The Organizational Field of Blood Collection: A Multilevel Analysis of Organizational Determinants of Blood Donation in Europe

2020 ◽  
Vol 36 (3) ◽  
pp. 474-492 ◽  
Author(s):  
Sam Gorleer ◽  
Piet Bracke ◽  
Lesley Hustinx

Abstract Maintaining an adequate blood supply for transfusion poses a pressing challenge to society. We argue that this challenge has not been adequately addressed in previous research. Building upon Healy’s seminal work on ‘blood-collection regimes’ and the subsequent shift towards a field-level approach that broadens the analytical focus beyond the dyadic relationship between donors and organizations, we embed the act of blood donation within the organizational field in which blood establishments operate. We assume that varying modes of governance shape the organizational practices of donor recruitment and blood collection. Our analysis is based on Eurobarometer data from 2014 (number of countries = 28; number of individuals = 19,363). The results identify considerable variance in donation rates according to field characteristics in terms of hierarchical centralization and competitiveness. Decentralized systems without competition perform worst in terms of the recruitment of (first-time) blood donors. Competitive systems in which several different bodies share responsibility for the provision of blood to patients yield the highest donation rates.

2015 ◽  
Vol 4 (3) ◽  
pp. 30
Author(s):  
Wei Feng ◽  
Shuhua Qiu ◽  
Zhenming Deng ◽  
Tao Dong

<p><strong>Objective:</strong> To analyze the causes of blood donation reaction of university students, propose appropriate preventive measures to avoid blood waste and ensure the quality of the blood. <strong>Methods:</strong> The university students in Guiyang city were selected from January to December 2010, The cases of blood donation reaction and the causes are analyzed on 7063 college students. <strong>Results:</strong> Among the 7063 college students, there are 292 students with blood donation reaction, the main cause is psychological factors, followed by fatigue before blood donation, not-ideal blood donation environment, limosis or starvation, etc. It occurs more in the first time donors. blood donors with different times and posture have different adverse reactions. <strong>Conclusion:</strong> Constantly summarizing experiences, development and implementation of scientific and causable preventive measures, improving the environment for blood donation, strengthening the sense of responsibility and sense of service of blood collection personnel, strengthening psychological nursing, giving donors a warm caring and confidence as far as possible, making donors relax mind and in the best state can help to reduce and prevent the occurrence of blood donation reaction, organize  more donators and college students to actively participate in blood donation, in order to promote vigorous, healthy and sustained development of voluntary blood donation. The blood donation adverse reactions of university students are related to the frequency of blood donation and posture, we have developed a series of preventive measures against the causes of blood donation adverse reactions to reduce the incidence of adverse reactions.</p>


2020 ◽  
Author(s):  
Jennie Haw ◽  
Kelly Holloway ◽  
Barbara Masser ◽  
Eva-Maria Merz ◽  
Rachel Thorpe

In the context of the global COVID-19 pandemic, blood collection agencies (BCAs) around the world are operating under unprecedented conditions. As social scientists in donor research in Canada, Australia, and the Netherlands, we provide some early observations on donor and public responses to the pandemic and identify areas for donor research moving forward: 1) how donors and non-donors respond to the crisis and to the appeal for donation; 2) to what extent first-time donors during the pandemic will return; 3) how donation might mitigate (or not) the negative effects of stay-at-home measures; 4) how BCAs engage in efforts to study convalescent plasma treatment for COVID-19, and what the implications for donors are; 5) the impact of the pandemic on donors and BCAs in low- and middle-income countries.


2019 ◽  
Vol 60 (2) ◽  
pp. 257-272 ◽  
Author(s):  
Tjeerd W. Piersma ◽  
René Bekkers ◽  
Wim de Kort ◽  
Eva-Maria Merz

This article examines how blood donation loyalty changes across the life course as a result of life events. Previous studies have shown that life events affect involvement in prosocial behavior, possibly as a result of loss of human and social capital. Using registry data from the blood collection agency in the Netherlands, linked to longitudinal survey data from the Donor InSight study (N = 20,560), we examined whether life events are related to blood donor lapse. Childbirth, losing a job, and starting a job increase the likelihood of donor lapse, while health-related events (i.e., blood transfusion in a family member, death of a family member) decrease the likelihood of donor lapse. Moreover, results showed how social and practical concerns explain donors’ decisions to donate blood after the occurrence of life events. We discuss theoretical implications for further studies on prosocial and health-related behavior.


