ArticleBMJ open2025
Organ procurement coordinators' experiences with family refusals in cadaveric organ donation: a qualitative analysis.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- System-level Barriers Reducing Access to Transplantation: Results of a Global Survey.Transplantation direct · 2026Article
- Risk Factors for Dysfunctional Liver Graft Response: A Case-Control Study.Nursing & health sciences · 2026Article
- The integration of psychosocial care, ethical governance, and patient-centered research in current and future approaches in the field of vascularized composite allotransplantation.Frontiers in transplantation · 2026Review
- Examining the experiences of donor relatives in the organ donation decision process: a qualitative study in Türkiye.BMC medical ethics · 2025Article
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2 authors.
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Abstract
objectivesOrgan procurement coordinators (OPCs) play a pivotal role in navigating end-of-life and second-birth narratives by securing familial consent for solid organ donation. Given the low rates of cadaveric organ donation in Türkiye and worldwide, OPCs are essential in advocating for and facilitating these donations. This study explores the reasons for refusal that OPCs have encountered during the familial consent process.
designWe gathered the data through semistructured interviews with 30 OPCs. Thematic analysis was used to identify and analyse key themes, with a specific focus on cultural, religious, spiritual and folkloric barriers contributing to the low rates of cadaveric organ donation in Türkiye.
settingHospitals and organ transplant centres operating under the jurisdiction of the Ankara Regional Coordination Centre in Türkiye.
participantsParticipants were recruited using a purposeful random sampling strategy to enhance credibility and reduce bias. Eligible informants included OPCs with at least 2 years of experience in the role. Among the 30 participants, 18 were based in central organ transplant centres associated with Training and Research Hospitals in Ankara, and 12 were from peripheral city hospitals.
resultsCoordinators identified five main barriers that hinder their ability to secure familial consent for cadaveric organ donation: (1) religion, (2) concerns about the wishes of the deceased, (3) desire to choose recipients, (4) familial dynamics and (5) folklore. Each category was further contextualised through subcategories derived from the frequency and nuances of recurring themes.
conclusionOPCs face significant challenges in promoting cadaveric organ donations due to cultural barriers. Their experiences underscore the need for culturally competent approaches in organ donation campaigns and the importance of supporting coordinators in their roles. Enhanced cultural understanding and targeted interventions could improve cadaveric organ donation rates.
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