A mixed-methods study of organ donation in the intensive care unit: 22 actionable practices to improve organ donation View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-02-26

AUTHORS

Simon J. W. Oczkowski, Emmy Arnold, John Centofanti, Pamela Durepos, Aimee Sarti, Erika Arseneau, Sonny Dhanani, Deborah J. Cook, Maureen O. Meade

ABSTRACT

PURPOSE: Rates of organ donation vary between otherwise comparable intensive care units (ICUs) suggesting that the process of donation must vary between ICUs. The purpose of this study was to describe the process of organ donation from the perspective of ICU staff, identify important drivers of successful donation, and develop strategies to improve the process of donation. METHODS: We conducted qualitative interviews with 32 ICU staff, including physicians, nurses, and respiratory therapists, using an interview guide developed from previous studies on organ donation. Using a qualitative descriptive approach, we coded interviews using qualitative content analysis. We integrated findings from the interviews in a mixed-methods analysis with previously published data from a document analysis and cross-sectional survey to identify practices that may enhance organ donation in the ICU. RESULTS: Five major themes important to the organ donation process emerged from the interviews: i) staff relationship with organ donation coordinators; ii) standardized processes; iii) ICU staff beliefs; iv) integration of donation and high quality end-of-life care; v) feedback and staff support. In the mixed-methods analysis, we identified 22 actionable practices to enhance the process of organ donation in the ICU. CONCLUSION: Incorporating the perspectives of ICU staff, we were able to identify 22 practice changes that may have a significant cumulative impact on donation outcomes. Future research is required to evaluate whether these findings account for the variability of donation rates between otherwise comparable ICUs. More... »

PAGES

1-10

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12630-019-01332-9

DOI

http://dx.doi.org/10.1007/s12630-019-01332-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1112396424

