Author Faculty (Discipline)

Nursing

Document Type

Article

Publication Date

12-1-2017

Early Online Version

11-9-2017

JOURNAL

Progress in Transplantation

VOLUME NUMBER

27

ISSUE NUMBER

4

PAGE NUMBERS

339-345

ISSN

1526-9248

Embargo Period

11-19-2019

ANZSRC / FoR Code

111712 Health Promotion| 119999 Medical and Health Sciences not elsewhere classified

Abstract

Introduction:

The approach, communication skills, and confidence of clinicians responsible for raising deceased organ donation may influence families’ donation decisions. The aim of this study was to increase the preparedness and confidence of intensive care clinicians allocated to work in a “designated requester” role.

Design:

We conducted a posttest evaluation of an innovative simulation-based training program. Simulation-based training enabled clinicians to rehearse the “balanced approach” to family donation conversations (FDCs) in the designated requester role. Professional actors played family members in simulated clinical settings using authentic scenarios, with video-assisted reflective debriefing. Participants completed an evaluation after the workshop. Simple descriptive statistical analysis and content analysis were performed.

Results:

Between January 2013 and July 2015, 25 workshops were undertaken with 86 participants; 82 (95.3%) returned evaluations. Respondents were registered practicing clinicians; over half (44/82; 53.7%) were intensivists. Most attended a single workshop. Evaluations were overwhelmingly positive with the majority rating workshops as outstanding (64/80; 80%). Scenario fidelity, competence of the actors, opportunity to practice and receive feedback on performance, and feedback from actors, both in and out of character, were particularly valued. Most (76/78; 97.4%) reported feeling more confident about their designated requester role.

Discussion:

Simulation-based communication training for the designated requester role in FDCs increased the knowledge and confidence of clinicians to raise the topic of donation.

Link to publisher version (DOI)

https://doi.org/10.1177/1526924817731881

Comments

Used by permission: the author(s) and SAGE.

© 2017 NATCO: The Organization for Transplant Professionals

The article available for download is the accepted version of the article. The published version of the article may be accessed from the publisher here.

At the time of writing Leigh McKay was affiliated with Avondale College as a Casual Lecturer.


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