Knowledge, attitudes, and behaviors of healthcare workers about organ donation

Year 2019, Volume: 6 Issue: 2, 142 - 149, 30.06.2019

Özlem İbrahimoğlu , Selda Urhan

Abstract

Introduction and Objective: Organ transplantation is the most important treatment method in terms of improvement survival and quality of life of patients suffering from organ failure. The aim of this study was to determine the knowledge, attitudes, and behaviors of healthcare workers regarding organ donation. 
Materials and Methods: This descriptive study conducted between March-June 2016 with healthcare workers working in two university-affiliated hospitals in Turkey. The study was conducted in two phases: in the first phase, healthcare workers were asked whether they consider donating their organs or not. In the next phase, a survey comprising questions about sociodemographic characteristics, knowledge, attitudes, and behaviors regarding organ donation was conducted. 
Results: Of 460 healthcare workers in the first phase of the study, 90 (19,57%) considered to donate at least one of their organs and had an organ donor card. Participants in the second phase (n=85) were between 26-30 years old, 68 (%77,5) of them were female gender and 59 (%66,6) of them were nurse (profession). There were only 16 (%21,4) participants who have really donated their organs. The reason for not donation an organ, 30 (39,3%) of the participant did not feel ready, 20 (34,2%) of them had never thought about it and 48 (56,5%) of them believed that no one other than patients waiting for an organ or tissue is interested in organ donation. 
Conclusion: The sense of organ donation of healthcare workers and their knowledge was found to be significantly poor.

Keywords

Organ donation, Healthcare workers, Knowledge, Attitude

Sağlık çalışanlarının organ bağışı hakkındaki bilgi, tutum ve davranışları

Abstract

Giriş ve Amaç: Organ nakli, organ yetmezliği olan hastaların yaşam kalitesini ve yaşam süresini iyileştirmek için en önemli tedavi yöntemidir. Bu çalışmanın amacı, sağlık çalışanlarının organ bağışı konusundaki bilgi, tutum ve davranış özelliklerini belirlemektir. Gereç ve Yöntem: Tanımlayıcı tipteki bu çalışma Mart-Haziran 2016 tarihleri arasında Türkiye’deki iki üniversite hastanesinde çalışan sağlık çalışanları üzerinde yapıldı. Çalışma iki aşamada gerçekleştirildi. Birinci aşamada, sağlık çalışanlarına organ bağışında bulunup bulunmadıkları soruldu. İkinci aşamada ise, katılımcılara sosyodemografik özelliklerini, organ bağışı konusundaki bilgi, tutum ve davranışlarını sorgulayan anket uygulandı. Bulgular: Çalışmamızın birinci aşamasına katılan 460 sağlık çalışanından 90’ı (% 19,57) organlarından en az birini bağışladığını ve organ kartı olduğunu belirtti. İkinci aşamadaki katılımcıların (n = 85) yaş ortalamaları 26-30 arasında, 68’i (%77,5) kadın ve 59’u (%66,6) hemşireydi. Organ bağışında bulunan katılımcı sayısı 16 (%21,4) olarak bulundu. Katılımcılar organ bağışında bulunmama nedeni olarak 30’u (%39,3) kendilerini hazır hissetmediklerini, 20’si (%34,2) şimdiye kadar bu konuda hiç düşünmediklerini, 48’i (%56,5) organ veya doku bekleyen hastalardan başka kimsenin organ bağışı ile ilgilenmediğine inandıklarını belirtti. Sonuç: Çalışmamızda sağlık çalışanlarının organ bağışı konusunda bilgi eksiklikleri olduğu ve organ bağışı yapmanın öneminin yeterince vurgulanamadığı bulundu.