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30809778


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Public Health and Health Services", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Juravinski Hospital", 
          "id": "https://www.grid.ac/institutes/grid.414019.9", 
          "name": [
            "Division of Critical Care, Department of Medicine, McMaster University, Hamilton, ON, Canada", 
            "Hamilton Health Sciences, Hamilton, ON, Canada", 
            "Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada", 
            "Juravinski Hospital, Room A3-20, 711 Concession St, L8V 1C3, Hamilton, ON, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Oczkowski", 
        "givenName": "Simon J. W.", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "McMaster University", 
          "id": "https://www.grid.ac/institutes/grid.25073.33", 
          "name": [
            "Division of Critical Care, Department of Medicine, McMaster University, Hamilton, ON, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Arnold", 
        "givenName": "Emmy", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Hamilton Health Sciences", 
          "id": "https://www.grid.ac/institutes/grid.413615.4", 
          "name": [
            "Division of Critical Care, Department of Medicine, McMaster University, Hamilton, ON, Canada", 
            "Hamilton Health Sciences, Hamilton, ON, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Centofanti", 
        "givenName": "John", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "McMaster University", 
          "id": "https://www.grid.ac/institutes/grid.25073.33", 
          "name": [
            "Hamilton Health Sciences, Hamilton, ON, Canada", 
            "School of Nursing, McMaster University, Hamilton, ON, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Durepos", 
        "givenName": "Pamela", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Ottawa Hospital", 
          "id": "https://www.grid.ac/institutes/grid.412687.e", 
          "name": [
            "Department of Critical Care, The Ottawa Hospital, Ottawa, ON, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Sarti", 
        "givenName": "Aimee", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "McMaster University", 
          "id": "https://www.grid.ac/institutes/grid.25073.33", 
          "name": [
            "Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Arseneau", 
        "givenName": "Erika", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Children's Hospital of Eastern Ontario", 
          "id": "https://www.grid.ac/institutes/grid.414148.c", 
          "name": [
            "Division of Critical Care, Children\u2019s Hospital of Eastern Ontario, Ottawa, ON, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Dhanani", 
        "givenName": "Sonny", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "St. Joseph's Hospital", 
          "id": "https://www.grid.ac/institutes/grid.416721.7", 
          "name": [
            "Division of Critical Care, Department of Medicine, McMaster University, Hamilton, ON, Canada", 
            "Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada", 
            "St Joseph\u2019s Healthcare Hamilton, Hamilton, ON, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Cook", 
        "givenName": "Deborah J.", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "McMaster University", 
          "id": "https://www.grid.ac/institutes/grid.25073.33", 
          "name": [
            "Division of Critical Care, Department of Medicine, McMaster University, Hamilton, ON, Canada", 
            "Hamilton Health Sciences, Hamilton, ON, Canada", 
            "Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Meade", 
        "givenName": "Maureen O.", 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1111/j.1445-5994.2008.01826.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003598569"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1108/jhom-07-2012-0131", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007503231"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1503/cmaj.045131", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008341572"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1503/cmaj.045131", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008341572"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.cnq.0000325044.78904.9b", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1013830528"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.cnq.0000325044.78904.9b", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1013830528"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.cnq.0000325044.78904.9b", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1013830528"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1037/apl0000120", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1016041837"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1049732305276687", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017418969"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1049732305276687", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017418969"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1049732305276687", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017418969"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jcrc.2007.03.002", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018590986"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1471-2253-14-52", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018887600", 
          "https://doi.org/10.1186/1471-2253-14-52"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/bmj.b991", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019268757"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00134-015-3833-y", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019552660", 
          "https://doi.org/10.1007/s00134-015-3833-y"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/ajt.12660", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024437908"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/intqhc/mzm042", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1032997221"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12910-016-0120-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033866847", 
          "https://doi.org/10.1186/s12910-016-0120-6"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12910-016-0120-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033866847", 
          "https://doi.org/10.1186/s12910-016-0120-6"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12910-015-0057-1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035970796", 
