The non-directed living kidney donor: Why donate to strangers?
Altruistic living donation
Kidney donation
Non-directed living kidney donor
Journal
Journal of renal care
ISSN: 1755-6686
Titre abrégé: J Ren Care
Pays: United States
ID NLM: 101392167
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
pubmed:
15
3
2019
medline:
1
10
2019
entrez:
15
3
2019
Statut:
ppublish
Résumé
Kidney transplantation improves survival and quality of life for patients with end-stage kidney disease (ESKD). However, there is a shortage of donated organs, resulting in long wait times and the potential for death before a donor is found. Non-directed (also called altruistic) living kidney donation is a growing type of donation; however, few studies have examined the values and motivation of individuals evaluated to be a non-directed donor. This qualitative study explores the motivations and values of individuals evaluated for non-directed donation. Focus groups were conducted with individuals who had been evaluated for non-directed living kidney donation. Grounded theory method guided the data analysis. Participants (N = 11) were individuals who completed the evaluation for a non-directed living kidney donation. Qualitative analyses revealed eight major themes participants considered in making their decision to donate to a non-related person: (i) motivation to donate; (ii) minimise perceived risk; (iii) ideal selected recipient; (iv) change in lifestyle; (v) source of donation knowledge; (vi) history of altruistic acts; (vii) donation chain and (viii) others' response. Results suggest that non-directed living kidney donors think deeply about their decision and have a resolve to help others that is aligned with their values. As organ availability remains at a critical shortage, unwillingness to consider non-directed living donors (NDD) due to beliefs of ill motivations appears unsupported. Future directions call for the need of standard practice of care in kidney donation evaluations across transplant centers.
Sections du résumé
BACKGROUND
BACKGROUND
Kidney transplantation improves survival and quality of life for patients with end-stage kidney disease (ESKD). However, there is a shortage of donated organs, resulting in long wait times and the potential for death before a donor is found. Non-directed (also called altruistic) living kidney donation is a growing type of donation; however, few studies have examined the values and motivation of individuals evaluated to be a non-directed donor.
OBJECTIVES
OBJECTIVE
This qualitative study explores the motivations and values of individuals evaluated for non-directed donation.
DESIGN
METHODS
Focus groups were conducted with individuals who had been evaluated for non-directed living kidney donation. Grounded theory method guided the data analysis.
PARTICIPANTS
METHODS
Participants (N = 11) were individuals who completed the evaluation for a non-directed living kidney donation.
FINDINGS
RESULTS
Qualitative analyses revealed eight major themes participants considered in making their decision to donate to a non-related person: (i) motivation to donate; (ii) minimise perceived risk; (iii) ideal selected recipient; (iv) change in lifestyle; (v) source of donation knowledge; (vi) history of altruistic acts; (vii) donation chain and (viii) others' response.
CONCLUSIONS
CONCLUSIONS
Results suggest that non-directed living kidney donors think deeply about their decision and have a resolve to help others that is aligned with their values. As organ availability remains at a critical shortage, unwillingness to consider non-directed living donors (NDD) due to beliefs of ill motivations appears unsupported. Future directions call for the need of standard practice of care in kidney donation evaluations across transplant centers.
Types de publication
Journal Article
Langues
eng
Pagination
102-110Informations de copyright
© 2019 European Dialysis and Transplant Nurses Association/European Renal Care Association.