Abstract
BACKGROUND: Although organ donation is a life-saving procedure, it faces significant challenges owing to the shortage of available organs. Health personnel play a vital role in promoting organ donation. However, their attitudes toward organ donation vary greatly. Understanding the factors that influence these attitudes is essential for developing effective strategies to enhance organ donation. METHODS: In accordance with the Arksey and O'Malley framework, a comprehensive scoping review was conducted across multiple databases, including PubMed, MEDLINE, Web of Science, Embase, CINAHL, the Cochrane Library, PsycINFO, CNKI, VIP and Wanfang. A systematic search was conducted from 1 January 2015 to 6 July 2025. RESULTS: 22 cross-sectional studies of health personnel examining determinants of organ donation attitudes were retained for further analysis. According to the social ecological model, the factors influencing attitudes of health personnel toward organ donation can be divided into five categories: Individual level: demographic characteristics, knowledge, attitude, behavior, and experience; Interpersonal level: family and social relationships, professional activities; Organizational level: professional characteristics, training and education, work experience; Community level: cultural and religious factors, social participation; Public policy level: law and systems, medical policy. CONCLUSIONS: Health personnel's attitudes toward organ donation are shaped by a complex interplay of factors. Addressing these factors through targeted education, cultural sensitivity training, and policy reforms can increase the support for organ donation.