{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T23:07:05Z","timestamp":1787699225119,"version":"build-2784847793"},"reference-count":51,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,5,21]],"date-time":"2013-05-21T00:00:00Z","timestamp":1369094400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2014,5]]},"abstract":"\n Objectives<\/jats:title>\n \n Kidney donation from a living donor to an unknown recipient has been legal in the\n UK<\/jats:styled-content>\n since 2006. Yet there is little research into the experiences of unspecified kidney donors (\n UKD<\/jats:styled-content>\n s) in interaction with the health care systems.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n \n This article explores the experiences of 14\n UKD<\/jats:styled-content>\n s recruited through four regional transplant co\u2010ordinating centres in England. At interview, they were invited to share their donation stories and discuss the antecedents, social, and psychological processes involved. Interviews were audio\u2010taped and transcribed.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Transcripts were analysed using a grounded theory approach employing a constant comparison methodology. Themes emerging from the data were named to form categories organized around the central focus of the research, forming an analytical story of\n UKD<\/jats:styled-content>\n s' experiences.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Two major categories emerged: \u2018connected to others\u2019 and \u2018uneasy negotiations with others\u2019. \u2018Connected to others\u2019 encompasses the motivations and psychological and social consequences of\n UKD<\/jats:styled-content>\n . \u2018Uneasy negotiations with others\u2019 refer to the concerns and conflicts that arose during the donation process.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n This study highlights the importance of social relationships on the process and outcomes of\n UKD<\/jats:styled-content>\n . These\n UKD<\/jats:styled-content>\n s report both intra\u2010 and interpersonal benefits from donation. The donation process, however, also created interpersonal stress, and conflicting messages about the acceptability of their donation were experienced in\n UKD<\/jats:styled-content>\n s' personal lives and in their interactions with health care services. Findings are discussed with reference to the wider literature on\n UKD<\/jats:styled-content>\n and altruism and in relation to implications for clinical practice.\n <\/jats:p>\n <\/jats:sec>\n \n Statement of contribution<\/jats:title>\n \n \n What is already known on this subject?<\/jats:bold>\n <\/jats:italic>\n <\/jats:p>\n \n \n \n Unspecified living kidney donation is an under\u2010researched area with only three research papers published worldwide that report on the motivations and experiences of donors. These studies indicate that donors endorse pro\u2010social values and receive positive interpersonal and intrapersonal benefits from donation.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n \n \n What does this study add?<\/jats:bold>\n <\/jats:italic>\n <\/jats:p>\n \n \n \n \n UKD<\/jats:styled-content>\n s' experiences are made explicit and provide a framework for future research.\n <\/jats:p>\n <\/jats:list-item>\n \n Social connections (capital) are an important precursor to and outcome from donation.<\/jats:p>\n <\/jats:list-item>\n \n \n Assumptions of pathological motivations were encountered by donors in their personal life and within the\n NHS<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bjhp.12048","type":"journal-article","created":{"date-parts":[[2013,5,21]],"date-time":"2013-05-21T06:20:52Z","timestamp":1369117252000},"page":"393-408","source":"Crossref","is-referenced-by-count":47,"title":["Understanding donation experiences of unspecified (altruistic) kidney donors"],"prefix":"10.1111","volume":"19","author":[{"given":"Alexis","family":"Clarke","sequence":"first","affiliation":[{"name":"Peninsula College of Medicine and Dentistry University of Exeter UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annie","family":"Mitchell","sequence":"additional","affiliation":[{"name":"School of Social Science and Social Work Faculty of Health Education and Society University of Plymouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Abraham","sequence":"additional","affiliation":[{"name":"Peninsula College of Medicine and Dentistry University of Exeter UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,5,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751\u20102824.2007.00111.x"},{"key":"e_1_2_7_3_1","volume-title":"UK renal registry report","author":"Ansell D.","year":"2008"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2011.07.028"},{"key":"e_1_2_7_5_1","first-page":"109","volume-title":"Contemporary field research","author":"Charmaz K.","year":"1983"},{"key":"e_1_2_7_6_1","volume-title":"Constructing grounded theory: A practical guide through qualitative analysis","author":"Charmaz K.","year":"2006"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.2307\/2786758"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781452230153"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e3182129236"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102648.2001.01897.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1348\/014466599162782"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfn669"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/0278\u20106133.27.3.327"},{"key":"e_1_2_7_14_1","first-page":"241","article-title":"Identity and motivation predict behavior and intention of organ donation","volume":"19","author":"Gargano G.","year":"2004","journal-title":"American Journal of Health Studies"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20106143.2004.00660.x"},{"key":"e_1_2_7_16_1","volume-title":"Theoretical sensitivity: Advances in the methodology of grounded theory","author":"Glaser B. 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