Premium
A model of donors' decision‐making in adult‐to‐adult living donor liver transplantation in Japan: Having no choice
Author(s) -
Fujita Misao,
Akabayashi Akira,
Slingsby Brian Taylor,
Kosugi Shinji,
Fujimoto Yasuhiro,
Tanaka Koichi
Publication year - 2006
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1002/lt.20689
Subject(s) - medicine , liver transplantation , living donor liver transplantation , transplantation , theme (computing) , health professionals , health care , surgery , computer science , economics , economic growth , operating system
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. Liver Transpl 12:768–774, 2006. © 2006 AASLD.