The Development of Nursing Management Model for Organ Donation in Samutsakhon Hospital

Abstract

Objective: This was to develop and evaluate outcomes of nursing management model for organ donation  in Samutsakhon Hospital.

Methods: Using research and development process, this research was composed of 3 steps: assess the organ donation situation in Samutsakhon Hospital, development nursing management model for organ donation, and outcome evaluation. Purposive sampling were used and classified studied samples into 2 groups: 30 Transplant Co-ordinator Ward Nurses and 7 families of patients who donated organs from July to September 2022. The research instrument consisted of  4 parts: 1) knowledge-assessment form for Transplant Co-ordinator Ward Nurses about organ donations 2)  satisfaction-assessment form for Transplant Co-ordinator Ward Nurses 3) interview form for families’ satisfaction and opinion. The Cronbach’s alpha co-efficiency reliability were 0.78, 0.98, and 0.74. 4) The nursing management model for organ donation Samutsakhon Hospital, evaluating by experts for quality of AGREE II were 91.7% for average score and 95.8% for overall score. Data were analyzed by content analysis, mean, percentage, standard deviation, and paired sample t test.

Results: 1) The nursing management model for organ donation in Samutsakhon Hospital were composed of 5 components: (1) goals (2) nurses (3) nursing practice guidelines (4) motivation (5) monitor&evaluation. 2) Evaluating outcomes were 3 grougs: (1) process outcomes; search and screening rate for potential donors  from July to September 2022 were 92.7%, 98.1% and 100%, correctly screening rate were 97.4%, 100% and 100%, and increase organ and eye donation rates from 0–2.4% to 2.9% – 4.9%. (2) Health care providers outcomes; comparing Transplant Co-ordinator Ward Nurses’ knowledge about organ donations before and after the development showed significant difference (p < .001) and overall Transplant Co-ordinator Ward Nurses’ satisfaction rate was highest (x̄ = 4.26, SD = 0.482). (3) Customer outcomes; family satisfaction rate for donor care process was highest (x̄ = 5.00, SD = 0.00).

Conclusion: Nursing management model for organ donation in Samutsakhon Hospital that developed Transplant Co-ordinator Ward Nurse network who had knowledge and skills in donation process. Transplant Co-ordinator Ward Nurses were as mentor to give advice and created learning groups. Nurse administrator also monitored, motivated, and evaluated continuously, thus helping to drive the organ donation process efficiently and increased organ donation rates. This model is appropriate, put into practice and can be applied to use in all hospitals.