ABSTRACT
INTRODUCTION: A favorable attitude toward organ donation and transplantation (ODT) is fundamental among health professionals at the time of transplant promotion. In this sense, the training and awareness of professionals are fundamental. OBJECTIVE: To analyze the differences in the attitude toward ODT and the factors that condition it among Andalusian medical and nursing students. METHODS AND DESIGN: The study is a sociologic, multicenter, observational study. The population includes medical and nursing students in Andalusian universities. Database of the Collaborative International Donor Project is used and data are stratified by geographic area and academic course. The instrument of measurement was a validated questionnaire (PCID-DTO-RIOS) that was handed out to every student in a compulsory session. Completion of the questionnaire was anonymous and self-administered. The sample included Andalusian medical and nursing students (99% confidence and precision of ±1%) stratified by geographic area and year of study. RESULTS: There was a completion rate of 91%; 79% (n = 2879) of Andalusian students were in favor of donation and 21% were not in favor. The attitude toward ODT is more favorable in medical compared with nursing students (80% vs 77%; P = .021). The psychosocial profile toward donation is similar in both groups relating to the following variables (P < .05): knowing a transplant patient, having received information about the subject, attitude toward family donation, and having discussed transplantation with family and friends. CONCLUSION: Andalusian medical students favored organ donation more than Andalusian nursing students, and the favorable attitude is associated with having an awareness of the subject.
Subject(s)
Health Knowledge, Attitudes, Practice , Organ Transplantation/psychology , Students, Medical/psychology , Students, Nursing/psychology , Tissue and Organ Procurement , Adult , Female , Humans , Male , Spain , Surveys and Questionnaires , Young AdultABSTRACT
INTRODUCTION: Recent immunological and transgenic advances are a promising alternative using limited materials of human origin for transplantation. However, it is essential to achieve social acceptance of this therapy. OBJECTIVE: To analyze the attitude of nursing students from Spanish universities toward organ xenotransplantation (XTx) and to determine the factors affecting their attitude. MATERIALS AND METHODS: Type of study: A sociological, multicentre, and observational study. STUDY POPULATION: Nursing students enrolled in Spain (n = 28,000). SAMPLE SIZE: A sample of 10 566 students estimating a proportion of 76% (99% confidence and precision of ±1%), stratified by geographical area and year of study. Instrument of measurement: A validated questionnaire (PCID-XenoTx-RIOS) was handed out to every student in a compulsory session. This survey was self-administered and self-completed voluntarily and anonymously by each student in a period of 5-10 min. STATISTICAL ANALYSIS: descriptive analysis, Student's t test, the chi-square test, and a logistic regression analysis. RESULTS: A completion rate: 84% (n = 8913) was obtained. If the results of XTx were as good as in human donation, 74% (n = 6564) would be in favor and 22% (n = 1946) would have doubts. The following variables affected this attitude: age (P < 0.001); sex (P < 0.001); geographical location (P < 0.001); academic year of study (P < 0.001); attitude toward organ donation (P < 0.001); belief in the possibility of needing a transplant (P < 0.001); discussion of transplantation with one's family (P < 0.001) and friends (P < 0.001); and the opinion of one's partner (P < 0.001). The following variables persisted in the multivariate analysis: being a male (OR = 1.436; P < 0.001); geographical location (OR = 1.937; P < 0.001); an attitude in favor of donation (OR = 1.519; P < 0.001); belief in the possibility of needing a transplant (OR = 1.497; P = 0.036); and having spoken about the issue with family (OR = 1.351; P < 0.001) or friends (OR = 1.240; P = 0.001). CONCLUSIONS: The attitude of nursing students toward organ XTx is favorable and is associated with factors of general knowledge about organ donation and transplantation and social interaction.
