• Knowledge, attitudes, and behavior of Nigerian students toward organ donation

      Ibrahim, Musa Saulawa; Randhawa, Gurch; University of Bedfordshire (Elsevier, 2017-09-18)
      The Nigerian transplantation program is evolving but is currently over-reliant on living donors. If deceased donation is to be viable in Nigeria, it is important to ascertain the views of the public. The objective of the study was to explore the knowledge, attitudes, and behavior of Nigerian international students toward organ donation. A cross-sectional study was conducted among Nigerian international students of the University of Bedfordshire through the use of a modified self-administered questionnaire. The participants were recruited by means of purposive sampling. Of the 110 questionnaires distributed, 103 were returned fully completed (response rate = 93.6%). A significant majority (93.2%) of the participants are aware of organ donation, and 76.7% have a good knowledge on the subject. Furthermore, more than half (52.8%) of the participants have a positive attitude toward organ donation, and less than half (42.8%) have favorable behavior toward it. Higher knowledge does not correlate to either positive attitude or behavior, but a positive attitude is correlated with favorable behavior toward donation. The attitudes and behavior of the respondents toward organ donation is not commensurate with the level of knowledge they possess. This highlights the urgent need for well-structured educational programs on deceased organ donation. BACKGROUND METHODS RESULTS CONCLUSIONS
    • The potential role of social capital in the willingness to be a deceased organ donor: a case study of UK Polish migrants

      Sharp, Chloe; Randhawa, Gurch; University of Bedfordshire (Elsevier USA, 2016-04-01)
      Background In the United Kingdom, the demand for transplantable organs exceeds supply, leaving many patients on the active transplant waiting list with the majority on dialysis as the kidney is the most commonly transplanted organ. This is a marked issue across black, Asian, and minority ethnic communities. This article uses the Polish migrant community as a case study for making new theoretical insights into the willingness to become an organ donor in a host country using social capital theory. Methods There were 31 participants who took part in interviews and small group discussions. Grounded theory methodology was used as the study explored the relationships between deceased organ donation, religion, and Mauss's gift-exchange theory and the notion of social capital arose as an emergent theme from the study. Results Elements of social capital were explored with participants such as social networks, civil engagement, trust, and reciprocity. Polish social networks were found to be small and the formation of networks to be influenced by English language skills. Participants were willing to donate organs to others inside and outside of their social networks in the United Kingdom and wanted to help a patient in need and influenced by the overall migrant experience in the United Kingdom and whether they felt a sense of belonging. Overall, participants had mixed experiences and views about trust in the National Health Service. Conclusions Through a discussion of the results using a communitarian social capital, cognitive and structural social capital lens, and collective-action theory, it is concluded that an interplay of these social capital theories can reframe debates within organ donation such as reciprocity policies, the relevancy of altruism, and the role of migration experiences and networks in the willingness to donate organs posthumously in a host country.
    • Role of religion in organ donation - development of the United Kingdom Faith and Organ Donation Action Plan

      Randhawa, Gurch; Neuberger, J.; University of Bedfordshire; National Health Service Blood and Transplant (Elsevier USA, 2016-04-01)
      At a national policy level, the United Kingdom is at the forefront of recognizing the role of faith and its impact on organ donation. This is demonstrated by the recommendations of the Organ Donation Taskforce, National Institute for Clinical Excellence guidelines on organ donation, All-Party Parliamentary Kidney Group, and National Black, Asian and Minority Ethnic Taskforce Alliance. Evidence to date shows that further thought is required to ensure the active engagement of faith communities with organ donation in the UK. The "Taking Organ Transplantation to 2020" strategy was launched in July 2013 by National Health Service Blood and Transplant (NHSBT) in collaboration with the Department of Health and Welsh, Scottish, and Northern Irish governments and seeks to increase the number of people, from all sections of the UK's multiethnic and multifaith population, who consent to and authorize organ donation in their life. NHSBT seeks to work in partnership with faith leaders and this culminated in a Faith and Organ Donation Summit. Faith leaders highlight that there is a need for engagement at both national and local levels concerning organ donation as well as diagnosis and definition of death.