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Presenter: Patricia, Mulvania, Philadelphia, United States
Authors: Patricia Mulvania, Cherry Wise, Theresa A. Daly, Robert Norden, Howard Nathan, Yael Cass, Eva Mehakovic
Successful international collaboration improves family donation conversations resulting in 29% increase in organ donations.
Patricia Mulvania1, Cherry Wise1, Theresa A. Daly1, Robert Norden1, Howard Nathan1, Yael Cass2, Eva Mehakovic2
1Gift of Life Institute, Philadelphia, PA, United States, 2Organ & Tissue Authority, Canberra, Australia
Background A country’s donation leaders concluded that to increase organ donations, health professionals (HPs) conducting family donation conversations (FDC) required support & training. An int’l training institute w/programs based on proven results was engaged to create and implement customized training program to influence change in FDC practice & culture.
Aim Increase donation rates by developing & implementing customized, self-sustaining training program to enhance HP’s FDC practices. Provide training & communications skills to lead FDC, support families to make enduring decisions & influence HPs to adopt practice as FDC cultural norm.
Materials and Methods Planning meetings assured thoughtful development and customization. To gain support and determine program suitability, two 1-day pilot trainings were provided to 45 donation leaders in 2011. Training was further customized w/emphasis on creating change that would achieve/sustain desired results. Comprehensive nat’l training plan was implemented over 18 months. Eighteen 2-day FDC training workshops were held in 8 cities w/492 participants. Program evaluations and debriefings showed distinct shifts in perspectives and enthusiasm to implement new process. Between 2012-2013, instructor program was developed to transition training facilitation. Training institute remains involved in development and training to build and sustain skill and expertise.
Results Total organ donors 2011-337; Jan-June 2013-216; on pace for 432, represents 29% increase.
Conclusion When existing donation conversation processes do not yield desired results, change is needed. Integration of another organization’s process poses distinct challenges; however, thoughtful collaboration, sensitive to cultural aspects and family care, communication and donation practices, can result in successful training that shifts perspectives, provides new skills and achieves/ sustains an increase in organ donation rates.
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