Barriers to living kidney donation among relatives of patients with chronic renal failure in south Africa

  • Authors

    • Pretty Mbeje University of South Africa (UNISA), Department of health Studies
    • Mary Moleki University of South Africa (UNISA), Department of health Studies
    • Makombo Ganga-Limando UNIVERSITY OF SOUTH AFRICA (UNISA)
    2014-07-02
    https://doi.org/10.14419/ijans.v3i2.2343

  • Abstract

    Background: The number of patients with chronic renal failure awaiting kidney transplantation has been increasing in the country. There is a great awareness regarding the importance of kidney donation among family members and the public at large. But little is known about their reluctance to donate kidney.

    Aim: The aim of this study was to explore and describe barriers to living kidney donation among relatives of patients with chronic renal failure undergoing haemodialysis in one of the provinces in South Africa.

    Methods: The study used qualitative, descriptive, exploratory and contextual design. Purposive sampling was carried out to select close family members and relatives of patients undergoing haemodialysis. Data was collected through individual face to face in-depth interviews with 25 participants. Interviews were recorded and analysed using thematic content analysis approach.

    Results: This study identified six major barriers to living kidney donation among relatives of patients with chronic renal failure undergoing haemodialysis. They included: cultural beliefs, mistrust, fear, lack of information, being old, and pre-existing medical conditions. These barriers are well documented in the literature.

    Conclusion: The study has direct implication for the quality of life of patients with chronic renal failure. Kidney transplantation is associated with drastic improvements in survival and quality of life as well as considerable cost savings, compared with haemodialysis or peritoneal dialysis. It cannot be achieved without organ donors. Therefore, extensive public education aimed at ad-dressing factors restraining people to donate organ is needed.

     

    Keywords: Barriers to Kidney Donation, Chronic Renal Failure, Haemodialysis, Patients’ Relatives, South Africa.

  • References

    1. Alvaro EM, Siegel JT, Truscott D, Lisa N, Crane WD & Dominick A (2008) Living kidney donation among Hispanics; a qualitative examination of barriers and opportunities. Prog Transplant 18(4), 243-250. [PubMed]
    2. Andrews PA (2008) early identification of chronic kidney dis-ease in adults in primary and secondary care: A commentary on NICE guideline No 73. British Journal of Diabetes and Vascular Disease 8(6), 257-262. [PubMed]
    3. Barcellos FC, Araujo CL & da Costa JD (2005) Organ donation; a population based study. Clinical Transplant 19, 33-37. [PubMed]
    4. Boulware LE, Ratner LE, Sosa JA, and Cooper LA, LaViest TA & Powe NR (2002) Determinants of willingness to donate living related and cadaveric organs: identifying opportunities for intervention. Transplantation 73, 1683-1691. [PubMed]
    5. Bryman A (2012) Social Research Methods, 4th edition, Oxford University Press.
    6. Creswell JW (2013) Qualitative Inquiry & Research Design: Choosing Among Five Approaches. 3rd edition, Sage- London.
    7. Crombie AK & Franklin PM (2006) Family Issues Implicit in Living Donation. Mortality 11(2), 196-210.
    8. Davis C & Randhawa G (2004) “Don’t know enough about it”: awareness and attitudes toward organ donation and transplantation among the black Caribbean and black African population in Lambeth, Southwark, and Lewisham, United Kingdom. Transplantation 78, 420-425.
    9. Erdei V, Duret N & Mironov G (2010) Legal issues related to donation of organs, tissues and cells of human. EIRCP Pro-ceedings 5,133-137.
    10. Mathew T, Faull R & Snelling PL (2005) the shortage of kidney for transplantation in Australia. Medical Journal Australia 182, 204-205
    11. Oliver M, Woywodt A, Ahmed A & Saif I (2011) Organ donation, transplantation and religion. Nephrology Dialysis Transplantation 26(2), 1745.
    12. Polit FD & Beck CT (2012) Nursing Research: generating and assessing evidence for nursing practice. 9th edition, Philadelphia: Lippincott Williams and Wilkins.
    13. Powe NR & Boulware LE (2002) the uneven distribution of kidney transplants: Getting at the root causes and improving care. American Journal Kidney Diseases 40(4), 861-863. [PubMed]
    14. Smeltzer SC, Bare BG, Hinkle JL & Cheever KH (2008) Brunner and Suddarth textbook of medical and surgical nursing, 11th edition, Lippincott: Philadelphia.
    15. Waterman AD, Stanley SL, Covelli T, Hazel E, Hong BA, Brennan DC (2006) living donation decision-making: recipients’ concerns and education needs. Prog Transplant 16, 17-23. [PubMed]
    16. White SL, Chadban SJ, Jan S, Chapman JR & Cass A (2008) How can we achieve global equity in provision of renal replacement therapy? Bulletin of the World Health Organization 86(3), 229-240.
    17. Yang RC (2007). Insurability of living donors: a systematic review. American Journal of Transplantation 7(6), 1542-1551.
    18. Young CJ & Gaston RS (2002) African Americans and renal transplantation: Disproportionate need, limited access, and impaired outcomes. Is J Med Sc 323, 94-96. [PubMed]
    19. Wing FL, Reese PP, Mulgaonkar S & Patel AM (2010) Barriers to living donor kidney transplantation among black or older transplant candidates. Clinical Journal of American Society of Nephrology 5(12), 2338-2347. [PubMed]

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  • How to Cite

    Mbeje, P., Moleki, M., & Ganga-Limando, M. (2014). Barriers to living kidney donation among relatives of patients with chronic renal failure in south Africa. International Journal of Advanced Nursing Studies, 3(2), 65-68. https://doi.org/10.14419/ijans.v3i2.2343

    Received date: 2014-04-04

    Accepted date: 2014-05-30

    Published date: 2014-07-02