✦ LIBER ✦

A model of donors' decision-making in adult-to-adult living donor liver transplantation in Japan: Having no choice

✍ Scribed by Misao Fujita; Akira Akabayashi; Brian Taylor Slingsby; Shinji Kosugi; Yasuhiro Fujimoto; Koichi Tanaka

Publisher: John Wiley and Sons
Year: 2006
Tongue: English
Weight: 130 KB
Volume: 12
Category: Article
ISSN: 1527-6465
DOI: 10.1002/lt.20689

No coin nor oath required. For personal study only.

✦ Synopsis

This study examined the decision-making processes of donors in adult-to-adult living donor liver transplantation. Twenty-two donors were interviewed using a semi-structured format. Interview contents were transcribed verbatim and analyzed qualitatively using grounded theory. A decision-making model was developed consisting of 5 stages: (1) recognition, (2) digestion, (3) decision-making, (4) reinforcement, and (5) resolution. The second and the third stages described donors' experiences of "reaching a decision"; the fourth and fifth stages described those of "facing transplantation." The central theme of this model was "having no choice," which consisted of 4 codes: (1) priority of life, (2) only LDLT, (3) for family, and (4) only me. In conclusion, this model can help health care professionals to understand the donor experience and, based on that understanding, to provide sufficient support to the donor.

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