title: Building a successful DCD program: planning and leading change.
abstract: In Canada, there is a growing gap between the number of organs donated each year and the number of organs needed for transplant. This gap is forcing health care professionals to re-examine end-of-life care and donation practices. In 2005, a national forum created recommendations for the development and implementation of donation after cardio-circulatory death programs. In this article, the authors outline the multifaceted approach needed for change in interdisciplinary clinical practice. Clinical nurse specialist leadership, ethics consultation, partnerships with key physician colleagues and administrators, as well as comprehensive workshops are described as essential for success. Lessons learned throughout are shared.
authors.affiliation: McGill University Health Centre, Montréal, QC.
authors.forename: Jane
authors.initials: J
authors.lastname: Chambers-Evans
authors.forename: Lisa
authors.initials: L
authors.lastname: Goulet
authors.forename: Wendy
authors.initials: W
authors.lastname: Sherry
authors.forename: Patricia
authors.initials: P
authors.lastname: Rose
authors.forename: Danielle
authors.initials: D
authors.lastname: Vigeant
authors.forename: Louise
authors.initials: L
authors.lastname: Fullerton
authors.forename: France
authors.initials: F
authors.lastname: Paquet
mesh_terms: D019985:Benchmarking; D003659:Decision Making, Organizational; D033061:Ethics Consultation; D007722:Health Knowledge, Attitudes, Practice; D006287:Health Planning Guidelines; D006301:Health Services Needs and Demand; D006323:Heart Arrest / Q000175:diagnosis; D006801:Humans; D007857:Leadership; D016294:Models, Nursing; D020380:Needs Assessment; D009720:Nurse Clinicians / Q000458:organization & administration*; D024802:Nurse's Role; D009936:Organizational Innovation; D010348:Patient Care Team / Q000458:organization & administration*; D010865:Pilot Projects; D010934:Planning Techniques; D016730:Program Development / Q000379:methods*; D011792:Quebec; D009927:Tissue and Organ Procurement / Q000941:ethics / Q000458:organization & administration*