For and against Organ Donation and Transplantation: Intricate Facilitators and Barriers in Organ Donation Perceived by German Nurses and Doctors

Hvidt, Niels Christian; Mayr, Beate; Paal, Piret; Frick, Eckhard; Forsberg, Anna; Büssing, Arndt

doi:10.1155/2016/3454601

Cited by 12 publications

(9 citation statements)

References 49 publications

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“…On the other hand, they also pointed to specific limitations of this inspection by stressing that voluntariness within familial decision-making is difficult to verify. In fact, intra-familial donation can hardly be questioned or rejected in cases where both, donor and recipient, express their willingness [13]. In this regard, the inspection process by the commission is deemed problematic by organ donors and recipients [18, 21].…”

Section: Comparative Analysismentioning

confidence: 99%

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An ethical comparison of living kidney donation and surrogacy: understanding the relational dimension

Beier

Wöhlke

2019

Philos Ethics Humanit Med

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Background The bioethical debates concerning living donation and surrogacy revolve around similar ethical questions and moral concepts. Nevertheless, the ethical discourses in both fields grew largely isolated from each other. Methods Based on a review of ethical, sociological and anthropological research this paper aims to link the ethical discourses on living kidney donation and surrogacy by providing a comparative analysis of the two practices’ relational dimension with regard to three aspects, i.e. the normative role of relational dynamics, social norms and gender roles, and reciprocity. Based on this analysis, we derive conclusions for the framing of living organ donation and surrogacy in ethical theory and practice. Results First, our analysis emphasizes the relevance of acknowledging the complex relational implications of living kidney donation and surrogacy. Underestimating this relational dimension may not only lead to individual crises but endanger existing as well as newly emerging familial relationships. Second, we point out differences in the normative assessment of social norms and gender roles in the ethical debates about living kidney donation and surrogacy. In particular, we show how different evaluations of altruism affect the understanding of autonomy in both contexts. In addition, we sensitize for biased perceptions of gender roles. Finally, we argue that challenges resulting from unresolved reciprocity are an issue in living kidney donation and surrogacy independent of whether the exchange of body parts or bodily services is framed as a gift or commercial exchange. By pointing out the limits of financial compensation, we stress the relevance of non-material, relational rewards as potential remedy.

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Section: Comparative Analysismentioning

confidence: 99%

“…1While the majority of countries restrict LKD to personal relationships, including next-of-kin, but also friends, (e.g. Germany, The Netherlands) [13], there are also countries that accept donation amongst unrelated donors (e.g. Iran, Philippines) [7].…”

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confidence: 99%

An ethical comparison of living kidney donation and surrogacy: understanding the relational dimension

Beier

Wöhlke

2019

Philos Ethics Humanit Med

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“…Later, a large German sample by Wermuth et al was collected over two years from 2013 to 2014 (nationwide, perinatal HPs). During 2014, a German sample of HPs working in transplantation medicine was collected (single facility, University Hospital Munich, mixed HPs from 10 wards working in relation to organ transplantation) [21], as well as the Austrian sample of hospital workers in Salzburg (single facility, Brothers of Mercy hospital, mixed HPs) [21]. The most recent included data stems from a study in 2016 of Turkish physicians working in Germany (one facility, physicians with Turkish background) (Doctoral thesis, not published yet).…”

Section: Data Collectionmentioning

confidence: 99%

The International NERSH Data Pool—A Methodological Description of a Data Pool of Religious and Spiritual Values of Health Professionals from Six Continents

et al. 2017

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Collaboration within the recently established Network for Research on Spirituality and Health (NERSH) has made it possible to pool data from 14 different surveys from six continents. All surveys are largely based on the questionnaire by Curlin "Religion and Spirituality in Medicine, Perspectives of Physicians" (RSMPP). This article is a methodological description of the process of building the International NERSH Data Pool. The larger contours of the data are described using frequency statistics. Five subscales in the data pool (including the already established DUREL scale) were tested using Cronbach's alpha and Principal Component Analysis (PCA) in an Exploratory Factor Analysis (EFA). 5724 individuals were included, of which 57% were female and the mean age was 41.5 years with a 95% confidence interval (CI) ranging from 41.2 to 41.8. Most respondents were physicians (n = 3883), nurses (n = 1189), and midwives (n = 286); but also psychologists (n = 50), therapists (n = 44), chaplains (n = 5), and students (n = 10) were included. The DUREL scale was assessed with Cronbach's alpha (α = 0.92) and PCA confirmed its reliability and unidimensionality. The new scales covering the dimensions of "Religiosity of Health Professionals (HPs)" (α = 0.89), "Willingness of Physicians to Interact with Patients Regarding R/S Issues" (α = 0.79), "Religious Objections to Controversial Issues in Medicine" (α = 0.78), and "R/S as a Calling" (α = 0.82), also proved unidimensional in the PCAs. We argue that the proposed scales are relevant and reliable measures of religious dimensions within the data pool. Finally, we outline future studies already planned based on the data pool, and invite interested researchers to join the NERSH collaboration.

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“…In 2010, China launched a pilot program of voluntary organ donation after the death of citizens. Traditional culture is one of the main factors that affect organ donation [2,3]. Family members' attitude towards organ donation directly affects the success of potential organ donation [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

A Study on the Impact of Chinese Family Culture on Citizens' Voluntary Organ Donation

Luo¹,

He²,

Xie³

et al. 2020

Preprint

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Objectives: Family members’ attitude is the key factor in organ donation. This study aimed to analyze the attitude and willingness of families towards organ donation and to explore the impact of Chinese family culture on voluntary organ donation.Methods: Taking the family as a unit, a total of 15 families (59 family members) were interviewed using the semi-structured interviews.Results: Among the 59 participants, 58 had heard of organ donation, 30 were unwilling to donate organs, 25 had an intention to donate, and 13 were very taboo about it. 29 weren’t giving consent for family members’ donation, only 8 supported families to sign up as donors. Particularly, 7 participants could donate their organs but wouldn’t donate organs of family members. The family culture models were divided into the patriarchal family culture model (4 families), independent family culture model (8 families), patriarchal subversion family culture model (3 families). Based on the influence of social and cultural factors (taking national policy as an example) on the willingness to donate organs of relatives, the family culture models were divided into the stubborn family culture model (3 families), swing family culture model(9 families), and selfless dedication family culture model(3 families). Conclusions: Organ donation is still a taboo topic in Chinese families. Although the patriarchal family cultural model is no longer dominant, the father's thoughts and views still play an essential role in the whole family. Most families belong to the swing family culture model, and the willingness to donate is greatly influenced by social and cultural factors.

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For and against Organ Donation and Transplantation: Intricate Facilitators and Barriers in Organ Donation Perceived by German Nurses and Doctors

Cited by 12 publications

References 49 publications

An ethical comparison of living kidney donation and surrogacy: understanding the relational dimension

An ethical comparison of living kidney donation and surrogacy: understanding the relational dimension

The International NERSH Data Pool—A Methodological Description of a Data Pool of Religious and Spiritual Values of Health Professionals from Six Continents

A Study on the Impact of Chinese Family Culture on Citizens' Voluntary Organ Donation

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