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Two perspectives on organ donation: experiences of potential donor families and intensive care physicians of the same event.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. (Health Services Research)
2007 (English)In: Journal of critical care, ISSN 0883-9441, E-ISSN 1557-8615, Vol. 22, no 4, 296-304 p.Article in journal (Refereed) Published
Abstract [en]

The aim was to explore how relatives and physicians understood cases where organ donation had been requested and what factors were salient for the decision on donation. Physicians of 25 deceased patients and 20 relatives were interviewed. The material was analyzed using qualitative methods. Eleven patients had declared their wishes on donation before death; in 14 cases the relatives had to decide. Half of these relatives accepted donation and half refused. The donation request was of secondary importance to the families; they were totally occupied by the death and initially tried to avoid the request by regarding "no" as a nonresponse. They needed support to relieve their immediate reactions of uneasiness, start rational thought processes, and reach well-grounded answers. The basis for requesting donation was good; relatives, with regard to circumstances, had been well prepared for the death by continuous information from the physicians and had confidence in staff, accepted that the question was raised, and understood the death criteria. However, about half the physicians experienced conflicts regarding prerequisites of procuring organs and dealing with relatives. Three different approaches were displayed: prodonation, neutral, and ambivalent. Only physicians with a prodonation approach received acceptance for donation.

Place, publisher, year, edition, pages
2007. Vol. 22, no 4, 296-304 p.
Keyword [en]
organ donation request, transplantation, death criteria, intensive care, attitudes, conflict
National Category
Medical and Health Sciences
Research subject
Health Care Research
URN: urn:nbn:se:uu:diva-16055DOI: 10.1016/j.jcrc.2007.03.002ISI: 000252719400006PubMedID: 18086400OAI: oai:DiVA.org:uu-16055DiVA: diva2:43826
Available from: 2008-04-14 Created: 2008-04-14 Last updated: 2010-05-25Bibliographically approved

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