Bric study - Burnout and resiliency levels among organ donation coordinators: Research protocol
Vanessa Silva e Silva1,2,3, Laura Hornby3, Ken Lotherington3, Amber Appleby3, Amina Silva1,2,3, Andrea Rochon1,2,3, Sonny Dhanani4.
1Research Institute, Children's hospital of Eastern Ontario, Ottawa, ON, Canada; 2School of Nursing, Queen's University, Kingston, ON, Canada; 3Canadian Blood Services, Ottawa, ON, Canada; 4School of Medicine, University of Ottawa, Ottawa, ON, Canada
Canadian Donation and Transplantation Research Program.
Background: Numerous research studies have highlighted the importance of the organ and tissue donation coordinator (OTDC) to the success of organ donation3-7, 10. However, facing challenging and stressful scenarios on a daily basis often leads to burnout, attrition, and compassion fatigue among OTDCs7-9. Unfortunately, for some OTDCs, coping with emotions and quality expectations is overwhelming and they may resign in less than 3 years7, 9. Increased turnover rates of OTDCs would likely have significant impact on the ability of Organ Donation Organizations to optimize donation. We are proposing an innovative way of dealing with burnout: identifying and intervening in the causes to avoid losing experienced and exceptional OTDCs.
Phase 1: a Joanna Briggs Institute systematic scoping review will be conducted to answer the question: What experiences of burnout, compassion fatigue, and/or attrition among OTDCs worldwide have been reported?
Phase 2: a mixed-method study based on the scoping review results will be conducted to identify the extent of the problem among Canadian OTDCs.
Phase 3: an interventional study will be developed and implemented to address the main issues faced by OTDCs in Canada. Methods overview: figure 1.
Expected Results: Phase 1 will generate findings about burnout and turnover among coordinators worldwide. Phase 2 will determine unknown characteristics and extent of this issue in Canada. Phase 3 will contribute to the healthcare system by improving OTDCs mental health and, consequently, the quality of organ donation processes.
Conclusion: The findings generated by this three-step study will inform the creation and implementation of tailored interventions to address the issue. Interventions will ease the burden felt by OTDCs and help them strive professionally/emotionally, consequently reducing turnover rates. Less burnout and turnover will result in more experienced and satisfied staff, leading to more donors and better experiences by families approached to consent for donation.
 1. Elizalde J, Lorente M. Coordinación y donación. Anales del Sistema Sanitario de Navarra. 2006;29:35-43.
 2. Rachmani R. The organ donation process—workshop. Transplantation Proceedings.32(4):759-60.
 3. Karatzas T, Menoudakou G, Chatzixiros E, Kyrkou B, Maleskou S, Kostakis A. Improving the Organ Transplantation Program in Greece: Institution of Local Transplant Coordinators' Network. Transplantation Proceedings. 2007;39(4):793-6.
 4. Salim A, Brown C, Inaba K, Mascarenhas A, Hadjizacharia P, Rhee P, et al. Improving Consent Rates for Organ Donation: The Effect of an Inhouse Coordinator Program. Journal of Trauma-Injury Infection & Critical Care. 2007;6(26).
 5. Sarlo R, Pereira G, Surica M, Almeida D, Araújo C, Figueiredo O, et al. Impact of Introducing Full-time In-house Coordinators on Referral and Organ Donation Rates in Rio de Janeiro Public Hospitals: A Health Care Innovation Practice. Transplantation Proceedings. 2016;48(7):2396-8.
 6. Silva VSe, Moura LC, Martins LR, Santos RCCd, Schirmer J, Roza BdA. In-house coordination project for organ and tissue procurement: social responsibility and promising results Revista Latino-Americana de Enfermagem. 2016;24:e2773.
 7. Taylor G, McGaw J, Mayes G, Cossé TJ, Weisenberger T. The coordinator attrition problem in the United States: myth or reality? Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO). 1998;8(2):88.
 8. Jesse MT, Abouljoud MS, Hogan K, Eshelman A. Burnout in Transplant Nurses. Progress in Transplantation. 2015;25(3):196-202.
 9. Mao P, Cai P, Luo A, Huang P, Xie W. Burnout and Related Factors in Organ Donation Coordinators: A Cross-Sectional Study in China. Annals of transplantation. 2018;23:647.
 10. Sarti AJ, Sutherland S, Healey A, Dhanani S, Landriault A, Fothergill-Bourbonnais F, et al. A Multicenter Qualitative Investigation of the Experiences and Perspectives of Substitute Decision Makers Who Underwent Organ Donation Decisions. Progress in Transplantation. 2018;28(4):343-8.
There are no comments yet...