          "https://doi.org/10.1186/s12910-015-0057-1"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/nur.20362", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036013559"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/nur.20362", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036013559"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1503/cmaj.060895", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038287010"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1503/cmaj.060895", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038287010"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1590/0104-1169.0486.2629", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038863843"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11136-009-9540-9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1040719110", 
          "https://doi.org/10.1007/s11136-009-9540-9"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11136-009-9540-9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1040719110", 
          "https://doi.org/10.1007/s11136-009-9540-9"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/nur.4770160309", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1041168494"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/nur.4770160309", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1041168494"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1590/s0080-623420150000800018", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1041745714"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.iccn.2014.03.001", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042611030"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/0147-1767(85)90062-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047104385"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/1098-240x(200008)23:4<334::aid-nur9>3.0.co;2-g", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1053331813"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.5539/gjhs.v8n7p281", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1072948381"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1077212955", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.4103/ijciis.ijciis_30_17", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1086017043"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.7196/samj.2017.v107i7.12355", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1090584830"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/ajt.14464", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1091207635"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.iccn.2017.12.005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1100291628"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jcrc.2018.01.002", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1100426052"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jcrc.2018.01.002", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1100426052"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1359105318765619", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1103278381"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.4135/9781446262566", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1109738104"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2019-02-26", 
    "datePublishedReg": "2019-02-26", 
    "description": "PURPOSE: Rates of organ donation vary between otherwise comparable intensive care units (ICUs) suggesting that the process of donation must vary between ICUs. The purpose of this study was to describe the process of organ donation from the perspective of ICU staff, identify important drivers of successful donation, and develop strategies to improve the process of donation.\nMETHODS: We conducted qualitative interviews with 32 ICU staff, including physicians, nurses, and respiratory therapists, using an interview guide developed from previous studies on organ donation. Using a qualitative descriptive approach, we coded interviews using qualitative content analysis. We integrated findings from the interviews in a mixed-methods analysis with previously published data from a document analysis and cross-sectional survey to identify practices that may enhance organ donation in the ICU.\nRESULTS: Five major themes important to the organ donation process emerged from the interviews: i) staff relationship with organ donation coordinators; ii) standardized processes; iii) ICU staff beliefs; iv) integration of donation and high quality end-of-life care; v) feedback and staff support. In the mixed-methods analysis, we identified 22 actionable practices to enhance the process of organ donation in the ICU.\nCONCLUSION: Incorporating the perspectives of ICU staff, we were able to identify 22 practice changes that may have a significant cumulative impact on donation outcomes. Future research is required to evaluate whether these findings account for the variability of donation rates between otherwise comparable ICUs.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s12630-019-01332-9", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": false, 
    "isPartOf": [
      {
        "id": "sg:journal.1017152", 
        "issn": [
          "0832-610X", 
          "1496-8975"
        ], 
        "name": "Journal canadien d'anesth\u00e9sie", 
        "type": "Periodical"
      }
    ], 
    "name": "A mixed-methods study of organ donation in the intensive care unit: 22 actionable practices to improve organ donation", 
    "pagination": "1-10", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "cd54f88baabbd1ccfecbf43cfb1fa3da285d7909ad3a1d6a6323545199519c62"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "30809778"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "8701709"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s12630-019-01332-9"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1112396424"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s12630-019-01332-9", 
      "https://app.dimensions.ai/details/publication/pub.1112396424"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T10:18", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000348_0000000348/records_54316_00000002.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://link.springer.com/10.1007%2Fs12630-019-01332-9"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s12630-019-01332-9'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s12630-019-01332-9'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s12630-019-01332-9'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s12630-019-01332-9'


