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Attitude of Nursing Staff toward Organ Donation in a Spanish Hospital with a Solid-Organ Transplant Program

available, and many factors contribute to the shortage. In Spain, a country with one of the highest deceased donation rates in the world and with a coordination model (the Spanish model) that minimizes loss of donors due to lack of detection, the main reason for loss of potential donors is refusal of their family members to donate. Family refusal causes the loss of 1 out of every 4 or 5 potential donors. In addition to psychosocial factors in the population, one of the barriers that appears to prevent the procurement of more transplant organs is that a considerable number of hospital professionals may be opposed to organ donation. Usually, organ donation and transplantation activities have been focused on physicians, but we now know that physicians have the most favorable attitudes toward organ donation of all hospital personnel. Therefore, we should concentrate our efforts on other subgroups of hospital personnel. In this respect, nurses are fundamental in the organ donation and transplantation process. Moreover, nurses frequently have more direct contact with patients and for longer periods than physicians do, which means that they have an important effect on such patients. Therefore nurses’ attitudes toward organ donation will affect patients and their families as well as the general public in a decisive way that is reinforced by nurses’ status as health care professionals. In this situation, it is a matter of great concern that various studies have shown that organ donation and transplantation generate stress among nurses and that nurses lack information on the topic, although some authors report that nurses have a very favorable attitude.