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

Number of Access:325（2025-10-11 23:01 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/95793

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Title
Challenges in decision-making support processes regarding living kidney donation: A qualitative study
Creator
CreatorName
Wada, Yuri
NRID
1000060437316 1000060437316
researchmap permalink
takayoshi-ueno takayoshi-ueno
Scopus Author ID
8137931400 8137931400
CreatorName
Ueno, Takayoshi
NRID
1000060252649 1000060252649
CreatorName
Umeshita, Koji
CreatorName
Hagiwara, Kuniko
Subject
chronic kidney disease
nursing
quality improvement
transplantation
Description
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.
Abstract
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.
Publisher
John Wiley and Sons Inc
Source Title
Journal of Renal Care
Volume (Issue)
50(4)
Page
353-364
Date of Issued
2024-04-10
Language
English
Handle URL
https://hdl.handle.net/11094/95793
PISSN
17556678
eISSN
17556686
Relation.isIdenticalTo
DOI (Publisher Version)
https://doi.org/10.1111/jorc.12494
Access Rights
open access
CopyRight
This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
oaire:version
Version of Record
Category
学術雑誌論文 Journal Article