Challenges in decision-making support processes regarding living kidney donation: A qualitative study

Wada, Yuri; Ueno, Takayoshi; Umeshita, Koji et al.

Journal of Renal Care, 2024, 50(4), 353-364

アクセス数:298件（2025-08-26 00:01 集計）

固定URL: https://hdl.handle.net/11094/95793

閲覧可能ファイル 

ファイル フォーマット 利用条件 サイズ 閲覧回数 利用開始日 説明 information
JRenalCare_jorc_12494 pdf なし 1.59 MB 376 2024.06.03  
Creative Commons : 表示 - 非営利 - 改変禁止

論文情報

ファイル出力 EndNote Basic出力 Mendeley出力

タイトル
Challenges in decision-making support processes regarding living kidney donation: A qualitative study
著者
著者名
Wada, Yuri
NRID
1000060437316 1000060437316
researchmap permalink
takayoshi-ueno takayoshi-ueno
Scopus Author ID
8137931400 8137931400
著者名
Ueno, Takayoshi
NRID
1000060252649 1000060252649
著者名
Umeshita, Koji
著者名
Hagiwara, Kuniko
キーワード等
chronic kidney disease
nursing
quality improvement
transplantation
内容
Wada Y., Ueno T., Umeshita K., et al. Challenges in decision-making support processes regarding living kidney donation: A qualitative study. Journal of Renal Care , (2024); https://doi.org/10.1111/jorc.12494.
抄録
Background: Previous studies on decision-making of living kidney donors have indicated issues regarding donors' autonomy is inherent in decision-making to donate their kidney. Establishing effective decision-making support that guarantees autonomy of living kidney donor candidates is important. Objectives: The aim of this study was to identify the difficulties in the decision-making support when clinical transplant coordinators advocating for the autonomy of donor candidates of living donor kidney transplantation and to identify the methods to deal with these difficulties. Design: A qualitative descriptive study. Participants: Ten clinical transplant coordinators supporting living kidney donors. Approach: Semi-structured interviews were conducted using an interview guide. The modified grounded theory approach was utilised to analyse. Results: Three categories related to difficulties were as follows: issues inherent to the interaction between coordinators, donor candidates and their families; issues regarding the environment and institutional background in which coordinators operate; and emotional labour undertaken by coordinators in the decision-making support process. Additionally, five categories related to methods were as follows: assessing the autonomy of donor candidates based on the coordinators nursing experience; interventions for the donor candidates and their family members based on the coordinators nursing experience; smooth coordination with medical staff; clarifying and asserting their views as coordinators; and readiness to protect the donor candidates. Conclusion: The involvement of highly experienced coordinators with excellent and assertive communication skills as well as the ability to reflect on their own practices is essential. Moreover, we may need to fundamentally review the transplant community, where power domination is inherent.
出版者
John Wiley and Sons Inc
収録物名
Journal of Renal Care
巻(号)
50(4)
ページ
353-364
刊行年月
2024-04-10
言語
英語
ハンドルURL
https://hdl.handle.net/11094/95793
PISSN
17556678
eISSN
17556686
関連情報 (isIdenticalTo)
DOI (出版社版)
https://doi.org/10.1111/jorc.12494
アクセス権
open access
権利情報
This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
出版タイプ
Version of Record
カテゴリ
学術雑誌論文 Journal Article