In Ontario, the organs of deceased donors are usually allocated to those recipients who are ranked highest on the province’s waiting list for transplant surgery. However, on rare occasion, a donor, or the donor’s family, will request that an organ be given to a designated recipient or designated group of recipients. The ethical acceptability of these so-called “directed donations” of organs from deceased donors is debated in the transplant literature. The purpose of this study was to elicit the views of a group of transplant professionals in Ontario on the question, “Under what circumstances, if any, should a donor or the donor’s family be allowed to choose the recipient of the organ?” Qualitative in-depth interviews were conducted with 14 Ontario transplant professionals from a range of clinical disciplines. An analysis of these interviews revealed several practical and ethical considerations that the transplant professionals believed to be important in assessing the acceptability of directed donations.

国立情報学研究所で電子化したコンテンツを使用している。

国立情報学研究所で電子化したコンテンツを使用している。

Current literature on public communication campaigns suggests that challenges and problems remain, even though generally the effectiveness of campaigns has increased in the past years. Challenges and problems are issue-specific and efforts put into influencing particular social behaviours through public communication campaigns have not been significantly successful. Although public communication campaigns are a popular method employed to influence social behaviours in many societies, campaign strategies inadequately consider the impact of cultural elements on social behaviours. The disappointing results through the use of campaigns are exacerbated by the difficulties faced in translating research observations to appropriate campaign strategies. In view of current challenges, this research examines public communication campaigns. Two main variables shaped this research ??? ???identity??? and ???culture???. The research postulated that a person???s identity influences his or her behaviour. It also argued that culture would impact on behaviour. The theoretical orientation drew on interpretivist perspectives. Using a comparative cross-cultural method, this research nominated the issues of organ donation and waste disposal behaviours in public places and the countries of Australia and Singapore for empirical study. Focus group research was employed. A total of sixteen focus groups were conducted ??? eight groups on organ donation (four in Sydney, Australia and four in Singapore) and eight groups on waste disposal behaviours (four in Sydney, Australia and four in Singapore). In line with the theoretical orientation, ???grounded theory??? was used to analyse the focus group transcripts. It is argued that a person???s decision to organ donation or waste disposal behaviour was intimately related to his or her identity. Cultural elements are critical constituents of identity. This is to say, cultural values, beliefs and attitudes have significant impact on social behaviours. These intricacies were made apparent when each issue was seen in the national contexts of Australia and Singapore. This research concludes that issues of identity can partly explain the type of decision a person makes about organ donation, and the kind of waste disposal behaviour a person enacts. It also argues that the effectiveness of campaign strategies can potentially be enhanced, if the strategies are responsive to people???s identities.

Thesis--Auburn University, 2009. / Abstract. Vita. Includes bibliographical references (p. 38).

Master Thesis Abstract Institute of Political Studies Faculty of Social Sciences Charles University in Prague Author: Pavithra Ramesh Supervisor: Janusz Salamon, Ph.D. E-mail: Pavithra.ramesh14@gmail.co m E-mail: janusz.salamon@univ- oxford.com Phone: +420774960096 Phone: +420731816202 Specialisation: IEPS Defense Planned: June 2017 Topic: Bioethics is the study concerned with the implications of medical procedures, technologies and treatments from the perspective of ethics, philosophy, law and its implementation. It encompasses a wide range of ethical concerns in relation to organ transplants, genetic engineering, artificial reproduction, euthanasia etc. My thesis is an attempt to probe into certain ethical nuances amidst the technological advances in the field of medicine. Particularly, with respect to organ trade in India. Since the origin of medicine the primal goals have followed the Hippocratic Oath of "Cure sometimes, treat often, comfort always." (Adams 1891). The questions this perception of early medicine leaves us with are: Have we withdrawn from the compassion and ethics prescribed with the advent of advanced lab technology? What are the issues around organ trade in India? What causes these issues? And how can this be dealt with? The approach to pursue the answers for the above, revolves around...