Keywords

Organ bağışı, Sağlık çalışanı, Bilgi, Tutum

References

• Referans1. Harmancı Seren, A.K., Yavuz, H., Horoz, A., Yıldız, M. (2018). Opinions and expectations of Muslim Donor's relatives deciding organ donation: The sample of Istanbul. Journal of Religion and Health, 57, 2515-22.
• Referans2. Keten, H. S., Işık, O., Üçer, H., Keten, D., Ersoy, Ö., Ölmez, S. (2017). Knowledge, attitudes and behaviors of physicians about organ donation. Çukurova Medical Journal, 42(4), 623-9.
• Referans3. Simpkin, A., Robertson, L. C., Barber, V. S., Duncan Young, J. (2009). Modifiable factors influencing relatives' decision to offer organ donation: systematic review. BMJ, 339, 1-8.
• Referans4. Öztürk Emiral, G., Işıktekin Atalay, B., Altunok, H., Gökler, M. E., Onsuz, M. F., Metintas, S. (2017). Development of a reliable and valid organ tissue donation and transplantation knowledge scale. Transplantation Proceedings, 49, 260-6.
• Referans5. Park, U. J., Han, S. Y., Han, K. H., Oh, S. W., Jang, H. Y., Kim, H. T., Roh, Y. N. (2018). Effects of phased education on attitudes toward organ donation and willingness to donate after brain death in an Asian country. Asian Journal of Surgery, 42(1), 256-66.
• Referans6. International Registry in Organ Donation and Transplantation (IRODaT) 2018. http://www.irodat.org/img/database/pdf/NEWSLETTER2018_June.pdf. Erişim Tarihi Mart 1, 2019.
• Referans7. Yaşin Tekizoğlu, F. (2018). Organ donation: Psychological factors influencing the individual's decision. Muhakeme Dergisi, 1(1), 21-35.
• Referans8. Hamed, H., Awad, M. E. (2016). Knowledge and attitudes about organ donation among medical students in Egypt: A Questionnaire. Transplantation Technologies and Research, 6(1), 1-4.
• Referans9. Afifi, W. A., Morgan, S. E., Stephenson, M. T., Morse, C., Harrison, T., Reichert, T., Long, S. D. (2006). Examining the decision to talk with family about organ donation: Applying the theory of motivated information management. Communication Monographs, 73(2), 188-215.
• Referans10. Besser, A., Amir, M., Barkan, S. (2004). Who signs an organ transplant donor card? A study of personality and individual differences in a sample of Israeli university students. Personality and Individual Differences, 36(7), 1709-23.
• Referans11. Demir, B., Kumkale, G. T. (2013). Individual differences in willingness to become an organ donor: A decision tree approach to reasoned action. Personality and Individual Differences, 55, 63-9.
• Referans12. Essman, C., Thornton, J. (2006). Assessing medical student knowledge, attitudes, and behaviors regarding organ donation. Transplantation Proceedings, 38(9), 2745-50.
• Referans13. Feeley, T. H., Servoss, T. J. (2005). Examining college students' intentions to become organ donors. Journal of Health Communication, 10(3), 237-49.
• Referans14. Morgan, S., Miller, J. (2002). Communicating about gifts of life: The effect of knowledge, attitudes, and altruism on behavior and behavioral intentions regarding organ donation. Journal of Applied Communication Research, 30(2), 163-78.
• Referans15. Morgan, S. E., Miller, J. K. (2002). Beyond the organ donor card: the effect of knowledge, attitudes, and values on willingness to communicate about organ donation to family members. Health Communication, 14(1), 121-34.
• Referans16. Sanner, M. A. (2002). A Swedish survey of young people’s views on organ donation and transplantation. Transplant International, 15(12), 641-8.
• Referans17. Pham, H., Spigner, C. (2004). Knowledge and opinions about organ donation and transplantation among Vietnamese Americans in Seattle, Washington: a pilot study. Clinical Transplantation, 18(6), 707-15.
