title: Implementation and Sustainability of European Training Program on Organ Donation in Poland: Results and the Impact on Donation Indicators.
abstract: BACKGROUND
  Hospital training called ETPOD-Essentials in Organ Donation-was introduced in Poland in 31 hospitals with under-utilized potential of donation. The aim of this study was to assess the effect in hospitals included and not included in program, before and after trainings.
  
  
  METHODS
  The number of potential and effective donors, organs used, and number (%) of family refusals were compared at 10 and in 20 months after the training and in equal periods before.
  
  
  RESULTS
  In trained hospitals, the number of potential donors increased (17% in 10 months, 10% in 20 months); in remaining hospitals, donors increased in 5% in both periods. In hospitals included in ETPOD, the number of effective donors increased (2% and 4.5%); in the whole country, donors also increased (5.6% and 2.7%). In ETPOD hospitals, the number of utilized organs increased (14.5% and 8.5%); in the rest, the increase was 3% and 7%. In trained hospitals, family refusals increased from 6.9% to 16.2% and from 8.9% to 10.7%; in the whole country, family refusals decreased from 11.7% to 11% in the short term and increased from 9.6% to 12.1% in the long term.
  
  
  CONCLUSIONS
  In hospitals involved in the ETPOD program, the increase in organ donation is greater than in the rest of hospitals. Distinct benefit was observed in consent to organ donation.
authors.affiliation: Department of Surgical and Transplant Nursing, Medical University of Warsaw, Warsaw, Poland; Polish Transplant Coordinating Center Poltransplant, Warsaw, Poland. Electronic address: jczerwinski@poltransplant.pl.
authors.forename: J
authors.initials: J
authors.lastname: Czerwiński
authors.affiliation: Department of Health Psychology, Children's Memorial Health Institute, Warsaw, Poland.
authors.forename: A
authors.initials: A
authors.lastname: Jakubowska-Winecka
authors.affiliation: Department of Transplantation and General Surgery, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.
authors.forename: A
authors.initials: A
authors.lastname: Woderska
authors.affiliation: Department of Anesthesiology, Intensive Care and Emergency Medicine, Medical University of Silesia, Sosnowiec, Poland.
authors.forename: J
authors.initials: J
authors.lastname: Wilk
authors.affiliation: Department of Neurosurgery, Medical University of Białystok, Poland.
authors.forename: W
authors.initials: W
authors.lastname: Łebkowski
authors.affiliation: Department of Anesthesiology and Intensive Therapy, Pomeranian Medical University of Szczecin, Poland.
authors.forename: R
authors.initials: R
authors.lastname: Bohatyrewicz
authors.affiliation: OPEN Training and Consulting, Poznan, Poland.
authors.forename: A
authors.initials: A
authors.lastname: Krawulska-Biegańska
authors.affiliation: Department of Anesthesiology and Intensive Therapy, District Hospital, Kalisz, Poland.
authors.forename: W
authors.initials: W
authors.lastname: Iwańczuk
authors.affiliation: Polish Transplant Coordinating Center Poltransplant, Warsaw, Poland; Department of Transplantation and General Surgery, Poznan Provincial Hospital, Poznan, Poland.
authors.forename: W
authors.initials: W
authors.lastname: Czapiewski
authors.affiliation: Second Department of Anesthesiology and Intensive Therapy, Medical University of Warsaw, Poland.
authors.forename: T
authors.initials: T
authors.lastname: Kubik
authors.affiliation: Second Department of Anesthesiology and Intensive Therapy, Medical University of Warsaw, Poland.
authors.forename: R
authors.initials: R
authors.lastname: Becler
authors.affiliation: Department of Surgery, Fourth Military Clinical Hospital, Wrocław, and Faculty of Health Science, Wrocław Medical University, Wrocław, Poland.
authors.forename: D
authors.initials: D
authors.lastname: Patrzałek
authors.affiliation: Department of Gastroenterology and Transplant Surgery, Central Clinical Hospital, Ministry of Internal Affairs and Administration in Warsaw, Poland.
authors.forename: D
authors.initials: D
authors.lastname: Zielińska
authors.affiliation: Department of Surgical and Transplant Nursing, Medical University of Warsaw, Warsaw, Poland; Polish Transplant Coordinating Center Poltransplant, Warsaw, Poland.
authors.forename: R
authors.initials: R
authors.lastname: Danielewicz
mesh_terms: D001291:Attitude of Health Personnel; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D007318:Inservice Training; D008505:Medical Staff, Hospital / Q000193:education*; D011044:Poland; D014019:Tissue Donors / Q000706:statistics & numerical data; D009927:Tissue and Organ Procurement / Q000458:organization & administration / Q000706:statistics & numerical data*