1. Critical care staff's skills and attitudes to organ donation in Rio de Janeiro, Brazil Preliminary results Lenzi, J.; Castro, I.; Paura, P.; Soares, B.; Cortes, J.; Guimarães, T.; Roels, L.; Rocha, E PROGRAMA ESTADUAL DE TRANSPLANTES RIO DE JANEIRO, RJ BRAZIL

2. Donor Action ® (DA) Program is a management tool designed to diagnose the gap between potential and effective organ donation in Intensive Care Units (ICU)  It is composed of three sections: a Medical Record Review (MRR), a Hospital Attitude Survey (HAS) and a Database System Rio de Janeiro is a 16-million population State, with low historical donation rates (< 5 p.m.p.) over the years Aim of this study: to evaluate Critical Care staffs’ skills and attitudes to organ donation, comparing professional categories' profile in public and private hospitals. Introduction & Objectives

3. Materials & Methods (1) STUDY POPULATION Critical Care professionals from 6 local hospitals (3 public and 3 private) who accepted to answer the HAS 502 ICU professionals  physicians: 108  Nurses and nurse technicians: 129  Others : 265 Data were collected between April 2010 and May 2011 and entered into the DA Database System for statistical analysis.

4. Materials & Methods (2) ICU professionals anonymously answered questions related to: SKILLS Self-reported CONFIDENCE and COMPETENCE on performing each donation-related task, including to address the subject of organ/tissue donation to families ATTITUDES Self-reported SUPPORT and BELIEFS to donation, including donation of their own organs/tissues or from their family members

5. Results (1) SKILLS Overall self-reported competence and confidence demonstrated inadequate skill levels global score: 0.78 /3. Medical staff showed the best performance in all topics related to skills, especially in the private sector.

6. Results (2) Regarding contact with potential donor families:  48% of staff felt COMFORTABLE  43.2% of staff felt COMPETENT to introduce the subject of organ donation.  40.2% of staff felt COMFORTABLE  37.3% of staff felt COMPETENT to obtain their consent. Analysis of reported educational needs indicated training priority on family issues in decision making, particularly in public hospitals.

7. Results (3) ATTITUDES Overall attitude score (2.32 /3) suggested an average support for organ donation, with similar results in public and private scenarios. Nursing staff manifested the highest belief that organ donation can save lives (97.7%) and also revealed the most positive attitude towards supporting donation (96.1%). Medical staff showed the best results in most of other questions about attitudes.

8. Results (4) 85.7% of participants would donate their own organs 75.7% of participants would donate their own tissues 63.9% of participants had already informed their relatives about their wishes.

9. Conclusions (1) ICU professionals from public and private hospitals in Rio de Janeiro reported very low skills to deal with the organ and tissue donation process. They especially demonstrated neither to feel competent nor confident to talk about organ donation with potential donor families.

10. Conclusions (2) In a country with informed consent legislation, a significant number of ICU professionals - although generally favorable to organ donation - has not yet discussed the subject with their own families. Our study suggests that educational actions to improve skills and attitudes must be taken and are mainly demanded to upgrade communication with potential donor families.