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Decision-making process for living kidney donors.

Myungsun Yi1

  • 1College of Nursing, Seoul National University, 28 Yongon-Dong, Chongno-Gu, Seoul, 110-799, Korea. donam@plaza.snu.ac.kr

Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing
|April 19, 2003
PubMed
Summary

Deciding to donate a kidney is complex, involving medical, psychological, and financial factors. Living kidney donors experience varied motives and decision-making phases, influencing their choices.

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Area of Science:

  • Transplantation research
  • Medical sociology
  • Psychology of donation

Background:

  • Living kidney donation is a significant altruistic act.
  • Understanding donor decision-making is crucial for ethical and effective transplantation programs.

Purpose of the Study:

  • To explore the lived experiences of individuals deciding to donate a kidney.
  • To identify associated issues and concerns during the decision-making process for living kidney donors.

Main Methods:

  • Grounded theory methodology was employed.
  • Semi-structured individual interviews were conducted with 14 living kidney donors in Korea (1998-1999).
  • Verbatim transcripts were analyzed using constant comparative analysis with NUD*IST4.0 software.
Keywords:
Empirical ApproachHealth Care and Public Health

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Main Results:

  • "Wishing to give" emerged as the core category, encompassing motives, conditions, factors, characteristics, and consequences.
  • Decision-making involved two phases: deliberation and execution.
  • Three donor types were identified based on the intensity of "wishing to give": voluntary (high), compromising (medium), and passive (low).

Conclusions:

  • The decision to donate a kidney is a multifaceted process.
  • It involves intricate medical, psychological, interpersonal, familial, and financial considerations.
  • Comprehending these complexities is vital for supporting living kidney donors.