 

This table displays all metadata directly associated to this object as RDF triples.

234 TRIPLES      21 PREDICATES      58 URIs      18 LITERALS      7 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s12630-019-01332-9 schema:about anzsrc-for:11
2 anzsrc-for:1117
3 schema:author N58b73eeeea3b4c4dadb207b16e336013
4 schema:citation sg:pub.10.1007/s00134-015-3833-y
5 sg:pub.10.1007/s11136-009-9540-9
6 sg:pub.10.1186/1471-2253-14-52
7 sg:pub.10.1186/s12910-015-0057-1
8 sg:pub.10.1186/s12910-016-0120-6
9 https://app.dimensions.ai/details/publication/pub.1077212955
10 https://doi.org/10.1002/1098-240x(200008)23:4<334::aid-nur9>3.0.co;2-g
11 https://doi.org/10.1002/nur.20362
12 https://doi.org/10.1002/nur.4770160309
13 https://doi.org/10.1016/0147-1767(85)90062-8
14 https://doi.org/10.1016/j.iccn.2014.03.001
15 https://doi.org/10.1016/j.iccn.2017.12.005
16 https://doi.org/10.1016/j.jcrc.2007.03.002
17 https://doi.org/10.1016/j.jcrc.2018.01.002
18 https://doi.org/10.1037/apl0000120
19 https://doi.org/10.1093/intqhc/mzm042
20 https://doi.org/10.1097/01.cnq.0000325044.78904.9b
21 https://doi.org/10.1108/jhom-07-2012-0131
22 https://doi.org/10.1111/ajt.12660
23 https://doi.org/10.1111/ajt.14464
24 https://doi.org/10.1111/j.1445-5994.2008.01826.x
25 https://doi.org/10.1136/bmj.b991
26 https://doi.org/10.1177/1049732305276687
27 https://doi.org/10.1177/1359105318765619
28 https://doi.org/10.1503/cmaj.045131
29 https://doi.org/10.1503/cmaj.060895
30 https://doi.org/10.1590/0104-1169.0486.2629
31 https://doi.org/10.1590/s0080-623420150000800018
32 https://doi.org/10.4103/ijciis.ijciis_30_17
33 https://doi.org/10.4135/9781446262566
34 https://doi.org/10.5539/gjhs.v8n7p281
35 https://doi.org/10.7196/samj.2017.v107i7.12355
36 schema:datePublished 2019-02-26
37 schema:datePublishedReg 2019-02-26
38 schema:description PURPOSE: Rates of organ donation vary between otherwise comparable intensive care units (ICUs) suggesting that the process of donation must vary between ICUs. The purpose of this study was to describe the process of organ donation from the perspective of ICU staff, identify important drivers of successful donation, and develop strategies to improve the process of donation. METHODS: We conducted qualitative interviews with 32 ICU staff, including physicians, nurses, and respiratory therapists, using an interview guide developed from previous studies on organ donation. Using a qualitative descriptive approach, we coded interviews using qualitative content analysis. We integrated findings from the interviews in a mixed-methods analysis with previously published data from a document analysis and cross-sectional survey to identify practices that may enhance organ donation in the ICU. RESULTS: Five major themes important to the organ donation process emerged from the interviews: i) staff relationship with organ donation coordinators; ii) standardized processes; iii) ICU staff beliefs; iv) integration of donation and high quality end-of-life care; v) feedback and staff support. In the mixed-methods analysis, we identified 22 actionable practices to enhance the process of organ donation in the ICU. CONCLUSION: Incorporating the perspectives of ICU staff, we were able to identify 22 practice changes that may have a significant cumulative impact on donation outcomes. Future research is required to evaluate whether these findings account for the variability of donation rates between otherwise comparable ICUs.
39 schema:genre research_article
40 schema:inLanguage en
41 schema:isAccessibleForFree false
42 schema:isPartOf sg:journal.1017152
43 schema:name A mixed-methods study of organ donation in the intensive care unit: 22 actionable practices to improve organ donation
44 schema:pagination 1-10
45 schema:productId N30dfac13571243a2ad09ddfa3cf652c6
