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Original research
Moral distress and moral residue experienced by transplant coordinators
  1. Mahdi Tarabeih,
  2. Ya'arit Bokek-Cohen
  1. School of Nursing, The Academic College of Tel Aviv-Jaffa, Tel Aviv, Israel
  1. Correspondence to Dr Ya'arit Bokek-Cohen, School of Nursing, The Academic College of Tel Aviv-Jaffa, Tel Aviv, Postal code 6161001, Israel; ybokek{at}gmail.com

Abstract

Transplant coordinators play a pivotal role in the process of obtaining consent for live or dead donation of organs. The objective of the project is to unveil emotional experiences and ethical conduct of transplant coordinators using a qualitative research methodology. Ten transplant coordinators who have worked for more than 20 years in this job were recruited by using a purposive sampling technique. The transplant coordinators spoke of negative feelings and moral distress with regard to futile care of family members of deceased donors as well as of living donors. Transplant coordinators experience moral distress on a daily basis; being compelled to compromise their integrity causes moral distress and moral residue, hence, training and support should be offered to them.

  • applied and professional ethics
  • ethics
  • health workforce
  • kidneys
  • malpractice

https://doi.org/10.1136/medethics-2019-105593

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    Footnotes

    • Contributors MT and YBC designed the study. YBC wrote the interview guide. MT conducted the interviews. YBC and MT analysed the interview narratives. MT drafted the manuscript. YBC critically read the draft of the manuscript. MT and YBC revised the manuscript according to the editor’s comments, the lawyer’s guidelines, as well as the two anonymous reviewers’ comments. MT and YBC approved the final version of the revised manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Ethics approval Before embarking on the study, the research team received an Institutional Review Board ethical approval to conduct this research project (approval serial number 2019170).

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data availability statement Data are available upon request.

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