KMID : 0361120220360040237
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Korean Journal of Transplantation 2022 Volume.36 No. 4 p.237 ~ p.244
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The effect of the Iranian family approachspecific course (IrFASC) on obtaining consent from deceased organ donors¡¯ families
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Ehsan Radi
Matin Ghanavati Yelda Balik Jamal Rahmani Katayoun Nahafizadeh Mahdi Shadnoush Behrooz Broumand Omid Ghobadi
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Abstract
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Background : A family approach and obtaining consent from the families of potential brain-dead donors is the most important step of organ procurement in countries where an opt-in policy applies to organ donation. Health care staff¡¯s communication skills and ability to have conversations about donation under circumstances of grief and emotion play a crucial role in families¡¯ decision-making process and, consequently, the consent rate.
Methods : A new training course, called the Iranian family approach-specific course (IrFASC), was designed with the aim of improving interviewers¡¯ skills and knowledge, sharing experiences, and increasing coordinators¡¯ confidence. The IrFASC was administered to three groups of coordinators. The family consent rate of participants in the same intervals (12 months for group 1, 6 months for group 2, and 3 months for group 3) was measured before and after the training course. The Wilcoxon signed-rank test was used to make comparisons.
Results : The family consent rate was significantly different for all participants before and after the training, increasing from 50.0% to 62.5% (P=0.037). Furthermore, sex (P=0.005), previous training (P=0.090), education (P=0.068), and duration of work as a coordinator (P=0.008) had significant effects on the difference in families¡¯ consent rates before and after IrFASC.
Conclusions: This study showed that the IrFASC training method could improve the success of coordinators in obtaining family consent.
Conclusions : This study showed that the IrFASC training method could improve the success of coordinators in obtaining family consent.
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KEYWORD
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Tissue and organ procurement, Education, Organ transplantation
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