title: Understanding the plasmapheresis donor in a voluntary, nonremunerated environment.
abstract: BACKGROUND
  Increasing demand for plasma-derived products presents a major recruitment and retention challenge for blood collection agencies; however, little is known about what motivates individuals to become committed plasmapheresis donors. This study explored triggers for individuals' first plasma donation and factors associated with continuing donations.
  
  
  METHODS
  A total of 103 plasma donors were recruited into 11 focus groups. Reasons for donating were discussed using a semistructured questioning approach. Transcripts were analyzed using a grounded theory approach. Categories of perceptions, beliefs, and attitudes were developed from the data, cross-validated, and when relevant, assigned to higher-order themes.
  
  
  RESULTS
  Awareness of plasmapheresis was most often gained when donors were unable to donate whole blood. Accordingly, the main trigger for conversion to plasma donation was a personal request by collection staff. A key benefit of plasma donation was its increased frequency, which facilitated the establishment of a routine and relationship development with staff and donors, whereas the key reported sacrifice was the greater donation time. Disappointment was the main response to an inability to donate. Functional tokens and refreshments were valued by donors, although it was felt that money spent on tokens would be better invested in making operations more efficient.
  
  
  CONCLUSIONS
  Suitable whole blood donors should be made aware of plasmapheresis and its associated benefits through collection staff. Sustained donation can be encouraged by the establishment of a regular schedule and positive interactions with collection staff and other donors to enhance the donors' subjective well-being.
authors.affiliation: Department of Management and Marketing, The University of Melbourne, Melbourne, Victoria, Australia. lbove@unimelb.edu.au
authors.forename: Liliana L
authors.initials: LL
authors.lastname: Bove
authors.forename: Tim
authors.initials: T
authors.lastname: Bednall
authors.forename: Barbara
authors.initials: B
authors.lastname: Masser
authors.forename: Mark
authors.initials: M
authors.lastname: Buzza
mesh_terms: D000328:Adult; D000368:Aged; D001290:Attitude; D001782:Blood Donors; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010956:Plasmapheresis; D012201:Reward