The role of nurses in advancing organ donation: a review paper
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20261450Keywords:
Organ donation, Transplant, Coordinator, Brain dead, NursesAbstract
Organ transplantation is an effective treatment for patients suffering from end-stage organ failure caused by diseases, accidents, or congenital conditions. However, the success of transplantation largely depends on the availability of donated organs. Despite medical advancements and improved survival rates after transplantation, the demand for organs continues to exceed supply. In India, the organ donation rate remains extremely low compared to many developed countries, resulting in a large number of preventable deaths each year. Limited awareness, cultural beliefs, and misconceptions about organ donation contribute to this shortage. Healthcare professionals, particularly nurses, play a crucial role in promoting organ pledging and increasing organ donation. Through patient and family education, identification of potential donors, counselling, and coordination of the donation process, nurses can significantly influence decisions regarding organ donation. Literature also suggests that training and awareness programs for healthcare workers can improve knowledge, attitudes, and participation in organ donation activities, thereby helping to bridge the gap between organ demand and availability.
References
Hall JE. Guyton and Hall textbook of medical physiology. 13th ed. Philadelphia: Elsevier. 2016.
WHO. WHO guiding principles on human cell, tissue and organ transplantation. Geneva: WHO. 2010. Available at: https://www.who.int/health-topics/transplantation. Accessed on 22 February 2026.
Morris PJ, Knechtle SJ. Kidney transplantation: principles and practice. 7th ed. Philadelphia: Elsevier. 2014.
National Organ and Tissue Transplant Organization (NOTTO). Annual report. New Delhi: Ministry of Health and Family Welfare. 2022. Available at: https://notto.mohfw.gov.in/?utm_source=chatgpt.com. Accessed on 22 February 2026.
Rithalia A, McDaid C, Suekarran S, Myers L, Sowden A. Impact of presumed consent for organ donation on donation rates: systematic review. BMJ. 2009;338:a3162. DOI: https://doi.org/10.1136/bmj.a3162
Government of India. Transplantation of human organs and tissues act, 1994 (amended 2014). New Delhi: Ministry of Health and Family Welfare. 2014. Available at: https://www.notto.gov.in/. Accessed on 22 February 2026.
Wakefield CE, Watts KJ, Homewood J, Meiser B, Siminoff LA. Public knowledge and attitudes toward organ donation: systematic review. Prog Transplant. 2010;20(4):380-91. DOI: https://doi.org/10.1177/152692481002000412
Kosare S, Gala A. Brain death and organ donation. Res Inno Anesth. 2019;4(2):45-9. DOI: https://doi.org/10.5005/jp-journals-10049-0073
Irving MJ, Tong A, Jan S, Cass A, Rose J, Chadban S, et al. Community attitudes to deceased organ donation: systematic review. Transplantation. 2012;93(10):1055-63. DOI: https://doi.org/10.1097/TP.0b013e31824db997
Karaman A, Akyolcu N. Role of intensive care nurses in organ donation. Pak J Med Sci. 2019;35(4):1115-21. DOI: https://doi.org/10.12669/pjms.35.4.1285
Oluyombo R, Fawale MB, Ojewola RW, Busari OA, Ogunmola OJ, Olanrewaju TO, et al. Knowledge regarding organ donation and willingness to donate among health workers in South-West Nigeria. Int J Organ Transplant Med. 2016;7(1):19-26.
Schaeffner ES, Windisch W, Freidel K, Breitenfeldt K, Winkelmayer WC. Knowledge and attitudes regarding organ donation among medical students and physicians. Transplantation. 2004;77(11):1714-8. DOI: https://doi.org/10.1097/00007890-200406150-00015
Oluyombo R, Fawale MB, Ojewola RW, Busari OA, Ogunmola OJ, Olanrewaju TO, et al. Knowledge regarding organ donation and willingness to donate among health workers in South-West Nigeria. Int J Organ Transplant Med. 2016;7(1):19-26.
Alashek W, Ehtuish E, Elhabashi A, Emberish W, Mishra A. Reasons for unwillingness of Libyans to donate organs after death. Libyan J Med. 2009;4:110-3. DOI: https://doi.org/10.3402/ljm.v4i3.4827
Robert P, Bégin F, Ménard-Castonguay S, Frenette AJ, Quiroz-Martinez H, Lamontagne F, et al. Attitude and knowledge of medical students about organ donation-training needs identified from a Canadian survey. BMC Med Educ. 2021;21(1):368. DOI: https://doi.org/10.1186/s12909-021-02736-2
Tzenalis A, Kontesidou E, Kipourgos G, Andreopoulou E, Gkotsi A, Albani E. Nurses' attitudes and knowledge about organ donation and transplantation in closed hospital wards. J Crit Care Med (Targu Mures). 2025;11(4):409-16. DOI: https://doi.org/10.2478/jccm-2025-0041
Thilly Roth N, Åkerman E. Critical care nurses' perceptions and experiences of the organ donation process: a systematic review. Nurs Open. 2026;13(1):e70420. DOI: https://doi.org/10.1002/nop2.70420
Bertocchi L, Petrucci C, Calzetta MA, Dante A, Curcio F, Lancia L, et al. Knowledge and attitudes toward organ donation and transplantation among nursing students: a multicentre cross-sectional study. Nurs Rep. 2025;15(6):181. DOI: https://doi.org/10.3390/nursrep15060181
Longo D, Ramacciati N, Giusti GD. Nurse specialist in the organ and tissue donation process with coordination role: a scoping review. Nurs Rep. 2025;15(2):39. DOI: https://doi.org/10.3390/nursrep15020039
Kumar M, Dhawan S, Chaudhary A, Dwivedi S, Kumari A. Organ donation in India and nurses as a change to lead in organ donation: scoping review of organ donation. Asian J Nurs Educ Res. 2021;11(3):321-5. DOI: https://doi.org/10.52711/2349-2996.2021.00077