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dc.contributor.authorWalker, Wendy
dc.contributor.authorSque, Magi
dc.date.accessioned2016-10-11T13:25:32Z
dc.date.available2016-10-11T13:25:32Z
dc.date.issued2015-12-09
dc.identifier.citationBalancing hope and despair at the end of life: The contribution of organ and tissue donation. 2016, 32:73-8 J Crit Care
dc.identifier.issn1557-8615
dc.identifier.pmid26826752
dc.identifier.doi10.1016/j.jcrc.2015.11.026
dc.identifier.urihttp://hdl.handle.net/2436/620198
dc.description.abstractPURPOSE: 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.
dc.description.sponsorshipBritish Department of Health
dc.language.isoen
dc.publisherElsevier
dc.relation.urlhttp://www.sciencedirect.com/science/article/pii/S0883944115006036
dc.subjectBereavement
dc.subjectFamily
dc.subjectgrief
dc.subjectSudden death
dc.subjectOrgan donation
dc.subjectQualitative research
dc.titleBalancing hope and despair at the end of life: The contribution of organ and tissue donation.
dc.typeJournal article
dc.identifier.journalJournal of critical care
dc.source.volume32
dc.source.issueApril
dc.source.beginpage73
dc.source.endpage78
refterms.dateFOA2017-03-31T00:00:00Z
html.description.abstractPURPOSE: 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.


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