TY - JOUR
T1 - Exploring Staff Attitudes towards Unspecified Kidney Donors in the United Kingdom: Results from the BOUnD Study
AU - Zuchowski, Mira
AU - Mamode, Nizam
AU - Draper, Heather
AU - Gogalniceanu, Peter
AU - Norton, Sam
AU - Chilcot, Joseph
AU - Auburn, Timothy
AU - Clarke, Alexis
AU - Williams, Lynsey
AU - McCrone, Paul
AU - Maple, Hannah
N1 - Funding Information:
All authors have been completely or partially funded by the National Institute for Health Research (Health Service and Delivery Research programme) (project number 13/54/54). This research grant is to support a longitudinal prospective study addressing a number of different aspects of unspecified kidney donation. The funder had no involvement in the preparation of this manuscript.
Publisher Copyright:
Copyright © 2023 Zuchowski, Mamode, Draper, Gogalniceanu, Norton, Chilcot, Auburn, Clarke, Williams, Burnapp, McCrone and Maple.
PY - 2023/6/8
Y1 - 2023/6/8
N2 - Unspecified kidney donation (UKD) has made substantial contributions to the UK living donor programme. Nevertheless, some transplant professionals are uncomfortable with these individuals undergoing surgery. This study aimed to qualitatively explore the attitudes of UK healthcare professionals towards UKD. An opportunistic sample was recruited through the Barriers and Outcomes in Unspecified Donation (BOUnD) study covering six UK transplant centres: three high volume and three low volume centres. Interview transcripts were analysed using inductive thematic analysis. The study provided comprehensive coverage of the UK transplant community, involving 59 transplant professionals. We identified five themes: staff’s conception of the ethics of UKD; presence of the known recipient in the donor-recipient dyad; need for better management of patient expectations; managing visceral reactions about the “typical” unspecified kidney donor; complex attitudes toward a promising new practice. This is the first in-depth qualitative study of attitudes of transplant professionals towards UKD. The data uncovered findings with strong clinical implications for the UKD programme, including the need for a uniform approach towards younger candidates that is adhered to by all transplant centres, the need to equally extend the rigorous assessment to both specified and unspecified donors, and a new approach to managing donor expectations.
AB - Unspecified kidney donation (UKD) has made substantial contributions to the UK living donor programme. Nevertheless, some transplant professionals are uncomfortable with these individuals undergoing surgery. This study aimed to qualitatively explore the attitudes of UK healthcare professionals towards UKD. An opportunistic sample was recruited through the Barriers and Outcomes in Unspecified Donation (BOUnD) study covering six UK transplant centres: three high volume and three low volume centres. Interview transcripts were analysed using inductive thematic analysis. The study provided comprehensive coverage of the UK transplant community, involving 59 transplant professionals. We identified five themes: staff’s conception of the ethics of UKD; presence of the known recipient in the donor-recipient dyad; need for better management of patient expectations; managing visceral reactions about the “typical” unspecified kidney donor; complex attitudes toward a promising new practice. This is the first in-depth qualitative study of attitudes of transplant professionals towards UKD. The data uncovered findings with strong clinical implications for the UKD programme, including the need for a uniform approach towards younger candidates that is adhered to by all transplant centres, the need to equally extend the rigorous assessment to both specified and unspecified donors, and a new approach to managing donor expectations.
UR - http://www.scopus.com/inward/record.url?scp=85162694122&partnerID=8YFLogxK
U2 - 10.3389/ti.2023.11258
DO - 10.3389/ti.2023.11258
M3 - Article
SN - 0934-0874
VL - 36
JO - Transplant International
JF - Transplant International
M1 - 11258
ER -