Moderator Effect of Transplant Waiting Time on the Relationship Between Hopelessness and Death Anxiety in Patients Waiting for Organ Transplant.

The study aimed to examine the moderator effect of organ transplant waiting time on hopelessness and death anxiety. The study was conducted in a descriptive and correlational design with 378 patients on the transplant waiting list (Agust 2021- March 2022). Multiple linear regression and PROCESS macro-Model 1 were used in the analyses. In this study, the STROBE checklist was followed. According to the results of the regression analysis, waiting for a transplant for 6-10 years reduced death anxiety by 9.38 times and waiting for a transplant for 16-20 years increased death anxiety by 31.3 times. The predictors in the regression analysis explained 33% of the model. The moderator effect constituted 6.4% of the explained part of the model, which was 25.4%; the R2 change was 3.4% and significant. We found that the longer the waiting period for organ transplant recipients, the higher the hopelessness and death anxiety.

Assessment of Somatic Support Process for Pregnant Brain Death Patients Occurring in a Transition Country Between Asia and Europe from Medical, Ethical, Legal and Religious Aspects.

In spite of the fact that brain death during pregnancy is not a common occurrence, it is an important ethical problem for all cultures and religions can have a significant influence on the donation decision after brain death. Therefore, this study aimed to present the case of a pregnant patient developing brain death which occurred in our intensive care unit and to compare the medical, ethical and legal problems relating to pregnant cases developing brain death with 24 cases in the literature. A 21-year-old 19-week pregnant case with gestational diabetes was monitored in the anesthesia intensive care unit and developed brain death due to intracranial mass and intraventricular hemorrhage. Though brain death is a situation well understood by organ transplant professionals, brain death developing in pregnant patients still involves many medical, ethical and legal problems.

Organ Transplantation Preparations During the COVID-19 Pandemic.

The COVID-19 pandemic has led to a decrease in organ donation rates and the temporary mandatory closure of transplantation centers. The suspension or restriction of organ transplantation operations during the pandemic has led to adverse situations affecting patients waiting for organs, and complicating the care of recipients. In Turkey, as throughout the world, the allocation of the majority of intensive care beds to COVID-19 patients has caused a significant decrease in the number of cadaver donors. In the light of current information, very little is known about the spread of COVID-19, the biological behavior, pathogenesis, and long-term morbidity. Therefore, organ donors who have tested positive for COVID-19 may cause negative outcomes, not only for the recipient, but also for the transplantation team, the organ supply organization, and the hospital personnel. When all these points are taken into consideration, it is recommended that COVID-19-positive patients should not be organ donors. Nurses working at several stages of the organ transplantation process should be aware of this. When the necessary collaboration with nurses is achieved, the organ transplantation process will be successful. This paper can be considered to shed light on unknown aspects of the COVID-19 pandemic and to contribute to nursing training.

Two significant concepts in organ donation: Empathic tendency and altruism.

INTRODUCTION: The aim of this study was to investigate the effect of an empathic tendency and altruism on organ donation. MATERIAL AND METHOD: This descriptive and relationship-seeking research included adults who responded to a questionnaire delivered by e-mail with the snowball sampling method. The sample comprised 269 subjects according to 99% power and significance level of α = 0.05. Data were collected using a Personal Information Form, Empathic Tendency Scale, Altruism Scale, and the Organ Donation Attitude Scale. RESULTS: A positive, strong, statistically significant relationship was determined between the empathic tendency and altruism scales and the organ donation and transplantation scale (p < 0.001). Empathic tendency and altruism were determined to affect the positive attitude subscale of the organ donation attitude scale at the rate of 11.9%. CONCLUSION: The findings indicate that programs that foster empathy and compassion should be implemented in order to foster a positive attitude about organ donation.

Determination of the factors affecting organ donation: Voluntary organ donors.

INTRODUCTION: In Turkey, even if a person wishes to be an organ donor while alive, approval from the family is required after brain death. Therefore, many potential organ donations are lost as approval cannot be obtained from the family of the deceased. The aim of this study was to determine the factors affecting organ donation. METHOD: A total of 219 organ donation documents of Voluntary Organ Donors (VOD) were examined in a public hospital. The information examined included the age, gender, occupation, marital status, and place of birth of the donor, the number of organs donated, and the person from whom permission should be requested after brain death. RESULTS: Of the total organ donors, 62.6% were aged 19-25 years, 67.6% had a high level of education, 35.6% stated that permission should be sought from their father, and 69% were born in the Mediterranean region. A significant relationship was determined between age and the number of organs donated (p < 0.05). CONCLUSION: It can be recommended that education about organ transplantation and donation is given in regions where donor rates are low and there are groups with a high mean age, and a low education level of nurses. It could also be effective for nurses to lead organ donation campaigns to be able to increase the number of donations.

