title: Ancillary hospital personnel faced with organ donation and transplantation.
abstract: OBJECTIVE
  To reduce the number of family organ donation refusals, it is necessary not only to act on the general public but also on the health care system. In this respect, there are data suggesting that the percentage of hospital personnel against donation is high, especially among ancillary personnel. The objective herein was to analyze the attitudes of ancillary hospital professionals toward donation of their own organs and determine factors that conditioned such attitudes.
  
  
  METHODS
  A random sample in a third-level hospital with a solid organ transplant program was stratified by ancillary services: administrative, porters, maintenance, cleaning, and cooking. Attitudes toward donation of one's own organs after death were evaluated using a questionnaire on psychosocial aspects validated in our area. It included various psychosocial variables that could affect such attitudes. The Student t test and chi-square test were used to evaluate the data.
  
  
  RESULTS
  We analyzed 277 respondents of mean age 43 +/- 8 years and 96% women. The level of acceptance of organ donation was 64% (n = 178), whereas 46% were either against or undecided (n = 98). The variables which determined the attitudes were understanding of brain death (P = .004); attitude toward cadaveric manipulation, especially toward autopsy (P = .013) and cremation (P = .004); concern about mutilation after donation (P = .014); religion (P = .032); partner's attitude toward donation (P < .0001); and possibility of needing an organ in the future (P = .031).
  
  
  CONCLUSIONS
  Ancillary hospital personnel had similar attitudes toward donation as those of the general public as observed in other studies. The attitudes were determined by many psychosocial factors. A campaign to raise awareness among professionals has become a priority, given that working in a hospital, their unfavorable attitude could have a strong negative impact on the general public.
authors.affiliation: Departamento de Cirugía, Unidad de Trasplantes, Hospital Universitario Virgen de la Arrixaca, Murcia, España. ARZRIOS@teleline.es
authors.forename: A
authors.initials: A
authors.lastname: Ríos
authors.forename: C
authors.initials: C
authors.lastname: Conesa
authors.forename: P
authors.initials: P
authors.lastname: Ramírez
authors.forename: P J
authors.initials: PJ
authors.lastname: Galindo
authors.forename: L
authors.initials: L
authors.lastname: Martínez
authors.forename: O M
authors.initials: OM
authors.lastname: Fernández
authors.forename: M J
authors.initials: MJ
authors.lastname: Montoya
authors.forename: M M
authors.initials: MM
authors.lastname: Rodríguez
authors.forename: D
authors.initials: D
authors.lastname: Lucas
authors.forename: P
authors.initials: P
authors.lastname: Parrilla
mesh_terms: D000328:Adult; D001294:Attitude to Health; D004651:Employment; D005190:Family; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010564:Personnel, Hospital; D013030:Spain; D014019:Tissue Donors; D009927:Tissue and Organ Procurement; D014180:Transplantation