The Development of the Organ Donation for Transplantation System at Udonthani Hospital

Abstract

The purposes of this study were to assess the situation of organ donation for transplantation management, to develop the organ donation system from brain death patients for transplantation at Udonthani Hospital, and to evaluate outcome of the organ donation system from brain death patients by using Research and Development Process. This research composed of 4 steps: Assess the problem and need, Design and development system, Implementation and Evaluation. Seventy-five samples selected by purposive sampling, were divided into 3 groups: 15 administrators, 30 nurses and 30 family of brain death patients. Who was treated during in Udonthani hospital January to October 2014. The operational instrument was the Ministry of Public Health guideline of organ donation system from brain death patients for transplantation. The research instruments were composed of 5 parts: 1) Semi-structure interview form 2) Behavioral observation form 3) Health care providers’ satisfaction questionnaire 4) Family’s patients Satisfaction questionnaires and 5) Brain death donor rate and utilized donor rate. The Cronbach Alpha Co-efficiency reliability of health care providers’ satisfaction questionnaire was 0.90 and family satisfaction questionnaire was 0.87. Data were analyzed by mean, percentage and standard deviation.

The result reported that the organ donation system from brain death patients for transplantation which has been developed by multidisciplinary team composing of the guideline of organ donation system from brain death patients. After this organ donation system was implemented, the patients and family’s were treated with more holistic approach, The overall mean satisfaction of family and the health care providers were high ( Χ=4.76 SD 0.498 and Χ=4.77 SD 0.565) respectively. There were 65.25% of behaviors that nurses were table to do following the guideline of organ donation system from brain death patients is develop. Increased brain death donor rate (63.33 %) and utilized donor rate (89.47 %).

This indicated that brain death patients organ donation system development can increase positive outcome of brain death organ donation for transplantation. Therefore, this system should be implementation to all other settings.