Attitudes and Behavioral Intentions Toward Organ Procurement Work Among Nurses in Taiwan

Monday, July 11, 2011: 10:15 AM

Li-Hwa Lin, MSN
Li-Shan Ke, MSN
Wen-Ching Lou, RN
Su-Yu Chang, RN
Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan

Learning Objective 1: The learner will be able to understand present nursesí attitudes toward organ donation.

Learning Objective 2: The learner will be able to know the factors contributing to their behavioral intentions of organ procurement work.

Purpose: To identify nurses’ attitudes toward organ donation and the factors contributing to their behavioral intentions of organ procurement work. 

Methods: A cross-sectional survey by a structured questionnaire was conducted in a medical center in Taiwan. The main statistical methods were descriptive statistics, factor analysis and linear regression.

Results: A total of 298 nurses were enrolled (response rate, 82.8%). The total score of the “attitudes” domain was 3.5 (SD, 0.36; range 1-5) and the score of the “behavioral intentions” was 3.3 (SD,0.78; range 1-5). In our study, 41.6% of nurses were likely (36.6%) or very likely (5%) to help with organ procurement work. The attitudes of nurse had significant correlation with their behavioral intentions (r=0.447, p<0.001). The linear regression revealed that more positve attitudes of nurses on organ donation (β=0.432, CI=0.463~0.748), more positive will of the patient’s families to organ donation (β=0.177, CI=0.017~0.065), less comunication problems with patient’s family (β=-0.114, CI=-0.267~-0.015), and younger nurses (β=-0.100, CI=-0.029~0.000) had better behavioral intentions toward organ procurement work (R2=0.279).

Conclusion: Nurses' approval of organ donation, strong supportive system of the patients, good comunication skill, and younger nurses contributed to nurses’ behavioral intentions toward organ procurement work. The study suggest that the issue of organ donation should be introduced earlier in the school education program. In the clinical fields, nurses’ ethical judgment and comunication skill should be improved through the in-service training such as role play workshop or panel discussion within interdisciplinary team.