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Living kidney donation: considerations and decision-making.
Hanne Agerskov1, Claus Bistrup, Mette Spliid Ludvigsen
1Research Unit of Nursing, University of Southern Denmark, Denmark; Department of Nephrology, Odense University Hospital, Denmark.
Journal of Renal Care
|May 13, 2014
Summary
Living kidney donation involves complex decisions influenced by personal life and recipient needs. Understanding donor experiences is crucial for healthcare professionals to provide tailored support.
Area of Science:
- Nephrology
- Transplantation Immunology
- Psychology
Background:
- Renal transplantation is the preferred treatment for end-stage kidney disease.
- Advances in immunology enable transplants despite donor-specific antibodies, broadening donor-recipient compatibility.
- This study explores the experiences of living kidney donors (LKDs) before their initial transplant center consultation.
Purpose of the Study:
- To investigate the early experiences and decision-making processes of potential living kidney donors.
- To understand the reflections of both genetic and non-genetic donors.
Main Methods:
- Phenomenological-hermeneutic framework.
- Semi-structured interviews with 18 potential living kidney donors.
- Interpretation using Ricoeur's text interpretation theory.
Main Results:
- Two primary themes emerged: the decision-making process and associated dilemmas.
- Donation decisions are influenced by personal life circumstances, family, and recipient considerations.
- A strong desire to help was a significant factor in the decision-making process.
Conclusions:
- Healthcare professionals need to understand and appreciate LKD experiences and concerns.
- This insight can inform modifications to clinical nursing practice and patient support.
- Tailored nursing care and support are essential for living kidney donors.
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