Spanish and Latin American Nursing Personnel and Deceased Organ Donation: A Study of Attitude

• Published in: Transplantation proceedings 2010, Vol.42 (1), p.216-221
• Main Authors: Ríos, A, Martínez-Alarcón, L, Ayala, M.A, Sebastián, M.J, Abdo-Cuza, A, Alán, J, López-Navas, A, López-López, A, Ramírez, E.J, Muñoz, G, Camacho, A, Suárez-López, J, Castellanos, R, Ramírez, R, Rodríguez, J, Martínez, M.A, Nieto, A, Ramis, G, Ramírez, P, Parrilla, P
• Format: Article
• Language: English
• Subjects: Adult; Age Factors; Attitude to Health; Biological and medical sciences; Cadaver; Costa Rica; Cuba; Female; Fundamental and applied biological sciences. Psychology; Fundamental immunology; Health participants; Hispanic Americans - psychology; Humans; Male; Marital Status; Medical sciences; Mexico; Nurses - psychology; Nursing Staff, Hospital - psychology; Public health. Hygiene; Public health. Hygiene-occupational medicine; Spain; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surveys and Questionnaires; Tissue and Organ Procurement - statistics & numerical data; Tissue, organ and graft immunology
• ISSN: 0041-1345; 1873-2623
• DOI: 10.1016/j.transproceed.2009.11.010

Abstract Objective To analyze the attitude of nursing personnel about organ donation and transplantation in hospitals in Spain and Latin America, and factors that affect this attitude. Methods Data were selected from 12 hospitals and 32 primary care centers participating in an international study (Proyecto Donante, Murcia) in 4 countries including Spain (n = 650), Mexico (n = 428), Cuba (n = 89), and Costa Rica (n = 27). The sample was random and stratified by type of service among nursing personnel (n = 1194). Attitude was evaluated using a psychosocial questionnaire. Results Of nursing personnel surveyed, 77% (n = 922) were in favor of organ donation. No differences were found according to whether they were directly involved in transplantation-related services ( P < .05). Attitude in favor of organ donation varied between countries: 92% in Cuba, 85% in Costa Rica, 80% in Mexico, and 73% in Spain ( P < .001) This attitude was also related to donation of a family member's organs ( P < .001), having discussed organ donation and transplantation within the family ( P < .001), the concept of brain death ( P < .001), fear of body mutilation ( P < .001), and manipulation of the body after death ( P = .001). Conclusion Attitude toward deceased organ donation among nurses varies between countries. There is a discrepancy between those in favor vs actual donation rates in countries and work centers. These fears may become worse when donation is seen as common in daily clinical practice.