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

McGrath, Pam, Pun, Paul and Holewa, Hamish (2012) Decision-making for living kidney donors: an instinctual response to suffering and death. Journal of Agromedicine, 17 3: 201-220. doi:10.1080/13576275.2012.696356


Author McGrath, Pam
Pun, Paul
Holewa, Hamish
Title Decision-making for living kidney donors: an instinctual response to suffering and death
Journal name Journal of Agromedicine   Check publisher's open access policy
ISSN 1059-924X
1545-0813
Publication date 2012-01-01
Sub-type Article (original research)
DOI 10.1080/13576275.2012.696356
Volume 17
Issue 3
Start page 201
End page 220
Total pages 20
Place of publication Philadelphia, PA, United States
Publisher Routledge
Language eng
Subject 2739 Public Health, Environmental and Occupational Health
Formatted abstract
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 = 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.
Keyword Death and dying
Renal transplantation
Donor
Qualitative research
Decision-making
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Thu, 28 Nov 2013, 16:03:56 EST by System User on behalf of Medicine - Princess Alexandra Hospital