Spanish and Latin American nursing personnel and deceased organ donation: a study of attitude.
OBJECTIVE
To analyze the attitude of nursing personnel about organ donation and transplantation in hospitals in Spain and Latin America, and factors that affect this attitude.


METHODS
Data were selected from 12 hospitals and 32 primary care centers participating in an international study (Proyecto Donante, Murcia) in 4 countries including Spain (n = 650), Mexico (n = 428), Cuba (n = 89), and Costa Rica (n = 27). The sample was random and stratified by type of service among nursing personnel (n = 1194). Attitude was evaluated using a psychosocial questionnaire.


RESULTS
Of nursing personnel surveyed, 77% (n = 922) were in favor of organ donation. No differences were found according to whether they were directly involved in transplantation-related services (P < .05). Attitude in favor of organ donation varied between countries: 92% in Cuba, 85% in Costa Rica, 80% in Mexico, and 73% in Spain (P < .001) This attitude was also related to donation of a family member's organs (P < .001), having discussed organ donation and transplantation within the family (P < .001), the concept of brain death (P < .001), fear of body mutilation (P < .001), and manipulation of the body after death (P = .001).


CONCLUSIONS
Attitude toward deceased organ donation among nurses varies between countries. There is a discrepancy between those in favor vs actual donation rates in countries and work centers. These fears may become worse when donation is seen as common in daily clinical practice.
Ríos
A
A
Departamento de Cirugía, Hospital Universitario Virgen de la Arrixaca, Servicio Murciano de Salud, Murcia, Spain. ARZRIOS@teleline.es
Martínez-Alarcón
L
L
Ayala
M A
MA
Sebastián
M J
MJ
Abdo-Cuza
A
A
Alán
J
J
López-Navas
A
A
López-López
A
A
Ramírez
E J
EJ
Muñoz
G
G
Camacho
A
A
Suárez-López
J
J
Castellanos
R
R
Ramírez
R
R
Rodríguez
J
J
Martínez
M A
MA
Nieto
A
A
Ramis
G
G
Ramírez
P
P
Parrilla
P
P
D000328:Adult; D000367:Age Factors; D001294:Attitude to Health; D002102:Cadaver; D003364:Costa Rica; D003462:Cuba; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D008297:Male; D017533:Marital Status; D008800:Mexico; D009726:Nurses / Q000523:psychology*; D009741:Nursing Staff, Hospital / Q000523:psychology*; D013030:Spain; D011795:Surveys and Questionnaires; D009927:Tissue and Organ Procurement / Q000706:statistics & numerical data*