ArticleTransplantation direct2018
Barriers and Enablers to Organ Donation After Circulatory Determination of Death: A Qualitative Study Exploring the Beliefs of Frontline Intensive Care Unit Professionals and Organ Donor Coordinators.
Article in Transplantation direct, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed.
- The Heart of the Matter: Staff Insights Into Organ Donation Conversations.Nursing in critical care · 2026Article
- Physiotherapy in deceased organ donation: A mixed methods study of current practice and perceptions amongst UK-based intensive care physiotherapists.Journal of the Intensive Care Society · 2026Article
- Factors that create trust in the donation after circulatory death process among surgical personnel: a qualitative descriptive study.BMC health services research · 2026Article
- Nurses' attitudes and knowledge about organ donation and transplantation in closed hospital wards.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2025Article
- An Integrative Review on Exploring Organ Donation After Death by Circulatory Criteria in Canada.Progress in transplantation (Aliso Viejo, Calif.) · 2025Review
- Tensions between end-of-life care and organ donation in controlled donation after circulatory death: ICU healthcare professionals experiences.BMC medical ethics · 2024Observational
- The circulatory death that saves lives-Intensive care nurses' conceptions of participating during 'donation after circulatory death': A phenomenographic study.Nursing open · 2024Article
- Ex vivo lung perfusion moderates gene expression differences between cardiac death and brain death donor lungs.JHLT open · 2024Article
- Characteristics and Practices of High-Performing Centers in Organ Donor Identification and Referral: A Qualitative Study.Canadian journal of kidney health and disease · 2024Article
- Missed opportunities in organ donation.Journal of the Intensive Care Society · 2023Article
- Article
- In meeting the increasing demands for total knee arthroplasty, can we achieve high levels of quality care in a small community hospital? A mixed-methods study.Frontiers in surgery · 2023Article
- The Gift of Life: Interprofessional Organ Donation Curriculum in Pediatric Critical Care.ATS scholar · 2022Article
- Barriers and Enablers to the Use of Web-Based Applications for Older Adults and Their Caregivers Post-Hip Fracture Surgery: A Descriptive Qualitative Study.Clinical interventions in aging · 2022Article
- Barriers and Enablers to Early Identification, Referral and Access to Geriatric Rehabilitation Post-Hip Fracture: A Theory-Based Descriptive Qualitative Study.Geriatric orthopaedic surgery & rehabilitation · 2022Article
- Reexamining Risk Aversion: Willingness to Pursue and Utilize Nonideal Donor Livers Among US Donation Service Areas.Transplantation direct · 2021Article
- A three-tier system for evaluation of organ procurement organizations' willingness to pursue and utilize nonideal donor lungs.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021Article
- Donation after circulatory determination of death in western Canada: a multicentre study of donor characteristics and critical care practices.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2020Article
- Article
- Potential organ donor identification and system accountability: expert guidance from a Canadian consensus conference.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2019Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA shortage of transplantable organs is a global problem. The purpose of this study was to explore frontline intensive care unit professionals' and organ donor coordinators' perceptions and beliefs around the process of, and the barriers and enablers to, donation after circulatory determination death (DCDD).
methodsThis qualitative descriptive study used a semistructured interview guide informed by the Theoretical Domains Framework to interview 55 key informants (physicians, nurses, and organ donation coordinators) in intensive care units (hospitals) and organ donation organizations across Canada.
resultsInterviews were analyzed using a 6-step systematic approach: coding, generation of specific beliefs, identification of themes, aggregation of themes into categories, assignment of barrier or enabler and analysis for shared and unique discipline barriers and enablers. Seven broad categories encompassing 29 themes of barriers (n = 21) and enablers (n = 4) to DCDD use were identified; n = 4 (14%) themes were conflicting, acting as barriers and enablers. Most themes (n = 26) were shared across the 3 key informant groups while n = 3 themes were unique to physicians. The top 3 shared barriers were: (1) DCDD education is needed for healthcare professionals, (2) a standardized and systematic screening process to identify potential DCDD donors is needed, and (3) practice variation across regions with respect to communication about DCDD with families. A limited number of differences were found by region.
conclusionsMultiple barriers and enablers to DCDD use were identified. These beliefs identify potential individual, team, organization, and system targets for behavior change interventions to increase DCDD rates which, in turn, should lead to more transplantation, reducing patient morbidity and mortality at a population level.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.