period 2013–2015 have been confirmed in the 2-year period 2016–2017. Our results highlight the importance of empathy and counselor support of relatives in the ICU. |
| Databáze: | OpenAIRE |
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