An effective interview with a family for organ and tissue donation
Keywords:
interview, family, tissue and organ donationAbstract
To systematize our gained experience that can support creating good practices for initiating the dialogue with the family regarding organ and tissue donation in the Republic of Moldova. A retrospective study, conducted within the PMSI “Sfinta Treime” MCH, between March 2014 and September 2021, that included a review of the discussions with 89 families who experienced an interview for organ and tissue donation, as a result of which 61 of them gave their consent. Thematic content analysis was used for data analysis. Three stages of the interview have been identified: 1st - acknowledgement of the death news, which shows the need to know the history of the disease and the treatment of deceased patients; 2nd - the stage of emotional support to the family of the deceased (mourning); 3rd - information about the donation with the request for organ/tissue donation. Professionals need to know the stages of the donation process and to respect the timespan given to families. Our experience indicates the need for team training, family respect, determined by the emotional support and extended time given to the family, with the use of a clear and simple language.
References
1. Additional Protocol to the Convention on Human Rights and Biomedicine concerning Transplantation of Organs and Tissues of Human Origin [available at http://conventions.coe.int/treaty/en/Treaties/Html/186.htm, accessed 18 March 2018].
2. Back A.L., Arnold R.M., Baile W.F. et al. Efficacy of comunication skills training for giving bad news and discussing transitions to palliative care. Arch Intern Med 2007;167(5):453-60. https://doi.org/10.1001/archinte.167.5.453
3. Baile W.F., Buckman R., Lenzi R. et al. SPIKES - a sixstep protocol for delivering bad news. Oncologist 2000;5:302-11. https://doi.org/10.1634/theoncologist.5-4-302
4. Caballero F., Puig M., Jesus L. etc. Family interview guide for requesting organ donation for transplantation and evaluation using the Appraisal of Guidelines Research and Evaluation (AGREE II) instrument. Cells Tissues Organs 16:163-169 Project: Organ and Tissue Donation in Emergency Department, November 2012.
5. Danbury C., Barber V., Collett D. et al. Effect of "collaborative requesting" on consent rate for organ donation: randomised controlled trial (ACRE trial). BMJ 2009;339:899-901. https://doi.org/10.1136/bmj.b3911
6. Domínguez-Gil B., Coll E., Pont T. et al., en representación del Consorcio ACCORD-España. End-of-life practices in patients with devastating brain injury in Spain: implications for organ donation. Med Intensiva 2017 Apr;41(3):162-73. Disponibil pe: doi: 10.1016/j.medin.2016.07.011. Epub 2016 Oct 25. https://doi.org/10.1016/j.medin.2016.07.011
7. Domínguez-Gil B., Murphy P., Procaccio F.. Ten changes that could improve organ donation in the intensive care unit. Intensive Care Med 2016 Feb;42(2): 264-8 Disponibil pe:doi: 10.1007/s00134-015-3833-y. Epub 2015 May 19. https://doi.org/10.1007/s00134-015-3833-y
8. Guide to the quality and safety of organs for transplantation European Committee (Partial Agreement) on Organ Transplantation (CD-P-TO ) EDQM 7th Edition 2018. p. 84-93.
9. Fabian Becker B., Keith J., Roberts D., Miriam de Nadal B., Michael Zink et al. Optimizing Organ Donation: Expert Opinion from Austria, Germany, Spain and the U.K. e-ISSN 2329-0358 © Ann Transplant, 2020; 25: e921727 Disponibil pe: https://doi.org/10.12659/AOT.921727
10. Jansen N.E., McDonald M., Haase-Kromwijk B. et al. When are bereaved family members approached for consent to donation? Commentary from ten European member states. Organs, Tissues & Cells 2014;(17):101-13.
11. Moraes E.L, M.s.dos Santos, L.B. de Barros e Silvia etc.. Family Interview to Enable Donation of Organs for Transplantation: Evidence-based Practice. Transplantation Proceedings, Volume 50, Issue, April 2018, p. 705-710. https://doi.org/10.1016/j.transproceed.2018.02.056
12. Neide da Silva KnhisI, Sabrina Regina MartinsIORCID, Aline Lima Pestana MagalhãesI etc. Family interview for organ and tissue donation: good practice assumptions. Revista Braziliera de Enfermagen REBen, 2020, p. 1-9.
13. Oliver M., Woywodt A., Ahmed A., Saif I. Organ donation, transplantation and religion. Nephrol Dial Transplant 2011; 26:437-44. https://doi.org/10.1093/ndt/gfq628
14. Sque M., Long T., Pagne S. Organ donation: key factors influencing families' decision-making.Transplant Proccedings, Mart 37(2), 2005. https://doi.org/10.1016/j.transproceed.2004.11.038
15. Valero R. ed. Transplant Coordination Manual, 3rd edition. Barcelona: Aguiló grafic, 2014. ISBN 978-87-616-8840-1.
16. WHO Guiding Principles On Human Cell, Tissue and Organ Transplantation [available at www.who.int/transplantation/en/, accessed 18 March 20
Downloads
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.



