Decision-making process for living kidney donors

J Nurs Scholarsh. 2003;35(1):61-6. doi: 10.1111/j.1547-5069.2003.00061.x.


Purpose: To explore what people experienced when deciding to donate a kidney and to explore associated issues and concerns when they made their decisions.

Design: Grounded theory.

Method: The data were collected in Korea through semi-structured individual interviews in 1998-1999. A purposeful sample of 14 living kidney donors participated. All interviews were audiotaped and were transcribed verbatim. Constant comparative analysis was done using the NUD*IST4.0 software program.

Findings: "Wishing to give (a kidney)" was the core category integrating the six subcategories: motives, intervening conditions, inhibiting factors, facilitating factors, donor characteristics, and consequences. Two phases in the decision-making were the deliberation phase and the execution phase. Three decision-making types related to the intensity of "wishing to give" are: high intensity as voluntary type, medium as compromising type, and low as passive type.

Conclusions: The decision to donate a kidney was described as a highly complicated process involving not only the medical but also psychological, interpersonal, familial, and financial concerns.

MeSH terms

  • Adult
  • Decision Making*
  • Female
  • Humans
  • Kidney Transplantation*
  • Korea
  • Living Donors* / psychology
  • Male
  • Models, Psychological
  • Motivation