Transformative Learning Among Organ Procurement Organization Donor Family Volunteers.

IF 0.6 4区 医学 Q4 SURGERY Progress in Transplantation Pub Date : 2024-12-01 Epub Date: 2024-10-15 DOI:10.1177/15269248241288558
Nicholas R Henry, Joellen E Coryell
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Abstract

Introduction: Some family members who previously made the decision to donate a family member's organs support the organ procurement organization (OPO) through volunteer work. Volunteers were asked to describe their family's organ donation story to educate the general and medical communities about organ donation. This study explored the transformative learning experienced by volunteers during and following the organ donation consent process and throughout their volunteer work. Methods/Approach: A narrative inquiry research methodology and transformative learning theoretical framework was used and 6 volunteers were recruited to participate. Two semistructured virtual interviews were conducted. Interviews were transcribed, radically reduced, and subjected to holistic-content and holistic-form narrative analysis. Findings: Participants experienced strong emotional responses during and after the loss of their family member, characterized as a period of disorientation, which lasted for an extended period preventing transformative learning. After the OPO contacted participants regarding the opportunity to volunteer, participants experienced a period of self-examination when they reengaged with the topic of organ donation. Critical reflection occurred through the act of storytelling about their family's organ donation story during their volunteer work. Storytelling to the community facilitated making meaning of their loss and transformations. Conclusion: Volunteering for an OPO played an important role by initiating self-examination and critical reflection of their prior assumptions. Through storytelling, participants reflected on their roles and made meaning of their organ donation experiences. The act of inviting donor families to reengage with the topic of organ donation through volunteer work fostered positive permanent meaningful transformations.

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器官获取组织捐赠者家庭志愿者的转型学习。
导言:一些曾决定捐献家庭成员器官的家庭成员通过志愿工作支持器官获取组织(OPO)。志愿者们被要求描述他们家庭的器官捐献故事,以教育大众和医疗界有关器官捐献的知识。本研究探讨了志愿者在器官捐献同意过程中和之后,以及在整个志愿工作中经历的转变性学习。方法/途径:采用叙事调查研究方法和转化学习理论框架,招募了 6 名志愿者参与。进行了两次半结构化虚拟访谈。对访谈内容进行了转录、彻底缩减,并进行了整体内容和整体形式的叙事分析。研究结果参与者在失去家人期间和之后经历了强烈的情绪反应,表现为一段迷失期,这种情绪反应持续了很长时间,阻碍了转化性学习。在 OPO 联系参与者提供志愿服务机会后,参与者经历了一段重新参与器官捐献话题的自我审视期。通过在志愿工作中讲述自己家庭的器官捐献故事,参与者进行了批判性反思。向社区讲故事有助于使他们对自己的损失和转变产生意义。结论为 OPO 提供志愿服务发挥了重要作用,促使参与者进行自我审视,并对其先前的假设进行批判性反思。通过讲故事,参与者对自己的角色进行了反思,并为自己的器官捐献经历赋予了意义。通过志愿工作邀请捐献者家属重新参与到器官捐献的话题中来,这一行为促进了积极的、永久的、有意义的转变。
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来源期刊
Progress in Transplantation
Progress in Transplantation SURGERY-TRANSPLANTATION
CiteScore
1.50
自引率
12.50%
发文量
44
审稿时长
6-12 weeks
期刊介绍: Progress in Transplantation (PIT) is the official journal of NATCO, The Organization for Transplant Professionals. Journal Partners include: Australasian Transplant Coordinators Association and Society for Transplant Social Workers. PIT reflects the multi-disciplinary team approach to procurement and clinical aspects of organ and tissue transplantation by providing a professional forum for exchange of the continually changing body of knowledge in transplantation.
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