Interviews with families of organ donors: analysis of motivation for acceptance or refusal of donation

The reasons for organ donation acceptance or refusal are still unclear. This study analysed the influence of the circumstances of the conversations with the relatives of brain dead patients on their consent for organ donation. Prospective study. The analysis included 41 questionnaires collected over...

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Bibliographic Details
Published in:Annales françaises d'anesthésie et de réanimation 1997, Vol.16 (5), p.492-497
Main Authors: Bonnet, F, Denis, V, Fulgencio, J P, Beydon, L, Darmon, P L, Cohen, S
Format: Article
Language:fre
Subjects:
Adolescent
Adult
Aged
Attitude to Death
Cadaver
Cause of Death
Decision Making
Family - psychology
Family Relations
Female
Humans
Informed Consent
Male
Middle Aged
Motivation
Persuasive Communication
Physicians - psychology
Prospective Studies
Social Support
Tissue and Organ Procurement
Tissue Donors
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Summary:The reasons for organ donation acceptance or refusal are still unclear. This study analysed the influence of the circumstances of the conversations with the relatives of brain dead patients on their consent for organ donation. Prospective study. The analysis included 41 questionnaires collected over nine months in one organ harvesting centre and focusing on the circumstances of death, the conditions of the conversations and the reasons for acceptance or refusal. Questionnaire filled in by the physicians after the interviews of the relatives of brain dead patients. The refusal rate was higher (54 vs 21%) when only one physician participated in the conversation, when more than two relatives had to decide (42 vs 24%), when conversations took place during night or when the request for organ donation followed immediately the announcement of death (43 vs 20%). Most often the relatives gave their decision within minutes following the request. The circumstances of conversation with families play an essential role in their decision-making. A written guideline implementation for these conversations would probably be beneficial for the decisions of families in favour of organ donation.
ISSN:0750-7658