Family issues implicit in living donation

Crombie, Alison; Franklin, Patricia M.

doi:10.1080/13576270600616011

Cited by 32 publications

(41 citation statements)

References 5 publications

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“…Such a process resonates with Yi's (2003) description of 'high intensity', voluntary donor decision-making. The instinctual decisionmaking based on a 'moral instinct' to help someone in a close, personal relationship is documented elsewhere (Crombie & Franklin, 2006;Hilton & Starzomski, 1994;Kim, Yoo, & Kim, 1995;Rhodes, 1986;Simmons, Hickey, Kjellstrand, & Simmons, 1971;Yi, 2003). Research by Franklin and Crombie (2003) on donation by siblings and parents had similar findings indicating that the decision to donate was made 'out of love'.…”

Section: Discussionmentioning

confidence: 64%

“…Research by Franklin and Crombie (2003) on donation by siblings and parents had similar findings indicating that the decision to donate was made 'out of love'. However, as Crombie and Franklin's (2006) research indicates, with the exception of parent-child relationships which are more predictable and privileged, it is not possible to predict simply from knowing genealogical relationship. The impact of relationship on decision-making may be culturally-based and as Sanner's (2005) Swedish research indicates siblings do not demonstrate immediacy in decision-making which the authors link to the fact that in Sweden siblings are not expected to take responsibility for each other.…”

Section: Discussionmentioning

confidence: 93%

“…While most research in this area documents physical health issues (Crombie & Franklin, 2006), there is an increasing international body of research that addresses donor decision-making from a range of countries including Sweden (Sanner, 2005), Canada (Ummel, Achille, & Mekkelholt, 2011), United Kingdom (Rana & Akoh, 2010), and Korea (Yi, 2003). Although the experience of the donor has been more extensively researched than that of the recipient (Ummel et al, 2011), the research in this area is still inconclusive.…”

Section: Introductionmentioning

confidence: 97%

“…With an increasing number of available kidney transplant donors comes greater demand for systematic screening of prospective donors to ensure the integrity of the donor's decision, to minimise the risk of a poor postoperative outcome and to ensure that clinical success is not at the cost of psychological and social harm (Crombie & Franklin, 2006;Gabolde, Herve, & Moulin, 2001;Martin, Giacoletto, & Martin, 1998;O'Hara, Bramstedt, Flechner, & Goldfarb, 2007;Sharp, McRae, & McNeil, 2010). The importance of the donors' process of decision-making is a crucial determinant in predicting risk or adverse psychosocial outcomes (Nolan, Walton-Moss, Taylor, & Dane, 2004).…”

Section: Introductionmentioning

confidence: 98%

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Decision-making for living kidney donors: an instinctual response to suffering and death

2012

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This paper presents a sub-set of findings from the first interview (T1) of an Australian longitudinal study that documents the living donor's experience with renal transplant. There has been limited Australian research on this topic to date. A qualitative methodological approach was used, involving open-ended interviews with prospective living kidney donors (n ¼ 20) from the Renal Transplantation Unit at the Princess Alexandra Hospital in Brisbane, Queensland, Australia. The interviews were analysed using qualitative research methods of coding and thematic analysis. A significant majority of participants reported that the decision to become a living kidney donor was a positive, easy and spontaneous decision. It was driven by their natural instincts and they offered to be a donor at the earlier opportunity, rather than waiting to be asked. The offer was based on their desire to relieve the recipient's suffering and possible death associated with dialysis and kidney failure. While concerns associated with the medical operation for donation (nephrectomy) were a consideration, this was significantly overshadowed by their desire to improve the recipient's quality of life and avoid their possible death. In the face of such suffering and death, the donation of a kidney was considered 'no big deal'. Such findings can be used to inform the assessment process for live donor screening.

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Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 98%

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Decision-making for living kidney donors: an instinctual response to suffering and death

2012

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“…The link between the psychosocial factors identified as barriers in this study has been established by previous studies (Mathew et al 2005, Oliver et al 2011. In a study of family issues implicit in living donation, it was revealed that despite the willingness of family members to donate organs to their relatives, the decision to donate organ was greatly influenced by cultural beliefs and the complexity of relationships within the family (Crombie & Franklin 2006). Differences exist on the role of the lack of information on the process of kidney donation as a barrier.…”

Section: Discussionmentioning

confidence: 96%

Barriers to living kidney donation among relatives of patients with chronic renal failure in south Africa

Mbeje

Moleki

Ganga-Limando

2014

IJANS

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Background: The number of patients with chronic renal failure awaiting kidney transplantation has been increasing in the country. There is a great awareness regarding the importance of kidney donation among family members and the public at large. But little is known about their reluctance to donate kidney. Aim: The aim of this study was to explore and describe barriers to living kidney donation among relatives of patients with chronic renal failure undergoing haemodialysis in one of the provinces in South Africa. Methods: The study used qualitative, descriptive, exploratory and contextual design. Purposive sampling was carried out to select close family members and relatives of patients undergoing haemodialysis. Data was collected through individual face to face in-depth interviews with 25 participants. Interviews were recorded and analysed using thematic content analysis approach. Results: This study identified six major barriers to living kidney donation among relatives of patients with chronic renal failure undergoing haemodialysis. They included: cultural beliefs, mistrust, fear, lack of information, being old, and pre-existing medical conditions. These barriers are well documented in the literature. Conclusion: The study has direct implication for the quality of life of patients with chronic renal failure. Kidney transplantation is associated with drastic improvements in survival and quality of life as well as considerable cost savings, compared with haemodialysis or peritoneal dialysis. It cannot be achieved without organ donors. Therefore, extensive public education aimed at ad-dressing factors restraining people to donate organ is needed. Keywords: Barriers to Kidney Donation, Chronic Renal Failure, Haemodialysis, Patients’ Relatives, South Africa.

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Student and community perceptions about organ donors, non‐donors and transplant recipients

Hyde

White

2008

Community & Applied Soc Psy

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Despite efforts to encourage organ donation, low organ donation rates in Australia and other Western nations do not meet the demand for transplantable organs. One influence on organ donation decision-making yet to be fully explored is that of prototype perceptions about organ donors, non-donors and transplant recipients. We conducted focus groups and interviews with 54 student and community participants to explore these perceptions of donors and non-donors in a living and posthumous context, as well as transplant recipients. Using content and thematic analysis, transcripts were analysed for consistently emerging themes. Donors were generally perceived positively as altruistic and giving and as ordinary people; however, some participants questioned the motives of living anonymous donors. Non-donors were commonly viewed negatively as self-absorbed and unaware, with living-related non-donors particularly perceived as cold-hearted and weak. Transplant recipients were generally viewed sympathetically (unfortunate and unwell); however, many participants also expressed negative views about transplant recipients as responsible for their predicament, depending upon the type of organ transplant needed. To encourage people's willingness to donate their organs, it is crucial to understand the extent to which these perceptions influence organ donation decisions.

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Family issues implicit in living donation

Cited by 32 publications

References 5 publications

Decision-making for living kidney donors: an instinctual response to suffering and death

Decision-making for living kidney donors: an instinctual response to suffering and death

Barriers to living kidney donation among relatives of patients with chronic renal failure in south Africa

Student and community perceptions about organ donors, non‐donors and transplant recipients

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