South Africa has a low organ donation and transplantation rate despite the availability of medical professionals with the expertise to perform such transplants. This can be attributed to various factors, such as knowledge and attitudes towards organ donation and transplantation. Despite the efforts of the Organ Donor Foundation in South Africa by conducting awareness and education campaigns organ donation rates remains low. There is a wide discrepancy in the rate of organ donation among the different ethnic groups in the country, perhaps due to a lack of knowledge or for cultural or religious reasons. Nurses, as health-care providers, have an important role to play in enabling patients and families to deal with the topic of organ donation. This cross-sectional study investigated the knowledge and attitudes of 268 pre-registration nursing students towards organ donation, at a nursing college in Mthatha, using an anonymous, self- administered questionnaire for data collection. A stratified convenient sampling method was used. The data was captured and analysed using the SPSS statistical package, Version 21; thereafter, descriptive and cross-tabulation analyses were performed on the data. Results: The majority of respondents (62.8%) were aware of organ donation with a small number (1.6%) registered as organ donors. Ethnicity and religion did not influence an individual's decision to donate his/her organs, which suggested that the decision was a personal one. There was no association between age group and willingness to donate a kidney to a relative, although younger respondents were willing to donate kidneys as living donors. There was also no clear relationship between gender and willingness to donate an organ (p-values of 0.03). Knowledge about organ donation was seen as a strong predictor of the attitudes towards organ donation. The majority of respondents were willing to donate organs for transplantation to save the lives of others. It is highly recommended from the results of the study that awareness campaigns to promote organ donation using various strategies and emphasising altruistic motives can increase the organs for donation.

Excerpt: The recent study by Floden, Lennerling, Fridh, Rizell and Forsberg [1] concluded that using the Attitude Towards Organ Donor Advocacy Scale (ATODAS) is ready for use in future research studies because it has good psychometric properties for measuring ICU nurses’ attitudes towards advocacy on behalf of potential and actual organ donors. However, that conclusion is not supported by the data in the study because of lack of evidence of measurement validity

The state of Maryland has been unsuccessful in achieving its goal of registering all of its population as organ donors. The purpose of this correlational study was to understand if allowing registered donors to remain anonymous would increase donor registration rates. The theoretical foundation of this study was the theory of planned behavior. Data were collected from the Motor Vehicle Administration of Maryland and the Division of Motor Vehicle of Virginia. The data were analyzed using regression displacement, interrupted time series analysis, auto correlation analysis, and Arima Box Jenkins methodology. According to the study findings, offering the option to remain anonymous and registering to be an organ donor with no heart icon on the driver's license did not have the immediate effect of encouraging more people to register as an organ donor. Parameter estimates from an Arima autoregression analysis did suggest that the impact of the removal of the heart icon may have a delayed impact, although data availability limited attempts at further investigation.

This thesis is divided in three chapters: (i) introduction to organ donation, (ii) rationale, implementation and design of a pilot observational study currently underway and (iii) justification for use of a waived consent model for observational research studies on organ donor care. Organ donation is a complex event that remains a mystery to most health care providers. The first chapter reports knowledge gaps in clinical management of deceased organ donors across Canada and summarizes ongoing trials in organ donor care. The persistent deficit in transplantable organs along with the limited scientific evidence to guide the clinical management of the organ donor justify the need for a national research program in organ donor care. There are logistical and methodological challenges unique to the design and conduct of research on deceased donors. To identify potential stakeholders involved in the process of organ donation and to provide an accurate description of usual management of deceased donor and assess its variability, we developed and initiated a prospective observational study called DONATE. The second chapter of this thesis described the pilot phase of this study. It contains the following sections: i) objectives of the study ii) the screening process, iii) data collection, iv) clinical outcomes, v) methods of measurement, vi) analysis plan and vii) strategies used to minimize the biases inherent to observational studies. The normative goal of obtaining informed consent from participants may not be appropriate for an observational study in organ donor care. The third chapter summarizes the justification for use of a waived consent model for observational studies of organ donation medicine. In this chapter, I discuss regulatory, ethical and logistical issues relevant to use of a waived consent model in organ donation research. / Thesis / Master of Science (MSc) / Organ donation saves lives and it is the most effective therapy available to treat end stage organ failure of a number of organs. Unfortunately, there is a growing gap between the number of donors and the number of patients waiting for transplantation. This thesis summarizes the foundational work of a national research program in deceased donor management. It describes the study design of a 4 centre prospective observational study in deceased donor management with outcome assessment on corresponding organ-recipients. This thesis also contains a justification for waiving the procurement of consent to research on organ donor management. Finally, it will inform investigators of future national multicentre observational studies on design and implementation issues related to donor management, in order to improve care provided to donors and outcomes of recipients while reducing the gap between transplant needs and organ supply.