title: Resource barriers to the facilitation of organ and tissue donation reported by Australian emergency clinicians.
abstract: OBJECTIVE
  To explore emergency department clinicians' perceived resource barriers to facilitating organ and tissue donation (OTD).
  
  
  METHODS
  A cross-sectional national online survey of Australian emergency department (ED) clinicians.
  
  
  RESULTS
  ED clinicians reported a range of resource barriers that hinder the facilitation of OTD, most notably a lack of time to discuss OTD with a patient's family (74.6%). Those reporting more resource barriers had been less involved in OTD-related tasks. For example, those reporting a lack of time to assess a patient's suitability to be a potential donor had less experience with OTD-related tasks in the last calendar year than did those who reported that they often or always have enough time for this (P<0.01). In addition, ED clinicians working in DonateLife network hospitals were more involved in OTD-related tasks (P<0.01) and reported fewer resource shortages in the ED and the hospital overall.
  
  
  CONCLUSIONS
  Resource shortages hinder the facilitation of OTD in the ED and are related to decreased involvement in OTD-related tasks. In addition, ED clinicians working in DonateLife hospitals are more involved in OTD-related tasks and report fewer resource shortages overall. Addressing resource shortages and extending the DonateLife network could benefit OTD rates initiated from the ED.
authors.affiliation: Emergency Practice Innovation Centre, St. Vincent's Hospital Melbourne, 35 Victoria Parade, Fitzroy, VIC. 3065, Australia. claudia.marck@svhm.org.au
authors.forename: Claudia H
authors.initials: CH
authors.lastname: Marck
authors.forename: George A
authors.initials: GA
authors.lastname: Jelinek
authors.forename: Sandra L
authors.initials: SL
authors.lastname: Neate
authors.forename: Bernadine M
authors.initials: BM
authors.lastname: Dwyer
authors.forename: Bernadette B
authors.initials: BB
authors.lastname: Hickey
authors.forename: Tracey J
authors.initials: TJ
authors.lastname: Weiland
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001315:Australia; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital / Q000458:organization & administration / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006295:Health Resources / Q000592:standards / Q000706:statistics & numerical data*; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D015279:Organizational Culture; D016134:Organizational Policy; D013997:Time Factors; D014019:Tissue Donors / Q000600:supply & distribution*; D009927:Tissue and Organ Procurement / Q000706:statistics & numerical data*; D014850:Waiting Lists; D000078329:Workforce; D055815:Young Adult