Human Organ Donation: Does Knowledge Correlate with Intention?

Abstract

One increasing form of social distress in the USA today is the increasing number of ill Americans who die while awaiting a life-saving organ (Satel, 2008). While organ donation is a life saving practice supported by 95 per cent of Americans, only half of the U.S. population is registered to donate organs. To explore this discrepancy between attitudes and behaviors relating to organ donation, 135 New Yorkers completed an anonymous 25-item survey to assess individuals' accurate knowledge of organ donation and their organ donor practices. Results support the researchers' two hypotheses: (a) individuals who possess more accurate information about organ donation practices are more likely to be organ donors (r=.225, p<.01) and (b) are more likely to have had experience with organ donation, either directly or indirectly (r =.247, p <.01). These findings have implications for the organ donation community, specifically the focus of campaigns that seek to increase the number of registered organ donors.     

Reducing Public Misinformation About Organ Donation: An Experimental Intervention

Abstract

The shortage of life-saving human organs for transplantation today is a growing and international problem. A recent survey in this Journal found that people with “more accurate information about organ donation practices are more likely to be organ donors (r= .225, p< .01)” (Nickols, Stack, Viviano, & Whitney, 2008, p. 240). How much can a factual 20-minute message about organ donation significantly increase people's knowledge and pro-donation behavior? In this field experiment, 101 students in two urban colleges completed a one-page survey before and after an expert's 20-minute message. The survey assessed participants' knowledge about organ donation from 0 (low) to 40 (high), biodata, self-reported experiences, and behavior in the past (registered organ donor) and future (consider becoming a donor). As hypothesized: (1) Pre-message knowledge about organ donation was moderate (mean = 21.8 on the 0-40 scale), and rose significantly after the message (mean = 28.6, p < .01). (2) This knowledge positively correlated with consideration to register in the future as an organ donor (r = +.41; p < .001 post-presentation). (3) However, there was no significant correlation of prior donor registration with knowledge prior to the message (r = +.08) or after the message (r = +.04). From these findings, it seems a brief FAQ fact-sheet or DVD would be highly useful to increase people's accurate knowledge about donations.     

Bringing Collaborative Teaching into Doctoral Programs: Faculty and Graduate Student Co-teaching as Experiential Training

We discuss faculty-graduate student collaborative teaching as a model to enhance programmatic graduate teacher training efforts. Co-teaching can improve graduate training through intensive support and engagement, while also enhancing the teaching experience of faculty and the learning experience of undergraduates. This form of classroom collaboration between faculty mentors and graduate students provides important hands-on teacher training, emphasizes pedagogical reflexivity, and offers support within a mentorship relationship. Faculty can use co-teaching with graduate students to explore classroom techniques and reassess their teaching. We conclude with strategies for implementing effective collaborative teaching models.     

Exploring the Use of the Stages of Change Model to Increase Organ Donations Among African Americans

Abstract

The success of organ transplants is affected by the degree of antigen match between donor and recipient. With organ transplants among African Americans, finding a good antigen match is difficult. While the consent rate for organ donations among Caucasians is 50%, this rate among African Americans is only 12%. The resulting ratio of donors to “recipients” is 1 to 9 in African Americans. The majority of organs received by African Americans come from Caucasian donors, thereby reducing the probability of an antigen match and increasing the probability of organ rejection. These circumstances could be improved if the organ donation rate eamong African Americans was increased. There is some empirical support for the theory that behavior change occurs through identifiable stages. This paper presents evidence for the construct validity of a stage of change measure suitable for use in designing and evaluating attempts to promote organ donations in the African American community. Use of this measure also permits clinicians to assess how receptive a client will be to organ donation promotional material. Use of this measure offers the possibility of refining approaches to organ donations among African Americans. Increases in the donor rate will result in a larger pool of antigen compatible organs in this subpopulation.     

Cultures of the soul: spiritual beliefs about organ donation in China and the United States

Spiritual beliefs shape ideas about the meaning of life, the moment of death, and the care that must be taken to deliver the body of the loved one to the spiritual realm. This study investigated spiritual beliefs about organ donation for participants in China (n = 364) and the United States (n = 384). Results showed that spiritual connection with the transplant recipient, spiritual concern about removing organs, and attitudes toward organ donation significantly predicted willingness to become an organ donor for participants in both countries. Americans reported being significantly more religious compared to Chinese. However, altruism and religiosity were not significant predictors of willingness to donate organs. Chinese participants showed significantly higher levels of spiritual connection with the potential recipient of transplanted organs. Even so, Chinese participants exhibited more reluctance to become organ donors compared to Americans. Gender differences in organ donation behaviors are also reported. The study discusses the implications of the findings for structuring organ procurement campaigns that will address spiritual beliefs about organ donation.     