2017 ◽  
Vol 57 (3) ◽  
pp. 217
Author(s):  
J. A. IKONOMOPOULOS (I.A. ΟΙΚΟΝΟΜΟΠΟΥΛΟΣ) ◽  
M. GAZOULI (M. ΓΑΖΟΥΛΗ) ◽  
E. XYLOURI (Ε. ΞΥΛΟΥΡΗ) ◽  
E. K. GEORGAKILAS (E.K. ΓΕΩΡΓΑΚΙΛΑΣ) ◽  
P. KARAGIANNI (Π. ΚΑΡΑΓΙΑΝΝΗ) ◽  
...  

Brucellosis of sheep and goats is widely spread in the Mediterranean basin. The disease is of considerable significance with connection to Public Health protection since it can be transmitted to humans causing serious disease. In April 2005 we investigated whether brucellosis was present among the male animals of a caprine organic herd in Nomos Hleias, Greece. The herd consisted of 250 female and 13 male animals and had a record of sporadic abortions usually taking place at the final third of gestation. During sample collection all the animals were found clinically healthy, although it was not possible to determine from the records of the farm if there was any previous incidence of orchitis or epididymitis in the animals under study. The laboratory diagnostic investigation consisted of a polymerase chain reaction (PCR) assay applied for the detection of DNA belonging to Brucella melitensis in blood samples. Two of the 13 samples that were tested reacted positive by PCR allowing the amplification of the 844 base pair DNA fragment specific for Brucella melitensis. In this study, PCR allowed detection of two animals that although they were clinically healthy, they carried enough Brucella in their blood to allow microbial identification with only a single blood collection. This finding seems to agree with the concept that goats consist the reservoir of brucellosis in Greece developing milder disease than sheep and sustaining the infection for longer periods of time. One of the positive samples that were recorded was identified by sequencing as Brucella suis, something that is reported for the first time with connection to goats. This finding and the sensitivity of man to B. suis renders human exposure to this pathogen through goats, an epidemiology factor worth of detailed investigation. This necessity is associated with the fact that as opposed to porcine meat, sheep and goat dairy products in Greece are sometimes consumed without the necessary heat treatment.


Author(s):  
Mentamir Abe ◽  
Mesafint Abeje Tiruneh ◽  
Kidanemariam Beyene

<p class="abstract"><strong>Background:</strong> Accessibility of a safe and adequate blood transfusion is a challenge worldwide and even more critical in Africa. Even though blood donation is lifesaving practice, current blood supply is far less compared to the demand in Ethiopia. However, there is limited information in Ethiopia. Therefore, this study aimed to assess blood donation practice and associated factors among health professionals working at heath center in Nefas Silk Lafto sub city, Addis Ababa, Ethiopia.</p><p class="abstract"><strong>Methods:</strong> Institution based cross-sectional study was conducted among health professionals working at health centers in Nefas Silk Lafto sub city, Addis Ababa from 23 August 2019 to 20 September 2019. Simple random sampling technique was used to select the study participants. Data were collected used self-administered structured questionnaire. Binary logistic regression analysis was used for data analysis.  </p><p class="abstract"><strong>Results:</strong> 459 health professionals were included in the study with a response rate of 98.4%. Only 157 (34.2%) of them donated blood in the last five years. Age (AOR=1.72, 95% CI: 1.06, 2.79), blood collection site (AOR=3.46, 95% CI: 2.03, 5.89), blood collection working (AOR=2.00, 95% CI: 1.16, 3.44) and knowledge (AOR=0.32, 95% CL: 0.14, 0.76) were significantly associated with blood donation practice.</p><p class="abstract"><strong>Conclusions:</strong> Blood donation practice was low. Age of health professionals, blood collection site, blood collection working hour and knowledge were significantly associated with blood donation practice. Therefore, establish fixed and mobile collection site and convenient time for blood donors and awareness creation is crucial.</p>


2019 ◽  
Vol 2 (1) ◽  
pp. 19-24
Author(s):  
O D Damulak ◽  
E D Jatau ◽  
E Ekam ◽  
E Rumji ◽  
R Yakubu ◽  
...  

