Determining ICU staff's conceptions, opinions, views, experiences and reflection (DISCOVER) of organ donation – Results from a Swiss multicenter survey

IF 3.5 3区医学 Q2 CRITICAL CARE MEDICINE

Journal of critical care Pub Date : 2027-02-01 Epub Date: 2026-10-20 DOI:10.1016/j.jcrc.2026.155772

Pascale Grzonka, Sebastian Berger, Kai Tisljar, Sabina Hunziker, Urs Fisch, Regina Schumann, Mathias Nebiker, Luca Cioccari, Raoul Sutter

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引用次数: 0

Abstract

Background

We aimed to examine ICU professionals' perceptions, opinions, and understanding of post-mortem organ donation, and their associations with personal and professional experiences.

Methods

Between October 2024 and April 2025, we conducted a cross-sectional survey in three Swiss ICUs, assessing perceptions, beliefs, and understanding of organ donation (primary endpoints), and their relationship with demographic characteristics and professional experiences (secondary endpoints). Emotional and ethical perspectives were rated using Likert scales.

Results

Among 338 professionals (median age 39 years; 75% women; 80% nurses; median ICU experience 15 years), most had cared for brain dead organ donors, and understanding/approval were high. While 75% would accept organs, 70% were open and 41% fully committed to donating; “helping others” motivated 30.7% of the open and 13.9% of the committed. Reluctance stemmed from dignity concerns, doubts on brain death, or fear to burden relatives. Lower willingness to donate correlated with higher age (ρ = −0.309), longer ICU experience (ρ = −0.335), and belief in life after death (ρ = −0.168), while approval of the brain death concept was positively correlated (ρ = 0.253; all p ≤ 0.002); physicians were more willing than nurses (10 vs. 9; p = 0.001), and willingness aligned with wishing to receive organs (10 vs. 2; p < 0.001). The latter was linked to lower age (36 vs. 50), fewer ICU years (13 vs. 28), stronger wish to donate (10 vs. 2), and better understanding of brain death (10 vs. 9; all p = 0.002).

Conclusions

Swiss ICU professionals support organ donation, though strong commitment to donate their own organs is limited and helping others was not reported as a predominant motivation.

Registration: NCT06640088, registered on October 10, 2024.

查看原文本刊更多论文

确定ICU工作人员器官捐献的概念、意见、观点、经验和反思（DISCOVER）——来自瑞士多中心调查的结果。

背景：我们旨在调查ICU专业人员对死后器官捐赠的看法、意见和理解，以及他们与个人和专业经历的联系。方法：在2024年10月至2025年4月期间，我们对三家瑞士icu进行了横断面调查，评估了对器官捐赠的看法、信念和理解（主要终点），以及它们与人口统计学特征和专业经验的关系（次要终点）。使用李克特量表对情感和伦理观点进行评分。结果：338名专业人员（中位年龄39 岁，75%为女性，80%为护士，中位ICU工作经验15 年）中，大多数人都照顾过脑死亡器官捐献者，理解/认可程度较高。75%的人愿意接受器官捐献，70%的人愿意捐献，41%的人完全承诺捐献；“帮助他人”激励了30.7%的公开者和13.9%的承诺者。不情愿的原因是对尊严的担忧，对脑死亡的怀疑，或害怕给亲属带来负担。更低的捐赠意愿与更高的年龄(ρ = -0.309),再加护病房经验(ρ = -0.335),和相信死后的生活(ρ = -0.168),而脑死亡概念批准呈正相关(ρ = 0.253;所有p ≤0.002 );医生比护士更愿意（10 vs. 9; p = 0.001），并且意愿与希望接受器官的意愿一致（10 vs. 2; p ）结论：瑞士ICU专业人员支持器官捐赠，尽管捐赠自己器官的强烈承诺有限，帮助他人并没有被报道为主要动机。注册号：NCT06640088, 2024年10月10日注册。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of critical care 医学-危重病医学

CiteScore

8.60

自引率

2.70%

发文量

237

审稿时长

23 days

期刊介绍： The Journal of Critical Care, the official publication of the World Federation of Societies of Intensive and Critical Care Medicine (WFSICCM), is a leading international, peer-reviewed journal providing original research, review articles, tutorials, and invited articles for physicians and allied health professionals involved in treating the critically ill. The Journal aims to improve patient care by furthering understanding of health systems research and its integration into clinical practice. The Journal will include articles which discuss: All aspects of health services research in critical care System based practice in anesthesiology, perioperative and critical care medicine The interface between anesthesiology, critical care medicine and pain Integrating intraoperative management in preparation for postoperative critical care management and recovery Optimizing patient management, i.e., exploring the interface between evidence-based principles or clinical insight into management and care of complex patients The team approach in the OR and ICU System-based research Medical ethics Technology in medicine Seminars discussing current, state of the art, and sometimes controversial topics in anesthesiology, critical care medicine, and professional education Residency Education.