• Referans18. Alat, I., Akpınar, M. B., Egri, M., Aydin, M., Aydemir, I. K., Aldemir, M. (2007). The conviction of patients and hospital attendants on tissue and organ transplantation. The Anatolian Journal of Cardiology, 7(3), 316-8.
• Referans19. Lavee, J., Ashkenazi, T., Stoler, A., Cohen, J., Beyar, R. (2013). Preliminary marked increase in the national organ donation rate in Israel following implementation of a new organ transplantation law. American Journal of Transplantation, 13(3), 780-5.
• Referans20. Hamed, H., Awad, M. E., Youssef, K. N., Fouda, B. E., Nakeeb, A. E., Wahab, M. A. (2016). Knowledge and attitudes about organ donation among medical students in Egypt: A questionnaire. Transplantation Technologies and Research, 6(1), 1-4.
• Referans21. Uzuntarla, Y. (2018). Knowledge and attitudes of health personel about organ donation: a tertiary hospital example, Turkey. Transplantation Proceedings, 50, 2953-60.
• Referans22. Rosali, L. V. (2016). Awareness of organ donation and transplantation among health care professionals: a prospective study. International Journal of Education and Research in Health Science, 2, 82-6.
• Referans23. Oluyombo, R., Fawale, M. B., Ojewola, R. W., Busari, O. A., Ogunmola, O. J., Olanrewaju, T. O., et al. (2016). Knowledge regarding organ donation and willingness to donate among health workers in South- West Nigeria. International Journal of Organ Transplantation Medicine, 7, 19-26.
• Referans24. Cillimoglu, A. O., Yılmaz, S., Ogurlu, M. (2016). The knowledge and thoughts of medical staff at Adnan Menderes University Hospital about organ-tissue donation and transplantation. Turkish Nephrology Dialysis and Transplantation Journal, 25, 254-62.
• Referans25. Salmani Nadoushan, M., Nozary Heshmati, B., Shabanzadeh Pirsaraee, A., Salmani Nodoushan, I., Jafari Nadoushan, R., Yazdi, F. (2014). Knowledge and attitude of Iranian physicians towards organ and tissue donation. International Journal of Organ Transplantation Medicine, 5, 66-70.
• Referans26. Couckea, L., Snoecka, E., De Maeseneerb, J., Haentjens, I., Peersman, W., Troisiet, R., at al. (2014). Knowledge and attitude of the Flemish primary care physician toward organ donation and transplantation. Transplantation Proceedings, 46, 3127-33.
• Referans27. Alkhatiba, A. A., Maldonadob, A. Q., Jalild, A. A., William Hutson, W. (2014). Physicians’ attitude toward organ donation and transplantation in the USA. Clinical Transplantation, 28(2), 149-51.
• Referans28. Topbaş, M., Türkyilmaz, S., Can, G., Ulusoy, S., Kalyoncu, M., Kaynar, R. K., et al. (2011). Information, attitude, and behavior toward organ transplantation and donation among health workers in the eastern Black Sea region of Turkey. Transplantation Proceedings, 43, 773-7.
• Referans29. Kara, S., Salman, Z., Öngel, K. (2012). Süleyman Demirel Üniversitesi Tıp Fakültesi sağlık personelinin organ bağışına bakışı. Ankara Sağlık Hizmetleri Dergisi, 11, 33-9.
• Referans30. Wale, J., Arthur, A., Faull, C. (2014). An analysis of knowledge and attitudes of hospice staff towards organ and tissue donation. BMJ Supportive and Palliative Care, 4(1), 98-103.
• Referans31. Enginyurt, O., Taş, N., Özer, E. (2013). Assessment the levels of knowledge and awareness about organ and tissue donation among the staff of Ministry of Health Ordu University Training and Research Hospital. Medicine Science, 2(2), 548-56.
• Referans32. Alsaied, O., Bener, A., Mosalamani, Y. A., Nour, B. (2013). Knowledge and attitudes of health care professionals toward organ donation and transplantation. Saudi Journal of Kidney Diseases and Transplantation, 23(6), 1304-10.
