Attitudes of Iranian students about organ donation: a qualitative study.


Journal

BMC medical ethics
ISSN: 1472-6939
Titre abrégé: BMC Med Ethics
Pays: England
ID NLM: 101088680

Informations de publication

Date de publication:
28 05 2019
Historique:
received: 22 05 2018
accepted: 09 05 2019
entrez: 30 5 2019
pubmed: 30 5 2019
medline: 6 2 2020
Statut: epublish

Résumé

Organ donation is a life-saving process for patients suffering from an advanced organ failure. A disparity between donated organs and required organs for transplantation is one of the major problems in Iran. Since personal attitudes about organ donation is a main factor influencing willingness to donate organ, the present study sought to provide a deeper understanding of the attitudes of university students in Iran regarding organ donation. This qualitative study was conducted in 2016. Semi-structured interviews were held for collecting data from eighty five students from various universities in Hamadan city, Iran. Using a purposive sampling method, the students were selected based on the maximum variation. The content analysis method was used for data analysis by the research team and criteria for the study's rigor was considered. Overall, the students had positive attitudes toward organ donation by brain-dead patients. Nevertheless, not of them stated that they would become an organ donor. During the data analysis, 376 primary codes, 13 categories, and 6 themes were developed. Themes were "cognitive readiness", "mediators of decision making", "beliefs and motivations", "interactions with the health system", "dependency", and "integrity of the body". Also, thirteen sub-themes were developed. Many factors influence the students' attitudes toward organ donation. Identification and explanation of these factors can help healthcare managers and policymakers for planning and improving the organ donation culture in the society.

Sections du résumé

BACKGROUND
Organ donation is a life-saving process for patients suffering from an advanced organ failure. A disparity between donated organs and required organs for transplantation is one of the major problems in Iran. Since personal attitudes about organ donation is a main factor influencing willingness to donate organ, the present study sought to provide a deeper understanding of the attitudes of university students in Iran regarding organ donation.
METHODS
This qualitative study was conducted in 2016. Semi-structured interviews were held for collecting data from eighty five students from various universities in Hamadan city, Iran. Using a purposive sampling method, the students were selected based on the maximum variation. The content analysis method was used for data analysis by the research team and criteria for the study's rigor was considered.
RESULTS
Overall, the students had positive attitudes toward organ donation by brain-dead patients. Nevertheless, not of them stated that they would become an organ donor. During the data analysis, 376 primary codes, 13 categories, and 6 themes were developed. Themes were "cognitive readiness", "mediators of decision making", "beliefs and motivations", "interactions with the health system", "dependency", and "integrity of the body". Also, thirteen sub-themes were developed.
CONCLUSION
Many factors influence the students' attitudes toward organ donation. Identification and explanation of these factors can help healthcare managers and policymakers for planning and improving the organ donation culture in the society.

Identifiants

pubmed: 31138188
doi: 10.1186/s12910-019-0372-z
pii: 10.1186/s12910-019-0372-z
pmc: PMC6540564
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

36

Références

Soc Sci Med. 2010 Feb;70(4):609-15
pubmed: 19931963
Cornea. 2016 Oct;35(10):1362-7
pubmed: 27467045
Prog Transplant. 2017 Sep;27(3):309-320
pubmed: 29187065
Am J Transplant. 2005 Jun;5(6):1326-31
pubmed: 15888037
Transpl Int. 2015 Apr;28(4):437-47
pubmed: 25557362
Iran J Nurs Midwifery Res. 2014 May;19(3):323-30
pubmed: 24949074
Transplant Proc. 2016 Dec;48(10):3241-3244
pubmed: 27931563
J Transcult Nurs. 2004 Apr;15(2):147-54
pubmed: 15070497
Transplantation. 2012 Jun 27;93(12):1196-211
pubmed: 23318303
Health Policy. 2010 Dec;98(2-3):164-70
pubmed: 20619921
Med Health Care Philos. 2012 May;15(2):221-7
pubmed: 21512856
Philos Ethics Humanit Med. 2014 Jun 02;9:11
pubmed: 24888748
Clin Transplant. 2013 May-Jun;27(3):359-67
pubmed: 23406516
Br J Anaesth. 2012 Jan;108 Suppl 1:i48-55
pubmed: 22194431
Transplantation. 2014 Jun 27;97(12):1292-9
pubmed: 24646775
West J Nurs Res. 2013 Nov;35(10):1339-59
pubmed: 23618820
Neurocrit Care. 2010 Feb;12(1):103-10
pubmed: 19844809
Health Policy. 2010 Jun;96(1):36-44
pubmed: 20092905
BMC Health Serv Res. 2008 Feb 27;8:48
pubmed: 18304341
Clin Transplant. 2001 Feb;15(1):39-47
pubmed: 11168314
Am J Transplant. 2012 Jan;12(1):152-61
pubmed: 21992480
Intensive Crit Care Nurs. 2009 Dec;25(6):306-13
pubmed: 19608419
Natl Med J India. 2016 Sep-Oct;29(5):257-261
pubmed: 28098078
Am J Transplant. 2006 Jan;6(1):190-8
pubmed: 16433774
Nurs Ethics. 2012 Sep;19(5):654-65
pubmed: 22990425
BMJ Open. 2016 Jan 19;6(1):e010138
pubmed: 26787253
J Nutr Educ Behav. 2002 Jul-Aug;34(4):224-30
pubmed: 12217266
HEC Forum. 2009 Jun;21(2):175-205
pubmed: 19551348
Int J Organ Transplant Med. 2012;3(2):92-100
pubmed: 25013629
Transplantation. 2012 Sep 15;94(5):442-6
pubmed: 22854424
Nephrol Nurs J. 2010 May-Jun;37(3):229-36; quiz 237
pubmed: 20629462
Am J Transplant. 2014 Apr;14(4):923-35
pubmed: 24612855

Auteurs

Parisa Parsa (P)

Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Science, Hamadan, Iran.

Malihe Taheri (M)

Department of Public Health, School of Health and student Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.

Forouzan Rezapur-Shahkolai (F)

Department of Public Health, School of Public Health and Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.

Samane Shirahmadi (S)

Department of Public Health, School of Health and student Research Center, Hamadan University of Medical Sciences, Hamadan, Iran. s_shirahmadi@yahoo.com.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH