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    Balancing hope and despair at the end of life: The contribution of organ and tissue donation.

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    Authors
    Walker, Wendy
    Sque, Magi
    Issue Date
    2015-12-09
    
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    Abstract
    PURPOSE: Concern for the grieving family can moderate the intentions of critical care staff to advocate deceased organ and tissue donation. Conversely, benevolent actions may provoke distress through missed opportunities to save or transform lives. This article provides insight into the perceived benefits of organ and tissue donation for grieving families who experienced end-of-life care in the intensive care unit. METHODS: Data were collected via semistructured, face-to-face or telephone interviews with 43 participants from 31 donor families. Audio recordings were transcribed verbatim and subjected to qualitative content analysis. RESULTS: The study findings affirmed the importance of person-centered end-of-life care. Donor families shared examples of good-quality care and communication that contained the hallmarks of compassion, respect, dignity, and choice. We uncovered a trajectory of hope and despair in which the option of organ and tissue donation appeared to give meaning to the life and death of the deceased person and was comforting to some families in their bereavement. CONCLUSIONS: Our study findings underlined the significance of donation decision making for grieving families. Organ and tissue donation has the potential to balance hope and despair at the end of life when the wishes of the dying, deceased, and bereaved are fulfilled.
    Citation
    Balancing hope and despair at the end of life: The contribution of organ and tissue donation. 2016, 32:73-8 J Crit Care
    Publisher
    Elsevier
    Journal
    Journal of critical care
    URI
    http://hdl.handle.net/2436/620198
    DOI
    10.1016/j.jcrc.2015.11.026
    PubMed ID
    26826752
    Additional Links
    http://www.sciencedirect.com/science/article/pii/S0883944115006036
    Type
    Journal article
    Language
    en
    ISSN
    1557-8615
    Sponsors
    British Department of Health
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.jcrc.2015.11.026
    Scopus Count
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    Faculty of Education, Health and Wellbeing

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