Medicine (Baltimore). 2025 May 16;104(20):e42489. doi: 10.1097/MD.0000000000042489.
ABSTRACT
Medical staff hold dual roles as advocates and potential blood donors, yet systemic barriers within high-pressure clinical environments hinder their participation. Understanding their motivations and challenges is critical for strengthening blood supply systems. This cross-sectional study aimed to identify determinants of donation willingness and policy expectations among medical staff to inform evidence-based interventions. A structured questionnaire, developed via Delphi methodology with hematologists, policy experts, and psychologists, was administered to medical staff at a tertiary Grade A hospital in Chongqing, China. Stratified random sampling ensured representation across demographics. Data were collected via an encrypted online platform (SoJump.com) and analyzed using SPSS 22.0 and GraphPad Prism 6. Among 1096 participants, the observation group (non-donors, n = 460, 41.97%) exhibited statistically significant demographic divergences from the control group across gender, age, educational attainment and professional category (all P < .05). Multivariate logistic regression identified these variables as independent predictors of donation status (P < .05). Despite 83.26% of the observation group endorsing blood donation and 69.34% comprehending deferral criteria, key participation barriers included occupational workload saturation (59.13%), inadequate promotional mechanisms (49.57%), adverse physiological reactions (43.04%), and insufficient motivation (26.52%). For intervention optimization, respondents in the observation group prioritized structured promotional mechanisms (80.22%), establishing policy guidance protocols (53.26%), and systematizing regular donor recruitment activities (46.74%). Young, male, and highly educated medical staff exhibited higher donation rates. Structural reforms to alleviate occupational burdens, optimize donor recruitment paradigms, and institutionalize periodic mobilization are imperative to align clinical demand with donor supply.
PMID:40388772 | DOI:10.1097/MD.0000000000042489