'SELLING BLOOD': CHARACTERISTICS AND MOTIVATIONS OF STUDENT PLASMA DONORS

This multimethod study examines selected characteristics and the motivational dynamics of remunerated blood plasma donation by U . S . university students . Ten percent of students surveyed reported selling plasma . In comparison to nondonors and nonremunerated student Red Cross donors , paid student plasma donors tended to be predominantly male and from higher income families and to have higher rates of employment while in school . They also exhibited greater rates of alcohol consumption and cigarette smoking . Drawing on focus - group and individual interviews , the authors describe the student plasma donation experience , with particular emphasis on motivational dynamics . Unlike nonremunerated Red Cross donors , plasma donors do not feel a strong identification with the altruistic aspects of the blood donor role . Rather , they are motivated to continue donating in order to secure an easy source of pocket money , which they tend to spend freely , especially on social drinking in student bars . Among students willing to sell plasma more than a few times , self - deferral from long - term donation tended to result from growing concerns about the physical effects of continuing donation , increases in disposable income from other sources , or both . The article concludes with a discussion of the implications of the findings for social policy and for future research .     

Problems experienced by students on field placement: using research findings to inform curriculum design and content

Recent recognition of workplace learning from within the University sector has resulted in more emphasis being placed on including field experiences in course curriculum across a range of disciplines. This article begins with a short review of the literature relating to the current context in which work-based learning occurs. Next, selected findings from a survey of 39 Victorian social work students on their experiences of placement learning are reported. The survey focused on problems encountered by students on placement. A number of the problems students faced suggested the need for additional opportunities both before and during the placements to engage with material on safety in the field, and ways to deal with workplace stress and conflict. In response to these issues the article summarises some pedagogical strategies that may be used to enhance student learning in these areas both leading up to and during their field placements. In addition to matters relating to safety and stress, financial pressures were evident for students endeavouring to complete field placements. The recent moves from universities to embrace industry based learning, clearly has implications for funding support made available to students undertaking this type of education.     

Organ donation and reciprocity

The willingness to donate organs post-mortem varies considerably both across and within countries. Linking these differences to personal characteristics is an important focus of research investigating the supply of donor organs. Anecdotal evidence and previous findings indirectly suggest that the desire to reciprocate others’ (un)willingness to donate organs plays an important role in the decision to become an organ donor. We use individual measures of reciprocity in a large, representative survey in Germany and relate these to organ donation attitudes and behavior. Higher positive reciprocity is associated with a higher general willingness to donate organs, but it does not correlate with donor card possession. Individuals with higher negative reciprocity have a lower general willingness to donate organs and are less likely to have a donor card. Our findings open up the possibility of a double dividend of measures that increase organ donations. These could yield an additional increase of organ donations via a feedback loop through reciprocity.     

Profiling Donors of Blood,Money, and Time

Understanding donor profiles is crucial for donor relationship management. Whereas previous research has focused on profiling blood, money, or time donor segments separately, we define seven donor profiles based on their former donation behavior for blood, money, and time donation and compare them to non‐donors. Relying on representative data from the German Socio Economic Panel, we use an extensive set of characteristics that include sociodemographic, psychographic, health‐related, and geographical measures and simultaneously investigate profiles of donors for single and multiple donation forms and non‐donors by means of a multinomial logistic model. Our results reveal valuable insights for donor acquisition and retention strategies of nonprofit organizations along the identified profiling characteristics of donor segments. By this, our findings help nonprofit organization managers to better target single and multiple donors across three donation forms.     

Effects of Donor Priority Strategy on Relationship Fundraising Outcomes

Nonprofit organizations commonly implement donor priority strategies, yet little research has explored the effects of this relationship strategy. Whereas previous research highlighted the positive effects of benefit segmentation and analyzed donor motives to choose a specific donation level, this study investigates the effects of priority benefit perception on relationship factors such as donor satisfaction, donor loyalty, upgrade/downgrade intentions, and voluntary behavior. Based on data from the German cultural sector—804 donors of a friend circle that differentiates two donation levels—the results of the partial least squares path analysis show that donors' perception of priority benefits positively affects donor satisfaction and donor loyalty. The study also shows that a priority strategy negatively influences intentions to downgrade among higher‐prioritized donors and positively enhances intentions to upgrade among lower‐prioritized donors. Applying multigroup comparison the authors find that most relationship effects do not differ significantly across higher‐ and lower‐prioritized donors. This study thereby supports the implementation of donor priority strategy among cultural organizations because of its advantages for developing strong relationships with donors of all levels. Several managerial recommendations are given; for example, managers should better implement only a few instead of a large number of donor levels, should determine carefully which benefits to offer at the different levels, and analyze the donor base in order to identify donors with strong potential for upgrading.     

