The experience of receiving a kidney transplant from a deceased donor: Implications for renal services.

ACUTE kidney failure; ATTITUDE (Psychology); AUDITING; EXPERIENCE; HEMODIALYSIS; INTERVIEWING; KIDNEY transplantation; LIFE; PHENOMENOLOGY; RESEARCH methodology; ORGAN donors; TRANSPLANTATION of organs, tissues, etc.; UNCERTAINTY; QUALITATIVE research; JUDGMENT sampling; SOCIAL support; THEMATIC analysis; DESCRIPTIVE statistics; DISEASE complications

Objective:The study aimed to explore the psychological experiences of receiving a kidney transplant from a deceased donor and to examine resulting implications for renal services. Design:A qualitative design was utilised within an interpretative phenomenological analysis (IPA) framework. Main outcome measures:Semi-structured interviews were conducted with six adults (male = 5, mean age = 45 yrs) on their experiences of receiving a kidney transplant from a deceased donor. All participants had their transplant within the preceding 21 months. Data were analysed using IPA. Results:The four elicited themes incorporate recipients’ positive feelings about receiving a transplant, mainly arising from the newfound freedom that this entails, in addition to strong feelings of gratitude towards their donors. They also capture challenges, such as the uncertainty of living with a transplanted kidney, and highlight the increased dependence on others throughout the transplant process. Conclusion:The findings indicate a range of psychological, social and occupational experiences for participants. It is concluded that optimal care in renal services would incorporate a holistic approach to pre and post-transplant care; identifying and supporting the needs of transplant recipients. A biopsychosocial model of care may enhance service user well-being. Potential areas of future research are explored. [ABSTRACT FROM PUBLISHER]