Organ donation in the accident and emergency department: a study of relatives' views.
OBJECTIVE
To determine whether recently bereaved people would object to being asked about organ donation immediately after the death of their relative.


METHODS
A telephone interview of 78 recently bereaved relatives of people who had died in an inner city accident and emergency (A&E) department; 68 (87%) agreed to participate in the study and were sent a questionnaire. Outcome measures were views on being asked about organ donation in the A&E department immediately after the death of a relative and knowledge of the possibility for organ donation in A&E after a sudden death.


RESULTS
37 questionnaires were returned: 27 (72.9%) of those who responded would not have minded being asked, five would have minded, and five did not know or did not fill in the questionnaire; 29 were aware that organs could be donated following a death in A&E. Only six people had discussed organ donation before the bereavement. Only two of the people who died and seven of their relatives carried a donor card. Sixteen had heard about the NHS donor register.


CONCLUSIONS
Most those responding would not have minded being asked about organ donation following a sudden death. More education is needed in two main areas: (1) to raise public awareness about the shortage of donor organs; (2) to improve the medical and nursing confidence in discussing these difficult issues sensitively but more openly and frequently.
Wellesley
A
A
Accident and Emergency Department, King's College Hospital, London.
Glucksman
E
E
Crouch
R
R
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001293:Attitude to Death; D001601:Bereavement; D003142:Communication; D003645:Death, Sudden; D004636:Emergency Service, Hospital; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D008131:London; D008297:Male; D008875:Middle Aged; D016377:Organ Transplantation / Q000523:psychology; D011368:Professional-Family Relations; D011795:Surveys and Questionnaires; D009927:Tissue and Organ Procurement / Q000379:methods*