Eye donation in hospice and hospital palliative care settings: perceptions, practice, and service development needs – findings from a national survey

Abstract Objectives New routes for supply of eye tissue are needed in the UK to support transplant surgery and medical research. Hospice care (HC) and Hospital-based Palliative care (HPC) services represent potential supply routes. This paper reports findings from the survey arm of the Eye Donation...

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Main Authors: Tracy Long-Sutehall, Anna Zatorska, Michelle Myall, Christina Faull, Adam Hurlow, Sarah Mollart, Clare Rayment, Jill Short, Jane Wale, Emma Winstanley, Mike Bracher
Format: Article
Language:English
Published: BMC 2023-11-01
Series:BMC Palliative Care
Subjects:
Online Access:https://doi.org/10.1186/s12904-023-01300-7
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author Tracy Long-Sutehall
Anna Zatorska
Michelle Myall
Christina Faull
Adam Hurlow
Sarah Mollart
Clare Rayment
Jill Short
Jane Wale
Emma Winstanley
Mike Bracher
author_facet Tracy Long-Sutehall
Anna Zatorska
Michelle Myall
Christina Faull
Adam Hurlow
Sarah Mollart
Clare Rayment
Jill Short
Jane Wale
Emma Winstanley
Mike Bracher
author_sort Tracy Long-Sutehall
collection DOAJ
description Abstract Objectives New routes for supply of eye tissue are needed in the UK to support transplant surgery and medical research. Hospice care (HC) and Hospital-based Palliative care (HPC) services represent potential supply routes. This paper reports findings from the survey arm of the Eye Donation from Palliative and Hospice Care–Investigating potential, practice preference and perceptions study (EDiPPPP), objectives of which were to: i) Investigate existing practice in relation to eye donation across HC and HPC settings; ii) identify perceptions of HCPs toward embedding eye donation into routine end of life care planning; iii) investigate the informational, training, or support needs of clinicians regarding eye donation. Design Online survey of UK-based HC and HPC clinicians, distributed through professional organisations (Association of Palliative Medicine (UK); Hospice UK). Participants One hundred fifty-six participants completed (63% HC; 37% HPC—8% response rate, of n = 1894 approached). Results Majority of participants (63%, n = 99) supported raising eye donation (ED) with patients and families and agreed that ED should be discussed routinely with eligible patients. However, 72%, (n = 95) indicated that staff within their clinical setting did not routinely discuss the option of ED in end-of-life care planning conversations with the majority of participants reporting that the option of ED was not ‘routinely discussed in multi-disciplinary team or other meetings. Conclusions Despite significant support, ED is not part of routine practice. Attention to barriers to embedding ED and reducing knowledge deficits are urgently needed to increase the supply of eye tissue for use in transplant operations.
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spelling doaj.art-f6262baf8f2444f8b22c7610a22718b02023-11-12T12:33:20ZengBMCBMC Palliative Care1472-684X2023-11-0122111210.1186/s12904-023-01300-7Eye donation in hospice and hospital palliative care settings: perceptions, practice, and service development needs – findings from a national surveyTracy Long-Sutehall0Anna Zatorska1Michelle Myall2Christina Faull3Adam Hurlow4Sarah Mollart5Clare Rayment6Jill Short7Jane Wale8Emma Winstanley9Mike Bracher10School of Health Sciences, University of SouthamptonYork and Scarborough Teaching Hospital NHS Foundation TrustSchool of Health Sciences, University of SouthamptonLOROS HospiceLeeds Teaching Hospitals NHS TrustWest Suffolk Hospital NHS Foundation TrustMarie Curie HospiceRowans HospiceMilton Keynes University Hospital NHS Foundation TrustNational Health Service Blood and Transplant Services- Organ and Tissue Donation and Transplantation (NHS BT – OTDT)School of Health Sciences, University of SouthamptonAbstract Objectives New routes for supply of eye tissue are needed in the UK to support transplant surgery and medical research. Hospice care (HC) and Hospital-based Palliative care (HPC) services represent potential supply routes. This paper reports findings from the survey arm of the Eye Donation from Palliative and Hospice Care–Investigating potential, practice preference and perceptions study (EDiPPPP), objectives of which were to: i) Investigate existing practice in relation to eye donation across HC and HPC settings; ii) identify perceptions of HCPs toward embedding eye donation into routine end of life care planning; iii) investigate the informational, training, or support needs of clinicians regarding eye donation. Design Online survey of UK-based HC and HPC clinicians, distributed through professional organisations (Association of Palliative Medicine (UK); Hospice UK). Participants One hundred fifty-six participants completed (63% HC; 37% HPC—8% response rate, of n = 1894 approached). Results Majority of participants (63%, n = 99) supported raising eye donation (ED) with patients and families and agreed that ED should be discussed routinely with eligible patients. However, 72%, (n = 95) indicated that staff within their clinical setting did not routinely discuss the option of ED in end-of-life care planning conversations with the majority of participants reporting that the option of ED was not ‘routinely discussed in multi-disciplinary team or other meetings. Conclusions Despite significant support, ED is not part of routine practice. Attention to barriers to embedding ED and reducing knowledge deficits are urgently needed to increase the supply of eye tissue for use in transplant operations.https://doi.org/10.1186/s12904-023-01300-7Corneal donationEye donationTissue donationBehaviour changeHealth services researchEnd of life care
spellingShingle Tracy Long-Sutehall
Anna Zatorska
Michelle Myall
Christina Faull
Adam Hurlow
Sarah Mollart
Clare Rayment
Jill Short
Jane Wale
Emma Winstanley
Mike Bracher
Eye donation in hospice and hospital palliative care settings: perceptions, practice, and service development needs – findings from a national survey
BMC Palliative Care
Corneal donation
Eye donation
Tissue donation
Behaviour change
Health services research
End of life care
title Eye donation in hospice and hospital palliative care settings: perceptions, practice, and service development needs – findings from a national survey
title_full Eye donation in hospice and hospital palliative care settings: perceptions, practice, and service development needs – findings from a national survey
title_fullStr Eye donation in hospice and hospital palliative care settings: perceptions, practice, and service development needs – findings from a national survey
title_full_unstemmed Eye donation in hospice and hospital palliative care settings: perceptions, practice, and service development needs – findings from a national survey
title_short Eye donation in hospice and hospital palliative care settings: perceptions, practice, and service development needs – findings from a national survey
title_sort eye donation in hospice and hospital palliative care settings perceptions practice and service development needs findings from a national survey
topic Corneal donation
Eye donation
Tissue donation
Behaviour change
Health services research
End of life care
url https://doi.org/10.1186/s12904-023-01300-7
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