Evidence map›Paper›PMID 41981409›Full record

ArticleBMC health services research2026

Factors that create trust in the donation after circulatory death process among surgical personnel: a qualitative descriptive study.

Eva Lagging, Kjerstin Larsson, Ulla Forinder, Annika Tibell, Linda Gyllström Krekula

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Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Eva LaggingCenter for Health Care Ethics, LIME, Karolinska Institutet, Stockholm, 171 77, Sweden. eva.lagging@ki.se.
Kjerstin LarssonDepartment of Public Health and Caring Sciences, Public Health, Working Life and Rehabilitation, Uppsala University, Uppsala, 752 37, Sweden.
Ulla ForinderDepartment of Social Work, Criminology and Public Health Sciences, University of Gävle, Gävle, Sweden.
Annika TibellCenter for Health Care Ethics, LIME, Karolinska Institutet, Stockholm, 171 77, Sweden.
Linda Gyllström KrekulaCenter for Health Care Ethics, LIME, Karolinska Institutet, Stockholm, 171 77, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global scarcity of organs donated for transplantation has rekindled the interest in donation after circulatory death to augment the organ donation pool. However, there is a notable gap in our understanding of the attitudes and experiences of the surgical personnel involved in donation after circulatory death retrieval operations, which can adversely impact the success of donation after circulatory death programs.

methodsWe conducted focus group interviews using open-ended questions both before and after surgical personnel participated in the donation after circulatory death pilot. Thematic analysis was applied to the focus group data.

resultsFocus group responses generated one main theme: Trust in the donation after circulatory death process and four subthemes: Documents and education about donation after circulatory death; Intensive care unit handover to operation; Factors during the surgical process that strengthens team building; and Treating the donors and their families with dignity and respect.

conclusionTrust in the donation after circulatory death process, which fosters a supportive work environment among surgical personnel, hinges on the implementation of national donation after circulatory death guidelines based on evidence, a comprehensive intensive care unit handover that elucidates knowledge about patient care details, a pre-surgery planning meeting that generates team spirit. Furthermore, it is perceived vital to treat the donor with the utmost respect and dignity, as would any other patient.

Indexed as

Attitude of Health PersonnelDeathTissue and Organ ProcurementTrustAdultFemaleFocus GroupsHumansMaleQualitative ResearchDonation after circulatory death (DCD)Organ procurementSurgical personnelTrust

Identifiers

PMID41981409
PMCPMC13088567

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