Subject(s)
Attitude , Organ Transplantation , Students, Nursing/statistics & numerical data , Transplantation, Heterologous , Female , Heterografts/immunology , Humans , Living Donors , Male , Organ Transplantation/methods , Students, Medical , Tissue and Organ Procurement/methodsABSTRACT
BACKGROUND: Health professionals who care for patients with imported diseases often lack enough training. The aim of the study is to assess the knowledge of Chagas disease among doctors and nurses attending at-risk pregnant women in our province. METHOD: descriptive study through a performed anonymous and voluntary knowledge questionnaire for 278 physicians and nurses working at maternity and children's health services in the three hospitals in the province. In Poniente Hospital was established in 2007 a program of screening for the disease in pregnant women. For statistical analysis, quantitative variables were described using the mean and standard deviation. For comparison of qualitative variables we used the chi-square test or Fisher exact test as appropriate. Differences in age and years of experience depending on the hospital were measured by Brown-Forsy the robust test. RESULTS: 116 (41.7%) professionals agreed to participate in the study. 80 (69%) were women and 36 (31%) men, mean age 36.78 years. By professional categories, physicians have a mean of 73.9% correct responses, the nurses 50.7%. Poniente Hospital had the highest percentage of correct answers on aspects of the geographical distribution of the disease (73.7%), the mechanisms of transmission (86%) and diagnosis (82.5%). CONCLUSIONS: The Poniente Hospital professionals generally have a better Knowledge about Chagas disease compared with two other professionals hospitals, which probably is related to the existence of the screening program for the disease.
Subject(s)
Chagas Disease , Clinical Competence , Medical Staff , Midwifery , Nursing Staff , Pregnancy Complications, Infectious , Adult , Chagas Disease/diagnosis , Chagas Disease/epidemiology , Child , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Pregnancy , Pregnancy Complications, Infectious/diagnosis , Pregnancy Complications, Infectious/epidemiology , Pregnancy Complications, Infectious/parasitology , Spain , Surveys and QuestionnairesABSTRACT
Fundamentos: Los profesionales sanitarios de la provincia de Almería atienden a pacientes con enfermedades importadas para las que en muchas ocasiones carecen de suficiente formación. El objetivo del estudio fue valorar los conocimientos que tienen sobre diferentes aspectos de la enfermedad de Chagas los profesionales médicos y de enfermería que trabajan en tres hospitales de Almería atendiendo a mujeres gestantes. Método: estudio descriptivo trasversal realizado en el año 2011 a través de un cuestionario, anónimo y voluntario, a 278 sanitarios (personal médico y personal de enfermería) del área materno-infantil de los tres hospitales de la provincia. En el hospital de Poniente se instauró en 2007 un programa de despistaje de la enfermedad en mujeres embarazadas. Para el análisis estadístico, las variables cuantitativas se describieron con la media y su desviación estándar. Para la comparación de las variables cualitativas se utilizó la prueba chi2 de Pearson o la prueba exacta de Fisher según correspondiera. Resultados: 116 (41,7%) profesionales aceptaron participar en el estudio. 80 (69%) fueron mujeres y 36 (31%) hombres, con edad media de 36,78 años. El personal médico presentó una media de respuestas correctas del 73,9% y el personal de enfermería del 50,7%. El hospital de Poniente tuvo mayor porcentaje de respuestas correctas en aspectos relativos a la distribución geográfica de la enfermedad (73,7%), los mecanismos de transmisión (86%) y el diagnóstico (82,5%). Conclusiones: Los profesionales del hospital de Poniente presentan de forma general un mejor conocimiento de la enfermedad de Chagas en comparación con los profesionales de los otros dos centros hospitalarios, lo que probablemente se relaciona con la existencia del programa de despistaje de la enfermedad(AU)
Background: Health professionals who care for patients with imported diseases often lack enough training. The aim of the study is to assess the knowledge of Chagas disease among doctors and nurses attending at-risk pregnant women in our province. Method: descriptive study through a performed anonymous and voluntary knowledge questionnaire for 278 physicians and nurses working at maternity and children's health services in the three hospitals in the province. In Poniente Hospital was established in 2007 a program of screening for the disease in pregnant women. For statistical analysis, quantitative variables were described using the mean and standard deviation. For comparison of qualitative variables we used the chi-square test or Fisher exact test as appropriate. Differences in age and years of experience depending on the hospital were measured by Brown-Forsythe robust test. Results: 116 (41.7%) professionals agreed to participate in the study. 80 (69%) were women and 36 (31%)men,mean age 36.78 years. By professional categories, physicians have a mean of 73.9% correct responses, the nurses 50.7%. Poniente Hospital had the highest percentage of correct answers on aspects of the geographical distribution of the disease (73.7%), the mechanisms of transmission (86%) and diagnosis (82.5%). Conclusions: The Poniente Hospital professionals generally have a better Knowledge about Chagas disease compared with two other professionals hospitals, which probably is related to the existence of the screening program for the disease(AU)