46 N37b5817ba758424cae78b221c22fd56c
47 N68e92049ceab4b7e84a28c96f9e55141
48 N8b30e6a5d42c490a874b9be9ae53291d
49 Nfa6e91a2d1a348219078507206c31d75
50 schema:sameAs https://app.dimensions.ai/details/publication/pub.1112396424
51 https://doi.org/10.1007/s12630-019-01332-9
52 schema:sdDatePublished 2019-04-11T10:18
53 schema:sdLicense https://scigraph.springernature.com/explorer/license/
54 schema:sdPublisher Ndc4186f985114417b2ad9887dfc214b8
55 schema:url https://link.springer.com/10.1007%2Fs12630-019-01332-9
56 sgo:license sg:explorer/license/
57 sgo:sdDataset articles
58 rdf:type schema:ScholarlyArticle
59 N033fd14c95f347df89abd11df2b6b63b rdf:first N703e70421db846b19dbba6a4f619cdb2
60 rdf:rest Na6cec7bf07444608a452ad7898afbecd
61 N09e0a61726f94ed597b54e7f0a62001c schema:affiliation https://www.grid.ac/institutes/grid.416721.7
62 schema:familyName Cook
63 schema:givenName Deborah J.
64 rdf:type schema:Person
65 N0e670bd37914439f8f2c3d6b4d8d5d67 schema:affiliation https://www.grid.ac/institutes/grid.25073.33
66 schema:familyName Durepos
67 schema:givenName Pamela
68 rdf:type schema:Person
69 N1eb0e3b74e1543ffb062b3e6fbae965f schema:affiliation https://www.grid.ac/institutes/grid.25073.33
70 schema:familyName Arseneau
71 schema:givenName Erika
72 rdf:type schema:Person
73 N27b9303f839c47638239dc81e947ecb3 schema:affiliation https://www.grid.ac/institutes/grid.25073.33
74 schema:familyName Arnold
75 schema:givenName Emmy
76 rdf:type schema:Person
77 N2e89bfcb3a3a477e98e0a90d43158bc5 rdf:first Nb10599aae682412b887c7c60b2e5245d
78 rdf:rest N8b59a7c295874d1f8373f99177b0f9ef
79 N30dfac13571243a2ad09ddfa3cf652c6 schema:name nlm_unique_id
80 schema:value 8701709
81 rdf:type schema:PropertyValue
82 N33053ffe02254e459cbed369c28ac383 schema:affiliation https://www.grid.ac/institutes/grid.414019.9
83 schema:familyName Oczkowski
84 schema:givenName Simon J. W.
85 rdf:type schema:Person
86 N37b5817ba758424cae78b221c22fd56c schema:name doi
87 schema:value 10.1007/s12630-019-01332-9
88 rdf:type schema:PropertyValue
89 N58b73eeeea3b4c4dadb207b16e336013 rdf:first N33053ffe02254e459cbed369c28ac383
90 rdf:rest N8d637b68641e4f23a19aa25615384caa
91 N5d94d19b28c442f8a752342cd2c3d6e3 schema:affiliation https://www.grid.ac/institutes/grid.25073.33
92 schema:familyName Meade
93 schema:givenName Maureen O.
94 rdf:type schema:Person
95 N68e92049ceab4b7e84a28c96f9e55141 schema:name pubmed_id
96 schema:value 30809778
97 rdf:type schema:PropertyValue
98 N6bd24d002c61452e904cdae3a75458d7 schema:affiliation https://www.grid.ac/institutes/grid.412687.e
99 schema:familyName Sarti
100 schema:givenName Aimee
101 rdf:type schema:Person
102 N703e70421db846b19dbba6a4f619cdb2 schema:affiliation https://www.grid.ac/institutes/grid.414148.c
103 schema:familyName Dhanani
104 schema:givenName Sonny
105 rdf:type schema:Person
106 N8b30e6a5d42c490a874b9be9ae53291d schema:name readcube_id
107 schema:value cd54f88baabbd1ccfecbf43cfb1fa3da285d7909ad3a1d6a6323545199519c62
108 rdf:type schema:PropertyValue
109 N8b59a7c295874d1f8373f99177b0f9ef rdf:first N0e670bd37914439f8f2c3d6b4d8d5d67
110 rdf:rest Nb83359c7aee64dd7812e6c456f893af0
111 N8d637b68641e4f23a19aa25615384caa rdf:first N27b9303f839c47638239dc81e947ecb3
112 rdf:rest N2e89bfcb3a3a477e98e0a90d43158bc5
113 N92996d2639aa4c5ab65a3d22e69f8882 rdf:first N5d94d19b28c442f8a752342cd2c3d6e3
114 rdf:rest rdf:nil
115 Na45f033b82bb46259e7d718451b10a6e rdf:first N1eb0e3b74e1543ffb062b3e6fbae965f
116 rdf:rest N033fd14c95f347df89abd11df2b6b63b
117 Na6cec7bf07444608a452ad7898afbecd rdf:first N09e0a61726f94ed597b54e7f0a62001c
118 rdf:rest N92996d2639aa4c5ab65a3d22e69f8882
119 Nb10599aae682412b887c7c60b2e5245d schema:affiliation https://www.grid.ac/institutes/grid.413615.4
120 schema:familyName Centofanti
121 schema:givenName John
122 rdf:type schema:Person
