Exploring families' experiences of an organ donation request after brain death

Author:

Manzari Zahra Sadat,Mohammadi Eesa,Heydari Abbas,Sharbaf Hamid Reza Aghamohammadian,Azizi Mohammad Jafar Modabber1,Khaleghi Ebrahim1

Affiliation:

1. Mashhad University of Medical Science, Iran

Abstract

This qualitative research study with a content analysis approach aimed to explore families’ experiences of an organ donation request after brain death. Data were collected through 38 unstructured and in-depth interviews with 14 consenting families and 12 who declined to donate organs. A purposeful sampling process began in October 2009 and ended in October 2010. Data analysis reached 10 categories and two major themes were listed as: 1) serenity in eternal freedom; and 2) resentful grief. The central themes were peace and honor versus doubt and regret. The findings indicated that the families faced with an organ donation request of a brain-dead loved one experienced a lasting effect long after the patient's demise regardless of their decision to donate or refusal to donate. In conclusion, this study highlights the importance of family support and follow-up in an efficient healthcare system aimed at developing trust with the families and providing comfort during and after the final decision.

Publisher

SAGE Publications

Subject

Issues, ethics and legal aspects

Reference24 articles.

1. Impact of Cadaveric Organ Donation on Taiwanese Donor Families During the First 6 Months After Donation

2. The Stability of Family Decisions to Consent or Refuse Organ Donation

3. Saunders CM. Risk factors in bereavement. In: Stroebe MS, Stroebe W and Hansson RO (eds). Handbook of bereavement: theory, research, and intervention. Cambridge: Cambridge University Press, 1993, pp. 255–267.

4. The process of organ donation and its effect on consent

5. Why relatives do not donate organs for transplants: ‘sacrifice’ or ‘gift of life’?

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