Blood donation is not readily an altruistic sacrifice in sub-Saharan Africa where microbial infections, maternal haemorrhages, malaria and other tropical diseases that frequently require blood transfusion are daily diagnoses. Blood transfusion safety is hindered by the combined prevailing high rate of Transfusion-Transmissible Infections (TTIs) and poor screening techniques. This study determined the rate of Enzyme-Linked Immuno-Sorbent Assay (ELISA) positive reactions to transfusion-transmissible infections in rapid diagnostic test negative family replacement blood units, compared to the first time voluntarily donated blood. We studied records of blood units collected in a tertiary hospital from donors who scaled pre-donation Rapid diagnostic test (RDT) screening for the human immunodeficiency virus, hepatitis B and hepatitis C viruses and syphilis and rescreened by ELISA techniques at the National Blood Transfusion Service Centre in Jos, along with units from first-time voluntary blood donors. A total of 19562 blood units; 5945 (30.39%) rapid diagnostic tests negative from a linkage hospital and 13617 (69.61%) from first time voluntary donors were screened by ELISA methods for HIV, HBV, HCV, and syphilis. The overall TTIs detected by ELISA was 16.08%, significantly lower among pre-donation rapid screened family replacement blood donors [495(8.32%)] compared to 2651 (19.47%) among first-time voluntary donors; P=0.0001. Fifty-seven (0.96%) HIV, 166 (2.79%) HBV, 137 (2.31%) HCV and 137 (2.31%) syphilis were still detected respectively by ELISA in the pre-screened negative family replacement blood units. The outcome of ELISA screenings of blood collected from first-time volunteer donors were; 143 (1.05%) HIV, 1,486 (10.91%) HBV, 683 (5.02%) HCV, and 339 (2.49%) syphilis. Blood for transfusion should be screened negative at least with ELISA.


2021 ◽  
Author(s):  
Jennie Haw ◽  
Rachel Thorpe ◽  
Kelly Holloway

COVID-19 has posed unprecedented challenges to health systems around the world, including bloodcollection agencies (BCAs). Many countries, such as Canada and Australia, that rely on non-remuneratedvoluntary donors, saw an initial drop in donors in the early days of the pandemic followed by a return tosufficient levels of the blood supply. BCA messaging plays a key role in communicating the needs of theblood operator, promoting and encouraging donation, educating, and connecting with the public anddonors. This paper reports on discourse analysis (Bloor and Bloor, 2013) of BCA messaging in Canadaand Australia from March 1-July 31, 2020 to understand how BCAs constructed donation to encouragedonation during this period and what this can tell us about public trust and blood operators. Drawing onmultiple sources of online content and print media, our analysis identified four dominant messagesduring the study period: 1) blood donation is safe; 2) blood donation is designated an essential activity;3) blood is needed; and 4) blood donation is a response to the pandemic. In Canada and Australia, ouranalysis suggests that: 1) implicit within constructions of blood donation as safe is the message thatBCAs can be trusted; 2) messages that construct blood donation as essential and needed implicitly askdonors to trust BCAs in order to share in the commitment of meeting patient needs; and 3) thepandemic has made possible the construction of blood donation as both an exceptional andcommonplace activity. For BCAs, our analysis supports donor communications that are transparent andresponsive to public concerns, and the local context, to support public trust. Beyond BCAs, healthorganizations and leaders cannot underestimate the importance of building and maintaining public trustas countries continue to struggle with containment of the virus and encourage vaccine uptake.


2018 ◽  
Vol 21 (2) ◽  
pp. 95-102 ◽  
Author(s):  
Rebecca C Reader ◽  
Bruce A Barton ◽  
Amanda L Abelson

Objectives The aim of this study was to compare the quality of sedation and recovery, and ease of venipuncture following sedation for feline blood donation using two intramuscular (IM) sedation protocols: alfaxalone/butorphanol (AB) and dexmedetomidine/butorphanol (DB). Methods This was an experimental randomized, blinded, crossover study. Ten client-owned healthy cats were recruited to participate in the study. Cats were sedated with AB (alfaxalone 2 mg/kg and butorphanol 0.2 mg/kg) for one donation and DB (dexmedetomidine 10 μg/kg and butorphanol 0.2 mg/kg) for another. Reaction to injection, quality of sedation and quality of recovery were assessed by a blinded observer. Time to lateral recumbency, number of venipuncture attempts, time required for blood collection and time to return to sternal recumbency were recorded. Cats were monitored for evidence of gastrointestinal distress. Each donation consisted of a maximum of 53 ml whole blood drawn over 3–22 mins. Donors received 100 ml subcutaneous lactated Ringer’s solution in recovery. Owners, unaware of sedation protocol, were asked to complete a questionnaire evaluating their cat’s behavior following sedation. Results IM injections were well tolerated by both treatment groups. There was no significant difference between treatment groups in sedation scores for posture ( P = 0.30) or behavior ( P = 0.06). Cats sedated with DB had significantly higher muscle relaxation scores ( P = 0.03) compared with AB. There was no significant difference between treatment groups in time to lateral recumbency ( P = 0.12), number of venipuncture attempts ( P = 0.91) and time for blood draw ( P = 0.29). There was no difference in quality of recoveries between treatment groups based on simple descriptive scores ( P = 0.18) and owner evaluation 24 h following sedation. One cat vomited following administration of DB. Conclusions and relevance Alfaxalone is a suitable alternative to dexmedetomidine when combined with butorphanol and used as part of an IM sedation protocol for cats undergoing blood donation.


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