123 Nb83359c7aee64dd7812e6c456f893af0 rdf:first N6bd24d002c61452e904cdae3a75458d7
124 rdf:rest Na45f033b82bb46259e7d718451b10a6e
125 Ndc4186f985114417b2ad9887dfc214b8 schema:name Springer Nature - SN SciGraph project
126 rdf:type schema:Organization
127 Nfa6e91a2d1a348219078507206c31d75 schema:name dimensions_id
128 schema:value pub.1112396424
129 rdf:type schema:PropertyValue
130 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
131 schema:name Medical and Health Sciences
132 rdf:type schema:DefinedTerm
133 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
134 schema:name Public Health and Health Services
135 rdf:type schema:DefinedTerm
136 sg:journal.1017152 schema:issn 0832-610X
137 1496-8975
138 schema:name Journal canadien d'anesthésie
139 rdf:type schema:Periodical
140 sg:pub.10.1007/s00134-015-3833-y schema:sameAs https://app.dimensions.ai/details/publication/pub.1019552660
141 https://doi.org/10.1007/s00134-015-3833-y
142 rdf:type schema:CreativeWork
143 sg:pub.10.1007/s11136-009-9540-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1040719110
144 https://doi.org/10.1007/s11136-009-9540-9
145 rdf:type schema:CreativeWork
146 sg:pub.10.1186/1471-2253-14-52 schema:sameAs https://app.dimensions.ai/details/publication/pub.1018887600
147 https://doi.org/10.1186/1471-2253-14-52
148 rdf:type schema:CreativeWork
149 sg:pub.10.1186/s12910-015-0057-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1035970796
150 https://doi.org/10.1186/s12910-015-0057-1
151 rdf:type schema:CreativeWork
152 sg:pub.10.1186/s12910-016-0120-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1033866847
153 https://doi.org/10.1186/s12910-016-0120-6
154 rdf:type schema:CreativeWork
155 https://app.dimensions.ai/details/publication/pub.1077212955 schema:CreativeWork
156 https://doi.org/10.1002/1098-240x(200008)23:4<334::aid-nur9>3.0.co;2-g schema:sameAs https://app.dimensions.ai/details/publication/pub.1053331813
157 rdf:type schema:CreativeWork
158 https://doi.org/10.1002/nur.20362 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036013559
159 rdf:type schema:CreativeWork
160 https://doi.org/10.1002/nur.4770160309 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041168494
161 rdf:type schema:CreativeWork
162 https://doi.org/10.1016/0147-1767(85)90062-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047104385
163 rdf:type schema:CreativeWork
164 https://doi.org/10.1016/j.iccn.2014.03.001 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042611030
165 rdf:type schema:CreativeWork
166 https://doi.org/10.1016/j.iccn.2017.12.005 schema:sameAs https://app.dimensions.ai/details/publication/pub.1100291628
167 rdf:type schema:CreativeWork
168 https://doi.org/10.1016/j.jcrc.2007.03.002 schema:sameAs https://app.dimensions.ai/details/publication/pub.1018590986
169 rdf:type schema:CreativeWork
170 https://doi.org/10.1016/j.jcrc.2018.01.002 schema:sameAs https://app.dimensions.ai/details/publication/pub.1100426052
171 rdf:type schema:CreativeWork
172 https://doi.org/10.1037/apl0000120 schema:sameAs https://app.dimensions.ai/details/publication/pub.1016041837
173 rdf:type schema:CreativeWork
174 https://doi.org/10.1093/intqhc/mzm042 schema:sameAs https://app.dimensions.ai/details/publication/pub.1032997221
175 rdf:type schema:CreativeWork
176 https://doi.org/10.1097/01.cnq.0000325044.78904.9b schema:sameAs https://app.dimensions.ai/details/publication/pub.1013830528
177 rdf:type schema:CreativeWork
178 https://doi.org/10.1108/jhom-07-2012-0131 schema:sameAs https://app.dimensions.ai/details/publication/pub.1007503231
179 rdf:type schema:CreativeWork
180 https://doi.org/10.1111/ajt.12660 schema:sameAs https://app.dimensions.ai/details/publication/pub.1024437908
181 rdf:type schema:CreativeWork
182 https://doi.org/10.1111/ajt.14464 schema:sameAs https://app.dimensions.ai/details/publication/pub.1091207635
