Barriers and Facilitators to Eye Donation in Hospice and Palliative Care Settings: A Scoping Review

Background: The need for eye tissue for use in sight saving and sight restoring surgery is a global issue. Approximately 53% of the world's population has no access to interventions such as corneal transplantation. Low levels of eye tissue impact on service providers such as National Health Ser...

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Main Authors: Banyana Cecilia Madi-Segwagwe, Mike Bracher, Michelle Myall, Tracy Long-Sutehall
Format: Article
Language:English
Published: Mary Ann Liebert 2021-06-01
Series:Palliative Medicine Reports
Subjects:
Online Access:https://www.liebertpub.com/doi/full/10.1089/PMR.2021.0017
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author Banyana Cecilia Madi-Segwagwe
Mike Bracher
Michelle Myall
Tracy Long-Sutehall
author_facet Banyana Cecilia Madi-Segwagwe
Mike Bracher
Michelle Myall
Tracy Long-Sutehall
author_sort Banyana Cecilia Madi-Segwagwe
collection DOAJ
description Background: The need for eye tissue for use in sight saving and sight restoring surgery is a global issue. Approximately 53% of the world's population has no access to interventions such as corneal transplantation. Low levels of eye tissue impact on service providers such as National Health Service Blood and Transplant who aim to achieve a weekly stock of 350 eyes but do not meet this target. Aim: Patients who die in hospice and palliative care settings could be potential donors; therefore the aim of this systematic scoping review was to identify the potential for eye donation and barriers toward it from these clinical contexts. Design: A scoping review following the Joanna Briggs scoping review methodology was applied to search the global literature. Results: 13 articles from the global literature were retrieved. Evidence indicate that 542 patients could potentially have donated their eyes. Key barriers to increasing eye donation include the reluctance of healthcare professionals to raise the option of eye donation and the evidenced lack of awareness of patients and family members about donation options and eligibility. This review also indicates a lack of clinical guidance drawn from high-quality evidence proposing interventions that could inform clinical practice and service development. Conclusion: The scoping review presented here provides an up-to-date view of the current potential for, perceptions toward, and practice underpinning offering the option of eye donation to dying patients and their family members in hospice and palliative care context.
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spelling doaj.art-4ae169bc581647bcb28e0baec9e9173a2024-01-26T04:57:16ZengMary Ann LiebertPalliative Medicine Reports2689-28202021-06-012117518710.1089/PMR.2021.0017Barriers and Facilitators to Eye Donation in Hospice and Palliative Care Settings: A Scoping ReviewBanyana Cecilia Madi-SegwagweMike BracherMichelle MyallTracy Long-SutehallBackground: The need for eye tissue for use in sight saving and sight restoring surgery is a global issue. Approximately 53% of the world's population has no access to interventions such as corneal transplantation. Low levels of eye tissue impact on service providers such as National Health Service Blood and Transplant who aim to achieve a weekly stock of 350 eyes but do not meet this target. Aim: Patients who die in hospice and palliative care settings could be potential donors; therefore the aim of this systematic scoping review was to identify the potential for eye donation and barriers toward it from these clinical contexts. Design: A scoping review following the Joanna Briggs scoping review methodology was applied to search the global literature. Results: 13 articles from the global literature were retrieved. Evidence indicate that 542 patients could potentially have donated their eyes. Key barriers to increasing eye donation include the reluctance of healthcare professionals to raise the option of eye donation and the evidenced lack of awareness of patients and family members about donation options and eligibility. This review also indicates a lack of clinical guidance drawn from high-quality evidence proposing interventions that could inform clinical practice and service development. Conclusion: The scoping review presented here provides an up-to-date view of the current potential for, perceptions toward, and practice underpinning offering the option of eye donation to dying patients and their family members in hospice and palliative care context.https://www.liebertpub.com/doi/full/10.1089/PMR.2021.0017end-of-life careeye donationpalliative careperceptionpracticescoping review
spellingShingle Banyana Cecilia Madi-Segwagwe
Mike Bracher
Michelle Myall
Tracy Long-Sutehall
Barriers and Facilitators to Eye Donation in Hospice and Palliative Care Settings: A Scoping Review
Palliative Medicine Reports
end-of-life care
eye donation
palliative care
perception
practice
scoping review
title Barriers and Facilitators to Eye Donation in Hospice and Palliative Care Settings: A Scoping Review
title_full Barriers and Facilitators to Eye Donation in Hospice and Palliative Care Settings: A Scoping Review
title_fullStr Barriers and Facilitators to Eye Donation in Hospice and Palliative Care Settings: A Scoping Review
title_full_unstemmed Barriers and Facilitators to Eye Donation in Hospice and Palliative Care Settings: A Scoping Review
title_short Barriers and Facilitators to Eye Donation in Hospice and Palliative Care Settings: A Scoping Review
title_sort barriers and facilitators to eye donation in hospice and palliative care settings a scoping review
topic end-of-life care
eye donation
palliative care
perception
practice
scoping review
url https://www.liebertpub.com/doi/full/10.1089/PMR.2021.0017
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AT michellemyall barriersandfacilitatorstoeyedonationinhospiceandpalliativecaresettingsascopingreview
AT tracylongsutehall barriersandfacilitatorstoeyedonationinhospiceandpalliativecaresettingsascopingreview