title: Successful international collaboration improves family donation conversations resulting in increased organ donation.
abstract: BACKGROUND
  Australian donation leaders recognized that to increase organ donation outcomes, health professionals conducting family donation conversations (FDCs) required support and specialist training. An international training institute with programs based on proven results was engaged to create and implement a customized training program to influence change in FDC practice and culture. The goal was to increase donation rates by developing and implementing a customized, self-sustaining training program to enhance FDC practices of health professionals. Other goals included providing training and communications skills to lead FDC, supporting families in making decisions, and influencing health professionals to adopt FDC practices.
  
  
  METHODS
  To gain support and determine program suitability, two 1-day pilot training sessions were provided to 45 Australian donation leaders in 2011. Training was further customized with an emphasis on creating changes to achieve and sustain desired results. A comprehensive national training plan was implemented over 18 months. Twenty-six 2-day FDC training workshops were held in 8 cities (646 participants). Program evaluations and debriefings showed distinct shifts in perspectives and an enthusiasm to implement new processes. In 2012 to 2013, an instructor program was developed to transition training facilitation. The training institute remains involved in development and training to build and sustain skill and expertise.
  
  
  RESULTS
  There was a 58% increase in organ donors in Australia from 2009 to 2013 (data reflect 2013 Australian end-of-year organ donation information). This represents a 36% increase in organ donors (2009-2011); the remaining 22% increase was achieved in the 2 years since the FDC training was implemented in Australia (2011-2013).
  
  
  CONCLUSIONS
  Improved skills training in the conduct of FDCs seem to have contributed to improved donation outcomes in national identification, request, and consent rates. The integration of another organization's process poses distinct challenges; thoughtful collaboration, sensitive to cultural aspects and family care, communication, and donation practices, can result in successful customized training that shifts perspectives, provides new skills, and achieves and sustains an increase in organ donation rates.
authors.affiliation: Gift of Life Institute, Gift of Life Donor Program, Philadelphia, Pennsylvania.
authors.forename: P
authors.initials: P
authors.lastname: Mulvania
authors.affiliation: Organ and Tissue Authority, Canberra City, Australia.
authors.forename: E
authors.initials: E
authors.lastname: Mehakovic
authors.affiliation: Gift of Life Institute, Gift of Life Donor Program, Philadelphia, Pennsylvania.
authors.forename: C
authors.initials: C
authors.lastname: Wise
authors.affiliation: Organ and Tissue Authority, Canberra City, Australia.
authors.forename: Y
authors.initials: Y
authors.lastname: Cass
authors.affiliation: Gift of Life Institute, Gift of Life Donor Program, Philadelphia, Pennsylvania. Electronic address: tdaly@giftoflifeinstitute.org.
authors.forename: T A
authors.initials: TA
authors.lastname: Daly
authors.affiliation: Gift of Life Institute, Gift of Life Donor Program, Philadelphia, Pennsylvania.
authors.forename: H M
authors.initials: HM
authors.lastname: Nathan
mesh_terms: D001315:Australia; D003142:Communication; D003162:Competency-Based Education / Q000458:organization & administration*; D003299:Cooperative Behavior; D003657:Decision Making; D005190:Family / Q000523:psychology*; D006801:Humans; D007391:International Cooperation; D009042:Motivation; D015397:Program Evaluation; D009927:Tissue and Organ Procurement; D014481:United States