183 rdf:type schema:CreativeWork
184 https://doi.org/10.1111/j.1445-5994.2008.01826.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1003598569
185 rdf:type schema:CreativeWork
186 https://doi.org/10.1136/bmj.b991 schema:sameAs https://app.dimensions.ai/details/publication/pub.1019268757
187 rdf:type schema:CreativeWork
188 https://doi.org/10.1177/1049732305276687 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017418969
189 rdf:type schema:CreativeWork
190 https://doi.org/10.1177/1359105318765619 schema:sameAs https://app.dimensions.ai/details/publication/pub.1103278381
191 rdf:type schema:CreativeWork
192 https://doi.org/10.1503/cmaj.045131 schema:sameAs https://app.dimensions.ai/details/publication/pub.1008341572
193 rdf:type schema:CreativeWork
194 https://doi.org/10.1503/cmaj.060895 schema:sameAs https://app.dimensions.ai/details/publication/pub.1038287010
195 rdf:type schema:CreativeWork
196 https://doi.org/10.1590/0104-1169.0486.2629 schema:sameAs https://app.dimensions.ai/details/publication/pub.1038863843
197 rdf:type schema:CreativeWork
198 https://doi.org/10.1590/s0080-623420150000800018 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041745714
199 rdf:type schema:CreativeWork
200 https://doi.org/10.4103/ijciis.ijciis_30_17 schema:sameAs https://app.dimensions.ai/details/publication/pub.1086017043
201 rdf:type schema:CreativeWork
202 https://doi.org/10.4135/9781446262566 schema:sameAs https://app.dimensions.ai/details/publication/pub.1109738104
203 rdf:type schema:CreativeWork
204 https://doi.org/10.5539/gjhs.v8n7p281 schema:sameAs https://app.dimensions.ai/details/publication/pub.1072948381
205 rdf:type schema:CreativeWork
206 https://doi.org/10.7196/samj.2017.v107i7.12355 schema:sameAs https://app.dimensions.ai/details/publication/pub.1090584830
207 rdf:type schema:CreativeWork
208 https://www.grid.ac/institutes/grid.25073.33 schema:alternateName McMaster University
209 schema:name Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
210 Division of Critical Care, Department of Medicine, McMaster University, Hamilton, ON, Canada
211 Hamilton Health Sciences, Hamilton, ON, Canada
212 School of Nursing, McMaster University, Hamilton, ON, Canada
213 rdf:type schema:Organization
214 https://www.grid.ac/institutes/grid.412687.e schema:alternateName Ottawa Hospital
215 schema:name Department of Critical Care, The Ottawa Hospital, Ottawa, ON, Canada
216 rdf:type schema:Organization
217 https://www.grid.ac/institutes/grid.413615.4 schema:alternateName Hamilton Health Sciences
218 schema:name Division of Critical Care, Department of Medicine, McMaster University, Hamilton, ON, Canada
219 Hamilton Health Sciences, Hamilton, ON, Canada
220 rdf:type schema:Organization
221 https://www.grid.ac/institutes/grid.414019.9 schema:alternateName Juravinski Hospital
222 schema:name Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
223 Division of Critical Care, Department of Medicine, McMaster University, Hamilton, ON, Canada
224 Hamilton Health Sciences, Hamilton, ON, Canada
225 Juravinski Hospital, Room A3-20, 711 Concession St, L8V 1C3, Hamilton, ON, Canada
226 rdf:type schema:Organization
227 https://www.grid.ac/institutes/grid.414148.c schema:alternateName Children's Hospital of Eastern Ontario
228 schema:name Division of Critical Care, Children’s Hospital of Eastern Ontario, Ottawa, ON, Canada
229 rdf:type schema:Organization
230 https://www.grid.ac/institutes/grid.416721.7 schema:alternateName St. Joseph's Hospital
231 schema:name Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
232 Division of Critical Care, Department of Medicine, McMaster University, Hamilton, ON, Canada
233 St Joseph’s Healthcare Hamilton, Hamilton, ON, Canada
234 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...