• Referans33. Al-Marzouki, A., Tashkandi, E., Farooq, M. U. (2011). Physicians’ belief about organ donation. International Journal of Organ Transplant Medicine, 2, 188-91.
• Referans34. Gridelli, B., Remuzzi, G. (2000). Strategies for making more organs available for transplantation. New England Journal of Medicine, 343(6), 404-10.
• Referans35. Stadlbauer, V., Steiner, P., Schweiger, M., Sereinigg, M., Tscheliessnigg, K. H., et al. (2013). Knowledge and attitude of ICU nurses, students and patients towards the Austrian organ donation law. BMC Medical Ethics, 14, 32.
• Referans36. Laederach-Hofmann, K., Gerster, B. I. (1998). Knowledge, attitude and reservations of medical students about organ transplantation: results of a survey during the first year of study. Schweizerische Medizinische Wochenschrift, 128(47), 1840-9.
• Referans37. Mekahli, D., Liutkus, A., Fargue, S., Ranchin, B., Cochat, P. (2009). Survey of first-year medical students to assess their knowledge and attitudes toward organ transplantation and donation. Transplantation Proceedings, 41(2), 634-8.
• Referans38. Kumar, L. (2016). Brain death and care of the organ donor. Journal of Anaesthesiology Clinical Pharmacology, 32, 146-52.
• Referans39. Hobeika, M. J., Simon, R., Malik, R., Pachter, H. L., Frangos, S., Bholat, O., et al. (2009). U.S. surgeon and medical student attitudes toward organ donation. Journal of Trauma and Acute Care Surgery, 67(2), 372-5.
• Referans40. Nadoushan, M. S., Heshmati, B. N., Pirsaraee, A. S., Nodoushan, I. S., Nadoushan, R. J., Yazdi, F. (2014). Knowledge and attitude of Iranian physicians towards organ and tissue donation. International Journal of Organ Transplantation Medicine, 5(2), 66-70.
• Referans41. Hu, D., Huang, H. (2015). Knowledge, attitudes, and willingness toward organ donation among health professionals in China. Transplantation, 99(7), 1379-85.
• Referans42. Din İşleri Yüksek Kurulu Başkanlığı. Organ nakli. Retrieved March 1, 2019, from http://kurul.diyanet.gov.tr/dinisleriyuksekkurulu
• Referans43. Abdul Haleem, M. A. S. (2010). The Qur’an: English translation with parallel Arabic text. 1st ed. Oxford, England: Oxford University Press.
• Referans44. Majeed, F. (2016). Saudi nursing and medical student’s knowledge and attitude toward organ donation- a comparative cross-sectional study. International Journal of Health Sciences (Qassim), 10(2), 209-17.
• Referans45. Demir, T., Şelimen, D., Yıldırım, M., Küçük, H. F. (2011). Knowledge and attitudes toward organ/tissue donation and transplantation among health care professionals working in organ transplantation or dialysis units. Transplantation Proceedings, 43, 1425-8.
• Referans46. Sperling, D., Gurman, G. M. (2012). Factors encouraging and inhibiting organ donation in Israel. Journal of Bioethical Inquiry, 9(4), 479-97.
• Referans47. Uzuntarla, Y. (2016). Comparison of young age group’s thoughts and knowledge levels on organ donation in terms of education given. Turkish Nephrology Dialysis and Transplantation Journal, 25(3), 296-301.
• Referans48. Henry, N. R., Rosson, M. W. (2013). Assessing respiratory therapists’ awareness of the organ donor referral criteria and attitudes toward organ donation. Progress in Transplantation, 23(4), 336-41.
• Referans49. Güden, E., Çetinkaya, F., Naçar, M. (2013). Attitudes and behaviors regarding organ donation: A study on officials of religion in Turkey. Journal of Religion and Health, 52(2), 439-49.
• Referans50. Tarhan, M., Dalar, L., Yıldırımoğlu, H., Sayar, A., Altın, S. (2015). The view of religious officials on organ donation and transplantation in the Zeytinburnu District of Istanbul. Journal of Religion and Health, 54(6), 1975-85.