RESUMO
This article describes a qualitative study which explored the factors that influence relatives' decisions about donating kidneys for transplantation within a specific minority culture, i.e., African-American, in the United States. The researchers interviewed caregiving relatives of End Stage Renal Disease patients to learn their ideas and feelings about donation and transplantation. Data analysis revealed six themes; each theme is presented with relevant social work activities.
Assuntos
Atitude Frente a Saúde , Negro ou Afro-Americano/psicologia , Transplante de Rim , Doadores de Tecidos/psicologia , Obtenção de Tecidos e Órgãos/estatística & dados numéricos , Adulto , Idoso , Cuidadores , Feminino , Educação em Saúde , Humanos , Transplante de Rim/psicologia , Masculino , Pessoa de Meia-Idade , Estados UnidosRESUMO
The decision making process undertaken by a sibling who chooses not to donate a kidney to a brother or sister who needs a transplant is the subject of this article. Presented from the perspective of the potential donor client, the paper focuses on the moral and ethical concerns indicated when there are two equal but competing rights involved in the decision. It also addresses pertinent attitudinal dimensions and social and health issues that affect all parties--the client, the marital partner, the family of origin, and the patient's immediate family. The article concludes by addressing "what" and "how" social workers assist clients after the difficult decision not to donate has been made.