How Sunday, price, and social norms influence donation behaviour

We describe a natural field experiment investigating donation behaviour. The setting was an art gallery where donations could be deposited into a transparent box in the foyer. Two aspects of the donation environment were manipulated: signs on the donation box and the initial contents of the box. We used three sign treatments: a control with no sign, a sign that thanked donors, and a sign that indicated donations would be matched. We used two initial contents treatments: one with relatively little money ($50) and one with four times as much. The average donation per donor was significantly larger in the $200 treatments but this was offset by a decrease in the propensity to donate. In the matching treatments donations were significantly larger both at the per donor and per visitor level. A control variable turned out to have the largest influence on donation behaviour: the day of the week. The average donation per visitor was 51% higher on Sundays, when compared to every other day of the week.     

Organ Donation and Transplantation in India: An Inquiry in Kerala

Until recently, financial incentive was the prime motivation in transplantation of kidneys from nonrelated living donors in India. Prior to the Human Organ Transplantation Act of 1994, it was legal in all states of India to purchase and merchandise organs, eliminating the opportunity for black markets currently created by the enormous demand for organs. Eight years later, the question remains on how if at all The Act has changed the way organ donation is viewed and conducted in India. This study reveals attitudes and beliefs about organ donation in India from the perspectives of the doctors and the public. Interviewees expressed concerns and fears over the implementation of The Act. Mistrust of the medical profession and concerns about illegal buying and selling of organs were some major issues brought forth by the public. Additional issues were the need for public education, advertisement, and role models to promote organ donation in India. All interviewees had prior knowledge of organ donation and did not require explanation of the concept. No one interviewed was opposed to organ donation. Many participants were aware of organ donation through Ashwaria Roy, a former Miss World who does advertising campaigns promoting cornea donation in India.     

Majority size and conformity behavior in charitable giving: Field evidence from a donation-based crowdfunding platform in Japan

A charitable donor typically imitates the majority contribution of other donors. This study examines the relationships between majority size and this so-called donor’s conformity behavior, by empirically investigating the impacts of multiple earlier donations on the donation of a subsequent donor to JapanGiving, a donation-based crowdfunding platform in Japan. This analysis is possible because the platform’s webpage displays the previous donation amounts in chronological order, thus allowing us to examine the modal amount of more recent donations. By using data on 9989 actual donations, our dynamic panel analysis suggests that when the number of most recent continuous modal donations increases, the likelihood that a subsequent donor matches the modal amount increases. This result supports the notion that a donor’s conformity behavior is more likely to occur when a greater proportion of other donors give a similar amount. Furthermore, the effects of continuous modal donations are strongly observed for low monetary ranges. We interpret that initiating further cooperation among a large number of less cooperative other donors would become harder, or individuals would obtain an excuse for less cooperation due to the others’ behaviors. Finally, we discuss how our findings connect economic studies of charity and social psychology studies of conformity and could help improve the effectiveness of fundraising by charities.     

Modelling the role of anticipated emotions in blood donor behaviour: A cross-sectional study

For blood transfusion centres, studying anticipated emotions (AEs) related to blood donation is essential, since these variables influence donation decision. For this reason, this work addresses the need to identify the antecedents and consequences of AEs, which will help explain their origin and their role in donation behaviour. Our purpose is to make further progress with the application of the AE framework in a non-profit context, by analysing how AEs are generated and how they influence decision-making. This study aims to design and validate an explanatory model of donation intention, where motivations and attitude towards donation are direct antecedents of AEs, while AEs, motivations and attitude towards donation act as direct antecedents of intention. Moreover, it has been also considered how the type of donor influences the proposed model as a moderating factor. The final sample is comprised of 35,982 active donors, inactive donors and non-donors. Data was obtained through an online questionnaire, with the collaboration of 14 of the 17 Spanish blood transfusion centres, as well as some universities. Results indicate that (1) AEs, motivations and attitude towards donation are direct antecedents of donation intention, (2) motivations and attitude towards donation are direct antecedents of AEs, and (3) donation experience moderates the relationships between motivations, attitude towards donation, AEs, and donation intention. These results indicate several operational implications that will enable blood transfusion centres to better design and target donation promotion campaigns according to type of donor. Furthermore, the results will let centres assess whether placing value on donation motivation and attitude towards donation can bolster positive AEs, diminish negative AEs and have a direct effect on donation intention.     