Does religious attitude affect organ donation and transplantation?

INTRODUCTION: While the reasons for opposition to organ donation and transplantation include several factors such as socioeconomc status, education and culture, religious belief has been reported to be the most important factor. AIM: The aim of this study was to determine the effect of the religious attitude on organ donation and transplantation. MATERIAL AND METHOD: The study universe of this descriptive and relational study comprised adults living in the city centre of Kahramanmaras. To give 99% power and a significance level of α = 0.05, the sample was formed of 406 individuals who agreed to participate in the study between February and March 2021. The study data were collected using a Personal Information Form, the Religious Attitudes Scale, and the Organ Donation Attitude Scale. In the data analysis, descriptive statistics were stated as mean and standard deviation values, number, and percentage. Correlation and regression analyses were performed to determine the relationship between religious belief and attitude to organ donation and transplantation. RESULTS: The study participants comprised 84% females, 76.82% were aged 18-28 years, 92.1% were university graduates and 71.7% were not working. Of the total participants, 86.0% stated that nobody close to them had undergone organ transplantation, 92.6% that nobody close to them was waiting for organ transplantation, 50.7% that they had received positive information from a religious perspective about organ donation, 82.0% that they had not sought information themselves about organ donation, 67.2% that they had received no education about organ transplantation, 46% that they found the education given sufficient, 66.7% that they knew about the organ and tissue donation system, and 49.0% that they thought official approval was not required for organ donation. As a result of the correlation and regression analyses, a statistically significant relationship was determined between religious attitude and the subdimension of fear of medical neglect in the the Organ Donation Attitude Scale (p < 0.05). CONCLUSION: The results of this study demonstrated a relationship between religious attitudes and the attitude to organ transplantation. In the light of this result it can be recommended that a multidisciplinary team is established, including nurses and religious clerics, for the public to have correct information for the evaluation of organ transplantation from a religious perspective and to eliminate the concerns of society on this subject.

The effect on gastrointestinal system functions, pain and anxiety of acupressure applied following laparoscopic cholecystectomy operation: A randomised, placebo-controlled study.

The aim of this randomised, placebo-controlled, 3-way blinded study was to determine the effect on GIS symptoms, pain and anxiety of acupressure applied for a total of 12 min, as 3 min at each of the ST25, CV12, TH6, and HT7 acupuncture points, at 0, 4 and 8 h after laparoscopic cholecystectomy operation. The research data were collected using a patient data collection form, the Numeric Pain Intensity Scale and the State-Trait Anxiety Inventory. The patients were evaluated in respect of the time to first flatus and defecation, pain and the State-Trait Anxiety points at 0, 4, and 8 h postoperatively. The application of acupressure was determined to have signficantly reduced acute postoperative pain and shortened the time to defecation (p < 0.05). The application of acupressure can be recommended in the nursing interventions following laparoscopic cholecystectomy to reduce acute pain and shorten the time to defecation.

Level of Job Satisfaction Among Organ Transplant Coordinators and Difficulties Experienced by Them.

OBJECTIVE: This study, which we believe will contribute to more successful transplant processes, was carried out to evaluate the level of job satisfaction among organ transplant coordinators and the difficulties experienced by them. MATERIALS AND METHODS: As a cross-sectional study, this research was conducted between July 15, 2018, and August 8, 2018, through the support of the organ transplant coordinators working in the Turkish National Coordination Centre. Sociodemographic characteristics, insititutional difficulties and Minnesota Satisfaction Questonnaire were used for data collection. For the evaluation of the collected data, mean, standard deviation, t test, the Kruskal-Wallis test, and the Pearson and Spearman correlation analyses were used. FINDINGS: Forty-eight percent of the organ transplant coordinators in this study experienced difficulties in getting overtime pay, whereas 38.2% experienced difficulties in getting the wages they deserved. A significant difference (P < .05) was found between having professional certification and job satisfaction level and between coordination system working unit and job satisfaction level. There was a negative correlation between job and job satisfaction level (P < .05). CONCLUSION: It will be useful to provide the necessary support to overcome the difficulties experienced by transplant coordinators and to increase job satisfaction levels.