Connaissances et attitudes du personnel infirmier à l’égard du don d’organes et de la présomption de consentement: la Loi sur le don d’organes et de tissus humains en Nouvelle-Écosse

Robin Urquhart, Nelofar Kureshi, Jade Dirk, Matthew Weiss, Stephen Beed

Résultat de recherche: Articleexamen par les pairs

3 Citations (Scopus)

Résumé

Purpose: In April 2019, the Human Organ and Tissue Donation Act (HOTDA) in Nova Scotia was modified to incorporate a deemed consent model. In this study, we sought to understand intensive care unit (ICU) and emergency department (ED) nurses’ knowledge of and confidence around organ donation and transplantation, experiences with organ donors and recipients, attitudes toward organ donation and deemed consent, and perceived opportunities and barriers to a deemed consent approach in view of the legislative change. Methods: We sent an electronic, self-administered survey to all ICU and ED nurses in Nova Scotia. The survey queried respondents on their knowledge of, experience with, and attitudes around organ donation and HOTDA, and opportunities and barriers to the implementation of HOTDA in clinical practice. Survey results were analyzed using descriptive statistics. Results: One-hundred and ninety-four nurses responded to the survey. Nearly all (98%) supported organ donation, with 86% having signed an organ donor card to donate organs and/or tissues after death. A considerable majority (89%) also supported the new legislation. Nevertheless, a minority of respondents (13%) believed that deemed consent legislation would be considered a violation of the general principles of freedom and autonomy. The three most identified topics for ongoing training were coordination of the donation process (70%), clinical management of donors (70%), and family issues in decision-making (70%). Conclusion: Intensive care unit and ED nurses had positive attitudes toward organ donation, including deemed consent model. The findings should inform educational initiatives in Nova Scotia and beyond to optimize organ donation processes and outcomes.

Titre traduit de la contributionNurse knowledge and attitudes towards organ donation and deemed consent: the Human Organ and Tissue Donation Act in Nova Scotia
Langue d'origineFrench
JournalCanadian Journal of Anaesthesia
DOI
Statut de publicationAccepted/In press - 2022

Note bibliographique

Funding Information:
This study was funded by Health Canada as part of the Legislative Evaluation: Assessment of Deceased Donation Reform (LEADDR) project, which is a partnership between the Nova Scotia Health, the Nova Scotia Department of Health and Wellness, the Canadian Donation and Transplantation Research Program, Canadian Blood Services and Transplant Québec.

Publisher Copyright:
© 2022, Canadian Anesthesiologists' Society.

ASJC Scopus Subject Areas

  • Anesthesiology and Pain Medicine

PubMed: MeSH publication types

  • Journal Article

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