Enhancing social work student learning: converging Bronfenbrenner,Bourdieu and practice learning

ABSTRACT

Social work student field placements can be complex, challenging and demanding for the practice educator and student. In this paper a model of practice education is explored that incorporates the theoretical constructs of Bronfenbrenner’s ecological framework and Bourdieu’s concepts of habitus, capital and field. Through the application of these constructs, the practice educator can enhance the student’s learning and development in three distinctive ways. These will be explored and presented as a model that facilitates the practice educator in supporting the student during their placement and in the preparation for professional practice.     

Public Attitudes Toward the Ethics of Organ Donation

Abstract

This study expanded on previous investigations exploring public attitudes toward the human rights issues involved in organ donation practices and personal support for these practices. Participants included college and graduate students, and senior citizens (N = 99). Attitudes were assessed prior to and following the presentation of a brief informational DVD on major organ donation practices. Results indicated that participants were largely divided in their attitudes toward human rights issues, as well as in personal support for donation practices. Registration status was correlated with education, r = .47, p < .001. Support for donation incentive programs varied. Registered donors showed a change in attitudes toward human rights issues, t(22) = 2.18, p = .04. For non-registered donors, personal support for donation practices decreased after viewing the DVD, t(51) = - 3.06, p = .004. Results are discussed in terms of implications for increasing donation.     

Organ Transplantation as a Family Issue: Living Liver Donors in Japan

The global criticism of organ trafficking and transplant tourism requires many countries to pursue legal protection of living organ donors for organ transplantation. Japan is one of the criticized countries: more than 26 000 people have become living organ donors. This paper presents an exploration of living liver transplantation in Japan from legal, social and ethical perspectives. Since the first living liver transplantation in 1989, the cases have increased, with extremely high dependency in spite of a few deaths and cases of severe disability. Government and professional guidelines stipulate that living donors be “relatives” so that living organ transplantation can be privatized and regarded as a family issue, although it is strictly limited to altruistic cases in some countries. Based on results of the Living Liver Donor Survey conducted in 2004, Japanese liver donors have had various experiences. Most male donors were employed, felt some obligation and had concerns about financial effects or employment during decision‐making. In contrast, only a quarter of female donors were employed, felt guilty for their children, and did not have opportunities for regular health checkups after donation. Severe tensions and family break‐up were observed in adult‐to‐adult cases, although donors were satisfied with donation overall. The author suggests that we should rethink privatization of living organ donation and that independent advocates should support potential donors. Further research is necessary to explore the reasons why organ donation is privatized even in some forms of cadaver cases in Japan.     

Facilitating Shared Online Group Learning between Carers,Service Users and Social Work Students

We report on our progress in developing a pilot online group teaching innovation with 14 participants, including five service users and carers, and nine social work students. Enhancing student learning by providing shared educational opportunities between students, service users, and carers can be a challenge to organise but the project demonstrates some success in doing so. The evaluation suggests that even the smallest level of service user and carer involvement can enhance student learning and personal development during social work education and training.     

Virtual Worlds and Social Work Education

ABSTRACT

The introduction of computerised virtual worlds in the early twenty-first century was considered to be an innovation that would be widely used in higher education. There are a number of examples of virtual worlds used for higher education in medicine, nursing, and allied health, including examples in social work. The aim of this article is to explore the potential value of virtual-world technology to enhance the student learning experience for social work education in interpersonal communication skills in a virtual health centre. Findings of a study of Australian undergraduate social work students who engaged in a role play in a virtual health centre for skill development in interpersonal communication are presented. The study findings highlight issues for social work educators to consider when deciding whether or not to use virtual-world technology in social work education, and when designing further research on similar innovations.     

Encouraging Creativity in the Social Work Classroom: Insights from a Qualitative Exploration

Creativity is vital to the learning process of social work students. Despite its importance, educators are still uncertain of ways to enhance creativity and translate it from classroom to practice. Therefore, this study examines social work student perspectives on ways to define creativity, infuse it into the classroom, and apply it as practitioners. This study qualitatively explores the open-ended insights of 37 social work students. Through an unguided semantic analysis and application of Kolb’s experiential learning theory, the following themes emerged: classroom, creativity, performance, activities, and ideas. These themes indicate that students believe that additional creative opportunities in their classrooms would eventually benefit them as practitioners. Further pedagogical emphasis on increasing student creativity through experiential learning activities would be beneficial.