206.4: Compassion fatigue, moral distress, and burnout among organ donation coordinators in Canada: Results from a national mixed-methods study.
Bibliographic record
Abstract
Canadian Donation and Transplantation Research Program - ARDOT. Introduction: Organ and tissue donation coordinators (coordinators) play a critical role in organ donation from approaching families about donation to organizing surgical procedures. However, due to the emotionally challenging and stressful scenarios faced daily, coordinators are commonly affected by work-related issues (e.g., burnout and compassion fatigue). The incidence of work-related issues among coordinators can lead to increased turnover and decreased quality of deceased organ donation processes. Still, little is known about the incidence of work-related issues among coordinators in Canada. Therefore, our aim was to explore the incidence and potential causes of work-related issues among coordinators in Canada to inform the development of future solutions. Methods: Mixed-methods explanatory sequential design using a cross-sectional survey and qualitative descriptive individual interviews. We invited all (n=175) coordinators working in Canadian Organ Donation organizations to participate in our study. Quantitative data were analyzed using descriptive and inferential statistics (SPSS software) and qualitative data were analyzed using a thematic analysis approach (NVIVO). Results: 120 coordinators (70% response rate) responded to the survey: 81% were women; 98% were registered nurses and 70% had seriously considered leaving the job at some point in their career. Coordinators presented moderate to high levels of burnout; high levels of moral distress; high compassion satisfaction and secondary traumatic stress; and low resilience levels. Qualitative data mostly supported the quantitative results, but surprisingly, coordinators felt that burnout is part of the role, and contradicting the quantitative findings, that they are very resilient. In addition, coordinators reported as sources of stress the need for structured training and increased organizational support. Conclusion: This is the first study on a large scale that measured work-related issues among coordinators. Canadian coordinators are highly impacted by the stressors and emotional aspects of their job. The results of this work are informing the development of interventions and supportive measures by our research team to help improve the work-related well-being of those professionals, which will consequently reduce turnover rates and increase the quality of deceased organ donation. We thank all Organ Donation Organizations and the Organ Donation Coordinators for participating in this study. We also thank the funders CHAMO Innovation Grant and Canadian Blood Services.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.007 | 0.007 |
| Meta-epidemiology (narrow) | 0.000 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.004 |
| Science and technology studies | 0.007 | 0.001 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".