Requesting relatives' consent for intensive care for organ donation: an empirical analysis of Spanish transplant coordinators' practices

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dc.contributor.authorGarcía Sánchez, Rubén
dc.contributor.authorSoria Oliver, María
dc.contributor.authorLópez Martínez, Jorge S.
dc.contributor.authorMartínez, José M.
dc.contributor.authorMartín, María J.
dc.contributor.authorBarceló-Soler, Alberto
dc.contributor.authorColl, Elisabeth
dc.contributor.authorRoldán, José
dc.contributor.authorUruñuela, David
dc.contributor.authorFernández-Carmona, Alberto
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.date.accessioned2024-12-27T08:48:32Z
dc.date.issued2024-10-08
dc.date.updated2024-12-27T08:33:17Z
dc.description.abstractBackground. Intensive care to facilitate organ donation (ICOD) involves the initiation or continuation of intensive care for patients with devastating brain injury for donation purposes. In the Spanish system, relatives undergo an early interview to request consent for this procedure. If they consent, a waiting time is agreed upon in the expectation that death by neurological criteria occurs and donation after brain death takes place. Otherwise, relatives can decide on donation after circulatory determination of death or withdrawal of life support. This study analyzes how Spanish transplant coordinators interact with relatives in early interviews and follow-ups on potential donation pathways. Methods. Semistructured interviews were conducted with a random stratified sample of 23 Spanish transplant coordination teams to explore strategies, practices, and perceptions of ICOD consent requests. The interviews were recorded, transcribed, and analyzed using content analysis. Results. Previous coordination with other units and information retrieval regarding patient and relatives' situations is crucial. The development of early interviews includes an introduction to the family, identification of decision makers, empathizing with relatives and offering condolences, reaffirming the fatal prognosis, explaining the possibility of donating based on the patient's will, confirming the family's understanding and resolving doubts, and ensuring comfort and assessing family needs. Conclusions. Approaching families to obtain ICOD consent is a regular practice for Spanish coordination teams. It involves a highly professional and diversified set of strategies based on establishing a support relationship for relatives. Our study provides strategies that serve as a reference for obtaining ICOD consent from families in other settings.en
dc.description.sponsorshipThis study was funded by Instituto de Salud Carlos III, project number PI18/00403), and co-funded by the European Regional Development Fund and European Social Fund ('Investing in your future').
dc.embargo.lift2025-10-08
dc.embargo.terms2025-10-08
dc.format.mimetypeapplication/pdfen
dc.identifier.citationGarcía-Sánchez, R., Soria-Oliver, M., López, J. S., Martínez, J. M., Martín, M. J., Barceló-Soler, A., Coll, E., Roldán, J., Uruñuela, D., Fernández-Carmona, A. (2024). Requesting relatives' consent for intensive care for organ donation: An empirical analysis of Spanish transplant coordinators' practices. Transplantation, 1-11. https://doi.org/10.1097/TP.0000000000005210.
dc.identifier.doi10.1097/TP.0000000000005210
dc.identifier.issn0041-1337
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/52798
dc.language.isoeng
dc.publisherLippincott, Williams & Wilkins
dc.relation.ispartofTransplantation (2024)
dc.relation.projectIDinfo:eu-repo/grantAgreement/ISCIII/Plan Estatal de Investigación Científica y Técnica y de Innovación 2013-2016 (ISCIII)/PI18%2F00403/ES/
dc.relation.publisherversionhttps://doi.org/10.1097/TP.0000000000005210
dc.rights© 2024 Wolters Kluwer Health, Inc. All rights reserved.
dc.rights.accessRightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectIntensive careen
dc.subjectOrgan donationen
dc.subjectRelatives' consenten
dc.titleRequesting relatives' consent for intensive care for organ donation: an empirical analysis of Spanish transplant coordinators' practicesen
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/acceptedVersion
dspace.entity.typePublication
relation.isAuthorOfPublication41118ad2-4b45-4de2-be65-d1ab52555d81
relation.isAuthorOfPublicationb27489d1-b01d-4663-b7cc-c473a33b8f28
relation.isAuthorOfPublication.latestForDiscovery41118ad2-4b45-4de2-be65-d1ab52555d81

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