title: Experiences of donor families after consenting to organ donation: a qualitative study.
abstract: OBJECTIVE
  The aim of this study was to investigate the experience of Norwegian donor families during organ donation after brain death.
  
  
  METHODS
  This was a qualitative study using personal interviews. Twenty donor-family members from thirteen different situations were interviewed about their experience of being a close relative in an organ donation situation. The principles of qualitative content analysis were used.
  
  
  RESULTS
  An experience of strain caused by the organ donation situation was identified. Lack of comprehension and awareness of the process of organ donation contributed to this, and continuing information after the consent was given appeared to be necessary. Reconciliation with the decision of organ donation and the subsequent situation was gained through understanding the organ donation process, through recognition of the increased strain and through satisfaction resulting from the contribution made by organ donation. Healthcare personnel were key persons in contributing to such understanding and recognition.
  
  
  CONCLUSIONS
  When attending to families in an organ donation situation, the focus must be on ensuring comprehension of the situation both through information provided in the hospital and during follow-up. It seems essential to arrange for a period of parting that can contribute to reconciliation, and to offer follow-up according to individual needs.
authors.affiliation: Division of Emergencies and Critical Care, Oslo University Hospital, Norway. Electronic address: helene.berntzen@ous-hf.no.
authors.forename: Helene
authors.initials: H
authors.lastname: Berntzen
authors.affiliation: Institute of Health and Society, University of Oslo, Norway. Electronic address: i.t.bjork@medisin.uio.no.
authors.forename: Ida Torunn
authors.initials: IT
authors.lastname: Bjørk
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001293:Attitude to Death; D001926:Brain Death; D003142:Communication; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009664:Norway; D011368:Professional-Family Relations; D036301:Qualitative Research; D013315:Stress, Psychological; D009927:Tissue and Organ Procurement
keywords: Bereavement; Brain death; Perception; Professional–family relation; Qualitative research; Tissue and organ procurement