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Biomedical subjects

M Verble

Publications and source records attributed to M Verble.

8 recordsLinked to original sources
PubMed2000

Fears and concerns expressed by families in the donation discussion.

Previous research has identified specific fears and concerns among the general public about organ and tissue donation. However, little to none of that research has dealt with fears and concerns at the time of the donation discussion. In this study, 180 experienced coordinators ranked the fears and concerns most commonly heard during the donation discussion. They further classified the fears and concerns according to the ease with which they can be addressed. Subsequently, the fears and concerns were classified in 4 groups: often heard and easy to deal with, often heard and hard to deal with, seldom heard and easy to deal with, seldom heard and hard to deal with. The results can be used to stimulate further research on family fears and concerns, to train and retrain coordinators to address those concerns in the donation discussion, and to improve existing strategies for increasing organ and tissue donation.

Attitude to Health↗
PubMed2000

Overcoming families' fears and concerns in the donation discussion.

Research into the fears and concerns families have about donation and other issues at the time of the donation discussion substantiates that many fears and concerns act as impediments to consent. Twenty fears and concerns voiced by families at the time of the donation discussion have been identified. Specific strategies have been developed to deal with 19 of those concerns. Using gentle probing questions and targeted strategies, trained requestors may successfully address many fears and concerns, thus increasing the likelihood of the family consenting to donation.

Family↗
PubMed1999

Dealing with the fear of mutilation in the donation discussion.

Fear of mutilation is a significant barrier to organ and tissue donation. It constitutes an example of Mystical Thinking and may be seen as an exemplar of animal learning or, more specifically, as a representation of the "blood phobia." As such the fear is not amenable to conventional public education efforts. Cognitive and behavioral techniques used in treating other types of phobias should be studied as a way to remove this barrier to donation.

Animals↗
PubMed1998

Adequate consent: its content in the donation discussion.

Although recent research has established a relationship between donation rates and the consent process for organ and tissue donation, little attention has been given to the content of the donation discussion. Recent studies suggest that families want more information to aid them in making the decision to consent. To address the family's needs, the interviewer should introduce the subject appropriately, respond fully to the family's questions, and provide the following information: the options of donating particular organs or tissues, the potential benefits of donation, the right not to donate, the effects on the funeral, the lack of cost of donation to the family, a description of the procurement procedures, and what will happen if the donated organs cannot be used for transplant.

California↗
PubMed1997

Biases among hospital personnel concerning donation of specific organs and tissues: implications for the donation discussion and education.

Previous research has established that healthcare professionals who are being trained to talk with families about donation have strong personal preferences for and aversions to the donation of specific organs and tissues. This article examines the possible reasons for such preferences and/or aversions. Among the population studied, strong personal preferences for donation of specific anatomical gifts predominantly were associated with pragmatic and moral or ethical justifications. Strong aversions were associated with pragmatic reasoning and mystical thinking, represented as ancient fears. The findings suggest the need for changes in the way the donation option is offered to families and the way hospital personnel are educated.

Attitude of Health Personnel↗
PubMed1997

Reservations and preferences among procurement professionals concerning the donation of specific organs and tissues.

Previous research has established that organ procurement professionals who talk with families about donation have strong personal preferences concerning the donation of specific organs and tissues. This study examines possible reasons for such preferences and compares them with those of hospital personnel who talk with families about donation. The findings suggest that preferences among procurement personnel closely resemble those of hospital personnel, but procurement professionals' reasons reflect a slightly higher rate of self-interest. Aversions among procurement personnel differ from those of hospital personnel. Procurement personnel have fewer aversions to donating eyes and skin and more aversions to bone, and their aversions are more likely to reflect professional experience with particular donations. The findings suggest the need for changes both in the way donation options are offered to families and the way hospital and procurement personnel are educated.

Attitude of Health Personnel↗
PubMed1996

The case against more public education to promote organ donation.

The organ procurement community has always considered public education a primary challenge. According to conventional wisdom, greater awareness generated by public education will lead to more donated organs. This notion may be based on faulty assumptions about public education and about the relationship between awareness and behavior. Public education, as the primary focus for the organ procurement community, should be abandoned. Increased efforts in professional education and basic research are more appropriate endeavors for organ procurement organizations.

Attitude of Health Personnel↗