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Gift exchange and organ donation: donor and recipient experiences of live related kidney transplantation.
Int J Nurs Stud. 2008 Nov; 45(11):1607-17.IJ

Abstract

BACKGROUND

Live transplantation presents many stressors for donors and recipients, yet a holistic understanding of the process, from both perspectives, is limited. Gift exchange is a theory governed by the principles of giving, receiving and reciprocating and has many similarities with the process of organ transplantation. It may therefore provide a framework for understanding donor and recipient experiences of live kidney transplantation. However, the relevance of this theory to live kidney transplantation has not previously been properly explored.

OBJECTIVES

To gain a theoretical understanding of the live transplantation experience from the perspectives of donors and recipients.

DESIGN

A phenomenological, longitudinal study.

PARTICIPANTS

All donors and their recipients undergoing live kidney transplantation in a regional renal transplant centre in South-West England (between July 2003 and February 2004) were invited to participate in this study. Of this cohort, 11 families (n=55%) volunteered to participate.

METHODS

Data were collected through a series of 3 recorded, semi-structured interviews with donors and recipients. Interviews were conducted pre transplant and at 3 and 10 months post transplant. Data were analysed using a process of thematic content analysis. Findings were also considered within a theoretical framework of gift exchange.

RESULTS

All donors initially made an instantaneous, voluntary decision to donate and found the decision relatively easy to make. In contrast, recipients found accepting the donors' offer arduous, because of concern for their wellbeing. They were only able to accept the transplant after discussing the matter with their donor and establishing that it was something that they wanted to do. Recipients' lives were transformed by a successful transplant and they were subsequently very grateful to the donors for donating. Donors derived immense personal satisfaction from this outcome and it helped to confirm to them that what they had done had been worthwhile. The transplant did not have a detrimental effect on donor-recipient relationships.

CONCLUSIONS

The concept of gift exchange provides a logical explanation of donor and recipients experiences in this study, particularly in relation to factors that influence giving, receiving and reciprocating. This understanding should help health professionals assist donors, recipients and their families throughout this process.

Authors+Show Affiliations

Faculty of Health, Sport and Science, University of Glamorgan, Pontypridd CF37 1DL, UK. pwgill@glam.ac.ukNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18462738

Citation

Gill, Paul, and Lesley Lowes. "Gift Exchange and Organ Donation: Donor and Recipient Experiences of Live Related Kidney Transplantation." International Journal of Nursing Studies, vol. 45, no. 11, 2008, pp. 1607-17.
Gill P, Lowes L. Gift exchange and organ donation: donor and recipient experiences of live related kidney transplantation. Int J Nurs Stud. 2008;45(11):1607-17.
Gill, P., & Lowes, L. (2008). Gift exchange and organ donation: donor and recipient experiences of live related kidney transplantation. International Journal of Nursing Studies, 45(11), 1607-17. https://doi.org/10.1016/j.ijnurstu.2008.03.004
Gill P, Lowes L. Gift Exchange and Organ Donation: Donor and Recipient Experiences of Live Related Kidney Transplantation. Int J Nurs Stud. 2008;45(11):1607-17. PubMed PMID: 18462738.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gift exchange and organ donation: donor and recipient experiences of live related kidney transplantation. AU - Gill,Paul, AU - Lowes,Lesley, Y1 - 2008/05/06/ PY - 2007/12/03/received PY - 2008/03/17/revised PY - 2008/03/21/accepted PY - 2008/5/9/pubmed PY - 2009/1/31/medline PY - 2008/5/9/entrez SP - 1607 EP - 17 JF - International journal of nursing studies JO - Int J Nurs Stud VL - 45 IS - 11 N2 - BACKGROUND: Live transplantation presents many stressors for donors and recipients, yet a holistic understanding of the process, from both perspectives, is limited. Gift exchange is a theory governed by the principles of giving, receiving and reciprocating and has many similarities with the process of organ transplantation. It may therefore provide a framework for understanding donor and recipient experiences of live kidney transplantation. However, the relevance of this theory to live kidney transplantation has not previously been properly explored. OBJECTIVES: To gain a theoretical understanding of the live transplantation experience from the perspectives of donors and recipients. DESIGN: A phenomenological, longitudinal study. PARTICIPANTS: All donors and their recipients undergoing live kidney transplantation in a regional renal transplant centre in South-West England (between July 2003 and February 2004) were invited to participate in this study. Of this cohort, 11 families (n=55%) volunteered to participate. METHODS: Data were collected through a series of 3 recorded, semi-structured interviews with donors and recipients. Interviews were conducted pre transplant and at 3 and 10 months post transplant. Data were analysed using a process of thematic content analysis. Findings were also considered within a theoretical framework of gift exchange. RESULTS: All donors initially made an instantaneous, voluntary decision to donate and found the decision relatively easy to make. In contrast, recipients found accepting the donors' offer arduous, because of concern for their wellbeing. They were only able to accept the transplant after discussing the matter with their donor and establishing that it was something that they wanted to do. Recipients' lives were transformed by a successful transplant and they were subsequently very grateful to the donors for donating. Donors derived immense personal satisfaction from this outcome and it helped to confirm to them that what they had done had been worthwhile. The transplant did not have a detrimental effect on donor-recipient relationships. CONCLUSIONS: The concept of gift exchange provides a logical explanation of donor and recipients experiences in this study, particularly in relation to factors that influence giving, receiving and reciprocating. This understanding should help health professionals assist donors, recipients and their families throughout this process. SN - 0020-7489 UR - https://www.unboundmedicine.com/medline/citation/18462738/Gift_exchange_and_organ_donation:_donor_and_recipient_experiences_of_live_related_kidney_transplantation_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0020-7489(08)00065-5 DB - PRIME DP - Unbound Medicine ER -