症例報告
生体腎移植ドナーの意思決定を支えるレシピエント移植コーディネーターの関わり
2018 年 53 巻 4-5 号 p. 293-298
詳細
2018 年 53 巻 4-5 号 p. 293-298
【Objective】 The purpose of this study was to explore and clarify the content of interaction between potential living kidney donors and the transplant coordinator supporting the decision-making about transplantation.
【Design & Methods】 A qualitative research methodology was used in this study. Following ethical approval, data was collected by participant observation and tape-recordings during the first consultations between the transplant coordinator and 5 potential living kidney donors. The data was analyzed qualitatively and inductively.
【Results】 The following two core categories were observed:
1) The assessment used to better understand the backgrounds of the potential living kidney donors.
2) The interaction between the transplant coordinator and the potential living kidney donors to promote the best understanding about kidney transplantation.
The first part of the consultation between the transplant coordinator and 5 potential living kidney donors was highly important in order to establish a confidential relationship between the coordinator and the potential donors. A confidential relationship is helpful to further understand the inherent feeling of the potential donors about kidney donation. The second part of the consultation was dedicated to supporting the decision-making in the act of kidney donation. The level and quality of the communication moved potential donors to consider the justice and rationality of kidney donation, whilst also providing the opportunity to reconsider the decision of kidney donation.
【Conclusion】 It was suggested that the transplant coordinator needs to develop advanced communication skills. Moreover, to enhance the autonomy of the decision-making of potential living kidney donors, a transplant coordinator with plenty of relevant experience and expert knowledge is required.
