title: Ancillary personnel in Spanish and Latin-American hospitals faced with living related kidney donation.
abstract: BACKGROUND
  Ancillary hospital personnel represent an important body of opinion because as they work in a hospital their opinion has more credibility for the general public as a result of their activity in hospitals. However, in most cases they do not have any health care training which means that their attitude could be based on a lack of knowledge or unfounded fears.
  
  
  OBJECTIVE
  To analyze the attitude toward living kidney donation (LKD) among ancillary personnel in Spanish and Latin-American hospitals and to analyze the variables that might influence such attitude.
  
  
  METHODS
  from «International Collaborative Donor Project» a random sample was taken among ancillary personnel in Spain, Mexico and Cuba hospitals. Attitude towards LKD was evaluated using a validated, anonymously filled and self-administered survey.
  
  
  RESULTS
  951 professionals were surveyed (Spain: 277, Mexico: 632, Cuba: 42). 89% (n=850) are in favor of related kidney donation, lowering to 31% (n=289) in non-related donation. Of the rest, 8% (n=78) are not in favor and the 3% (n=23) are unsure. By country, Cubans (98%) and Mexicans (91%) are more in favour than Spanish (84%) (P=.001). The following variables are related to favourable attitude towards LKD: female sex (P=.017), university degree (P=.010), work in health services (P=.035), labour stability (P=.016), personal experience in donation and transplantation (P=.001), positive attitude toward cadaveric donation (P<.001), belief that he or she might need a transplant in the future (P<.001), positive attitude towards living liver donation (P<.001), a willingness to receive a donated living liver if needed (P<.001), having discussed the subject of organ donation and transplantation within the family (P<.001), partner's positive attitude towards the subject (P<.001), participation in voluntary type pro-social activities (P=.002) and not being concerned about possible mutilation after donation (P<.001) CONCLUSIONS: The attitude toward living related kidney donation is favourable among ancillary personnel in Spanish and Latin-Americans hospitals. Because living donation is a better source of organs than cadaveric ones, this favourable predisposition can be used as promoting agent of living donation in order to develop it in Spanish-speaking countries.
authors.affiliation: Proyecto Colaborativo Internacional Donante (International collaborative Donor Projet), Murcia, España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, España; Unidad de Trasplantes, Servicio de Cirugía, Hospital Universitario Virgen de la Arrixaca, Murcia, España; Departamento de Cirugía, Universidad de Murcia, Murcia, España. Electronic address: ARZRIOS@teleline.es.
authors.forename: A
authors.initials: A
authors.lastname: Ríos
authors.affiliation: Proyecto Colaborativo Internacional Donante (International collaborative Donor Projet), Murcia, España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, España; Departamento de Psicología, Universidad Católica San Antonio, UCAM, Murcia, España.
authors.forename: A
authors.initials: A
authors.lastname: López-Navas
authors.affiliation: Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, México; HGSZ No, 10 del Instituto Mexicano del Seguro Social Delegación Guanajuato, Guanajuato, León, México.
authors.forename: M A
authors.initials: MA
authors.lastname: Ayala-García
authors.affiliation: Centro de Coordinación de Trasplantes, UMAE Hospital de Especialidades n.° 25 IMSS, Monterrey, México.
authors.forename: M J
authors.initials: MJ
authors.lastname: Sebastián
authors.affiliation: Centro de Investigación Médico-Quirúrgica, La Habana, Cuba.
authors.forename: A
authors.initials: A
authors.lastname: Abdo-Cuza
authors.affiliation: Proyecto Colaborativo Internacional Donante (International collaborative Donor Projet), Murcia, España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, España; Unidad de Trasplantes, Servicio de Cirugía, Hospital Universitario Virgen de la Arrixaca, Murcia, España.
authors.forename: L
authors.initials: L
authors.lastname: Martínez-Alarcón
authors.affiliation: Facultad de Medicina, Universidad de Guanajuato, Guanajuato, León, México.
authors.forename: E J
authors.initials: EJ
authors.lastname: Ramírez
authors.affiliation: CMN Siglo XXI del Instituto Mexicano del Seguro Social, México DF, México.
authors.forename: G
authors.initials: G
authors.lastname: Muñoz
authors.affiliation: Unidad de Intensivos, Coordinación de Trasplantes, Hospital Hermanos Ameijeiras, La Habana, Cuba.
authors.forename: J
authors.initials: J
authors.lastname: Suárez-López
authors.affiliation: Centro de Investigación Médico-Quirúrgica, La Habana, Cuba.
authors.forename: R
authors.initials: R
authors.lastname: Castellanos
authors.affiliation: Centro de Investigación Médico-Quirúrgica, La Habana, Cuba.
authors.forename: R
authors.initials: R
authors.lastname: Ramírez
authors.affiliation: Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, México; Facultad de Medicina, Universidad de Guanajuato, Guanajuato, León, México.
authors.forename: B
authors.initials: B
authors.lastname: González
authors.affiliation: Instituto de Salud Pública del Estado de Guanajuato, Guanajuato, León, México.
authors.forename: M A
authors.initials: MA
authors.lastname: Martínez
authors.affiliation: Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, México; HGSZ No, 10 del Instituto Mexicano del Seguro Social Delegación Guanajuato, Guanajuato, León, México.
authors.forename: E
authors.initials: E
authors.lastname: Díaz
authors.affiliation: Proyecto Colaborativo Internacional Donante (International collaborative Donor Projet), Murcia, España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, España; Unidad de Trasplantes, Servicio de Cirugía, Hospital Universitario Virgen de la Arrixaca, Murcia, España; Departamento de Cirugía, Universidad de Murcia, Murcia, España.
authors.forename: P
authors.initials: P
authors.lastname: Ramírez
authors.affiliation: Unidad de Trasplantes, Servicio de Cirugía, Hospital Universitario Virgen de la Arrixaca, Murcia, España; Departamento de Cirugía, Universidad de Murcia, Murcia, España.
authors.forename: P
authors.initials: P
authors.lastname: Parrilla
mesh_terms: D000328:Adult; D000720:Ancillary Services, Hospital; D001294:Attitude to Health; D003462:Cuba; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D019520:Living Donors; D008297:Male; D008800:Mexico; D009392:Nephrectomy; D013030:Spain; D011795:Surveys and Questionnaires; D020858:Tissue and Organ Harvesting; D000078329:Workforce
keywords: Actitud; Ancillary personnel; Attitude; Donante vivo; Hospital personnel; Living donor; Personal Hospitalario; Personal no sanitario