Topic: Quality Assurance & Improvement
Silva e Silva V1,2; Oliveira, PC2; Schirmer J2; Roza BA2; Almost J1; Shafer, M3; Dhanani S4; Tranmer JE1
1 School of Nursing, Queen's University, Kingston, Canada; 2 School of Nursing, Federal University of Sao Paulo, Sao Paulo, Brazil; 3 Department of Sociology, University of Toronto, Toronto, Canada; 4 Department of Medicine, University of Ottawa, Ottawa, Canada.
Background: Organ donation programs have been predominantly evaluated through benchmarking high-performance countries and the analysis of local quality indicators. However, to date, no definition of success in organ donation programs is available. Therefore, this scoping review aimed to synthesize the current evidence on key organizational attributes and processes of international organ donation programs associated with successful outcomes.
Methods: Joanna Briggs Institute methodology for conducting scoping reviews was employed. The following databases were searched: PubMed, CINAHL, Embase, LILACS, ABI Business ProQuest, Business Source Premier and grey literature (Organ donation association websites, Google Scholar - first eight pages). To supplement the above, searches for gray literature were performed, and relevant websites were perused.
Results: 84 articles were included. These originated mostly from USA (n=33, 39.3%) and Spain (n=17, 20.2%). Most articles were published in 2001-2010 (n=33, 39.3%) and 2011-2019 (n=39, 46.4%), with predominant quantitative approach (n=46, 54.8%), followed by opinion papers (n=12,14.3%), and reports (n=10, 11.9%). Qualitative analysis revealed 16 categories that were described as positively influencing success/effectiveness of organ donation programs (table 1). The categories were classified into three main components of successful organ donation programs: context (any social interaction, situations, or support documents within organ donation context that might have an impact (positive or negative) in organ donation programs' results), process (necessary steps/procedures and behavioural patterns to ensure effective and smooth donations), and structural (the pieces that tie organ donation programs together and ensure an optimal organ donation performance).
Conclusion: Organ donation programs are complex and depend on multiple actors and factors to their success. Therefore, success in organ donation should be thought by considering a balance between context, process and structural elements. The results of this scoping review will better inform future studies to have a more holistic approach when evaluating organ donation programs.
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No references.
Topic: Quality Assurance & Improvement
Silva e Silva V1,2; Oliveira, PC2; Schirmer J2; Roza BA2; Almost J1; Shafer, M3; Dhanani S4; Tranmer JE1
1 School of Nursing, Queen's University, Kingston, Canada; 2 School of Nursing, Federal University of Sao Paulo, Sao Paulo, Brazil; 3 Department of Sociology, University of Toronto, Toronto, Canada; 4 Department of Medicine, University of Ottawa, Ottawa, Canada.
Background: Organ donation programs have been predominantly evaluated through benchmarking high-performance countries and the analysis of local quality indicators. However, to date, no definition of success in organ donation programs is available. Therefore, this scoping review aimed to synthesize the current evidence on key organizational attributes and processes of international organ donation programs associated with successful outcomes.
Methods: Joanna Briggs Institute methodology for conducting scoping reviews was employed. The following databases were searched: PubMed, CINAHL, Embase, LILACS, ABI Business ProQuest, Business Source Premier and grey literature (Organ donation association websites, Google Scholar - first eight pages). To supplement the above, searches for gray literature were performed, and relevant websites were perused.
Results: 84 articles were included. These originated mostly from USA (n=33, 39.3%) and Spain (n=17, 20.2%). Most articles were published in 2001-2010 (n=33, 39.3%) and 2011-2019 (n=39, 46.4%), with predominant quantitative approach (n=46, 54.8%), followed by opinion papers (n=12,14.3%), and reports (n=10, 11.9%). Qualitative analysis revealed 16 categories that were described as positively influencing success/effectiveness of organ donation programs (table 1). The categories were classified into three main components of successful organ donation programs: context (any social interaction, situations, or support documents within organ donation context that might have an impact (positive or negative) in organ donation programs' results), process (necessary steps/procedures and behavioural patterns to ensure effective and smooth donations), and structural (the pieces that tie organ donation programs together and ensure an optimal organ donation performance).
Conclusion: Organ donation programs are complex and depend on multiple actors and factors to their success. Therefore, success in organ donation should be thought by considering a balance between context, process and structural elements. The results of this scoping review will better inform future studies to have a more holistic approach when evaluating organ donation programs.
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No references.