Family bereavement and organ donation in Spain: a mixed method, prospective cohort study protocol
Introduction There is a discrepancy in the literature as to whether authorising or refusing the recovery of organs for transplantation is of direct benefit to families in their subsequent grieving process. This study aims to explore the impact of the family interview to pose the option of posthumous...
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BMJ Publishing Group
2023-01-01
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Series: | BMJ Open |
Online Access: | https://bmjopen.bmj.com/content/13/1/e066286.full |
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author | David Rodríguez-Arias Maria Victoria Martinez-Lopez Elisabeth Coll Francisco Cruz-Quintana Beatriz Dominguez-Gil Ivar R Hannikainen Ramón Lara Rosales Alicia Pérez-Blanco Maria Nieves Perez-Marfil Jose Miguel Pérez-Villares David Uruñuela |
author_facet | David Rodríguez-Arias Maria Victoria Martinez-Lopez Elisabeth Coll Francisco Cruz-Quintana Beatriz Dominguez-Gil Ivar R Hannikainen Ramón Lara Rosales Alicia Pérez-Blanco Maria Nieves Perez-Marfil Jose Miguel Pérez-Villares David Uruñuela |
author_sort | David Rodríguez-Arias |
collection | DOAJ |
description | Introduction There is a discrepancy in the literature as to whether authorising or refusing the recovery of organs for transplantation is of direct benefit to families in their subsequent grieving process. This study aims to explore the impact of the family interview to pose the option of posthumous donation and the decision to authorise or refuse organ recovery on the grieving process of potential donors’ relatives.Methods and analysis A protocol for mixed methods, prospective cohort longitudinal study is proposed. Researchers do not randomly assign participants to groups. Instead, participants are considered to belong to one of three groups based on factors related to their experiences at the hospital. In this regard, families in G1, G2 and G3 would be those who authorised organ donation, declined organ donation or were not asked about organ donation, respectively. Their grieving process is monitored at three points in time: 1 month after the patient’s death, when a semistructured interview focused on the lived experience during the donation process is carried out, 3 months and 9 months after the death. At the second and third time points, relatives’ grieving process is assessed using six psychometric tests: State-Trait Anxiety Inventory, Beck Depression Inventory-II, Inventory of Complicated Grief, The Impact of Event Scale: Revised, Posttraumatic Growth Inventory and Connor-Davidson Resilience Scale. Descriptive statistics (means, SDs and frequencies) are computed for each group and time point. Through a series of regression models, differences between groups in the evolution of bereavement are estimated. Additionally, qualitative analyses of the semistructured interviews are conducted using the ATLAS.ti software.Ethics and dissemination This study involves human participants and was approved by Comité Coordinador de Ética de la Investigación Biomédica de Andalucía (CCEIBA) ID:1052-N-21. The results will be disseminated at congresses and ordinary academic forums. Participants gave informed consent to participate in the study before taking part. |
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institution | Directory Open Access Journal |
issn | 2044-6055 |
language | English |
last_indexed | 2024-03-12T22:21:35Z |
publishDate | 2023-01-01 |
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spelling | doaj.art-3f08a0ebde52474db8e4e35ed5ebfd9a2023-07-23T05:30:07ZengBMJ Publishing GroupBMJ Open2044-60552023-01-0113110.1136/bmjopen-2022-066286Family bereavement and organ donation in Spain: a mixed method, prospective cohort study protocolDavid Rodríguez-Arias0Maria Victoria Martinez-Lopez1Elisabeth Coll2Francisco Cruz-Quintana3Beatriz Dominguez-Gil4Ivar R Hannikainen5Ramón Lara Rosales6Alicia Pérez-Blanco7Maria Nieves Perez-Marfil8Jose Miguel Pérez-Villares9David Uruñuela10FiloLab-UGR Scientific Unit of Excellence, Department of Philosophy 1, University of Granada, Granada, Spain1 Department of Philosophy I, Faculty of Philosophy, University of Granada, Granada, Spain2 Organización Nacional de Trasplantes, Madrid, Spain3 Department of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Granada, Granada, Spain2 Organización Nacional de Trasplantes, Madrid, Spain1 Department of Philosophy I, Faculty of Philosophy, University of Granada, Granada, Spain4 Coordinación Sectorial de Trasplantes de Granada, Granada, Spain2 Organización Nacional de Trasplantes, Madrid, Spain3 Department of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Granada, Granada, Spain5 Coordinación Autonómica de Trasplantes de Andalucía, Sevilla, Spain2 Organización Nacional de Trasplantes, Madrid, SpainIntroduction There is a discrepancy in the literature as to whether authorising or refusing the recovery of organs for transplantation is of direct benefit to families in their subsequent grieving process. This study aims to explore the impact of the family interview to pose the option of posthumous donation and the decision to authorise or refuse organ recovery on the grieving process of potential donors’ relatives.Methods and analysis A protocol for mixed methods, prospective cohort longitudinal study is proposed. Researchers do not randomly assign participants to groups. Instead, participants are considered to belong to one of three groups based on factors related to their experiences at the hospital. In this regard, families in G1, G2 and G3 would be those who authorised organ donation, declined organ donation or were not asked about organ donation, respectively. Their grieving process is monitored at three points in time: 1 month after the patient’s death, when a semistructured interview focused on the lived experience during the donation process is carried out, 3 months and 9 months after the death. At the second and third time points, relatives’ grieving process is assessed using six psychometric tests: State-Trait Anxiety Inventory, Beck Depression Inventory-II, Inventory of Complicated Grief, The Impact of Event Scale: Revised, Posttraumatic Growth Inventory and Connor-Davidson Resilience Scale. Descriptive statistics (means, SDs and frequencies) are computed for each group and time point. Through a series of regression models, differences between groups in the evolution of bereavement are estimated. Additionally, qualitative analyses of the semistructured interviews are conducted using the ATLAS.ti software.Ethics and dissemination This study involves human participants and was approved by Comité Coordinador de Ética de la Investigación Biomédica de Andalucía (CCEIBA) ID:1052-N-21. The results will be disseminated at congresses and ordinary academic forums. Participants gave informed consent to participate in the study before taking part.https://bmjopen.bmj.com/content/13/1/e066286.full |
spellingShingle | David Rodríguez-Arias Maria Victoria Martinez-Lopez Elisabeth Coll Francisco Cruz-Quintana Beatriz Dominguez-Gil Ivar R Hannikainen Ramón Lara Rosales Alicia Pérez-Blanco Maria Nieves Perez-Marfil Jose Miguel Pérez-Villares David Uruñuela Family bereavement and organ donation in Spain: a mixed method, prospective cohort study protocol BMJ Open |
title | Family bereavement and organ donation in Spain: a mixed method, prospective cohort study protocol |
title_full | Family bereavement and organ donation in Spain: a mixed method, prospective cohort study protocol |
title_fullStr | Family bereavement and organ donation in Spain: a mixed method, prospective cohort study protocol |
title_full_unstemmed | Family bereavement and organ donation in Spain: a mixed method, prospective cohort study protocol |
title_short | Family bereavement and organ donation in Spain: a mixed method, prospective cohort study protocol |
title_sort | family bereavement and organ donation in spain a mixed method prospective cohort study protocol |
url | https://bmjopen.bmj.com/content/13/1/e066286.full |
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