'Brain Death' and Organ Retrieval: A Cross-Sectional Survey of Knowledge and Concepts Among Health Professionals
Youngner, Stuart J.
Landefeld, C. Seth
Coulton, Claudia J.
Juknialis, Barbara W.
JAMA. 1989 Apr 21; 261(15): 2205-2210.
The authors surveyed 195 physicians and nurses likely to be involved in organ procurement for transplantation to determine knowledge, personal concepts, and attitudes concerning brain death and organ donation. Thirty-five percent of those surveyed correctly identified the legal and clinical criteria for determining death. There was a wide variation in personal concepts of death, with most respondents not using a coherent concept consistently. Others held a concept of death that was consistent with expanding the definition of brain death. Twenty-three percent of the respondents opposed required request laws. The authors conclude that their survey demonstrates confusion about determining death and differences in concepts of death that have implications for procurement of organs for transplantation. They recommend that health professionals do more to resolve the issues in the definition and determination of death. (KIE abstract)
Anencephaly; Attitudes; Attitudes to Death; Brain; Brain Death; Comprehension; Death; Decision Making; Determination of Death; Education; Family Members; Health; Health Personnel; Hospitals; Internship and Residency; Knowledge; Laws; Nurses; Organ Donation; Organ Procurement; Persistent Vegetative State; Physicians; Required Request; Residency; Standards; Survey; Tissue Donation; Transplantation;
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Youngner, Stuart J.; Jackson, David L.; Coulton, Claudia; Juknialis, Barbara W.; and Smith, Era (United States. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research [under contract with the Commission], 1983)