{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T23:22:44Z","timestamp":1777504964186,"version":"3.51.4"},"reference-count":62,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T00:00:00Z","timestamp":1734912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100020884","name":"Agencia Nacional de Investigaci\u00f3n y Desarrollo","doi-asserted-by":"publisher","award":["72160141"],"award-info":[{"award-number":["72160141"]}],"id":[{"id":"10.13039\/501100020884","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Approaching families to discuss deceased organ donation authorisation is considered one of the central stages of the organ donation process. In many countries, specialist nurses lead the organ donation process, approach and support families. However, how these encounters occur is not yet fully understood. A constructivist grounded theory methodology was used to conceptualise the process of approaching families from the perspectives of healthcare professionals and families. Data collected included six months of observations across two large hospitals in Chile, documents, interviews and focus groups with 71 participants including healthcare professionals involved in the organ donation process, and bereaved families who were approached for organ donation conversations. The theory Reading the family was developed to explain the relational process of how nurse organ donor coordinators approach families to negotiate organ donation authorization. It explains the sophisticated and skilled process of accessing, assessing and managing family\u2019s emotions to negotiate organ donation authorization as a family unit. The theory has two dimensions, indirect and direct, which refers to when and how nurses read families emotions to lead organ donation conversations and support bereaved families\u2019 decision-making process. These dimensions critically depend on the clinicians set of beliefs and communication processes. Understanding the complexities of approaching families is essential for practice and policymaking, particularly when there is a trend towards individual decision-making instead of understanding organ donation as a family affair. Reading the family could be eventually applied in other contexts and situations that involve navigating difficult conversations, and therefore, further research is needed and suggested to assess the feasibility of its application.<\/jats:p>","DOI":"10.1371\/journal.pone.0312462","type":"journal-article","created":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T18:33:06Z","timestamp":1734978786000},"page":"e0312462","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Reading the family: A constructivist grounded theory on organ donation 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Estadisticas historicas. Donacion2020. Available from"},{"key":"pone.0312462.ref029","volume-title":"Constructing grounded theory.","author":"K. Charmaz","year":"2014","edition":"2"},{"key":"pone.0312462.ref030","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1111\/j.1365-2648.1989.tb01527.x","article-title":"The concept of family nursing","volume":"14","author":"M. Friedemann","year":"1989","journal-title":"Journal of Advanced Nursing"},{"key":"pone.0312462.ref031","doi-asserted-by":"crossref","first-page":"6504","DOI":"10.1111\/jocn.16574","article-title":"Ambiguous loss in organ donor families: A constructivist grounded theory","volume":"32","author":"L Avil\u00e9s","year":"2023","journal-title":"Journal of Clinical Nursing"},{"key":"pone.0312462.ref032","doi-asserted-by":"crossref","first-page":"67","DOI":"10.4135\/9781529716658.n5","volume-title":"Qualitative research kit: Doing grounded theory","author":"U. Flick","year":"2018","edition":"2"},{"key":"pone.0312462.ref033","first-page":"259","volume-title":"The SAGE Handbook of current developments in grounded theoryheory.","author":"J. Reichertz","year":"2019"},{"key":"pone.0312462.ref034","volume-title":"Emotion management in the workplace","author":"S. Bolton","year":"2005"},{"key":"pone.0312462.ref035","volume-title":"The managed heart: commercialization of human feeling","author":"A. Hochschild","year":"1983"},{"key":"pone.0312462.ref036","doi-asserted-by":"crossref","DOI":"10.1093\/acprof:oso\/9780195368536.001.0001","volume-title":"True to our feelings: what our emotions are really telling us","author":"R. Solomon","year":"2008"},{"key":"pone.0312462.ref037","volume-title":"Beliefs and illness. A model for healing","author":"L Wright","year":"2009"},{"key":"pone.0312462.ref038","author":"I. Dey","year":"1999"},{"key":"pone.0312462.ref039","volume-title":"The discovery of grounded theory: strategies for qualitative research","author":"B Glaser","year":"1967"},{"key":"pone.0312462.ref040","doi-asserted-by":"crossref","first-page":"115","DOI":"10.4135\/9780857024428.d11","volume-title":"Grounded Theory in Management Research","author":"K. Locke","year":"2003"},{"issue":"10","key":"pone.0312462.ref041","doi-asserted-by":"crossref","first-page":"2284","DOI":"10.1111\/jan.12986","article-title":"Is it really theoretical? 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Santiago, Chile; 2015."},{"issue":"4","key":"pone.0312462.ref046","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.iccn.2013.02.003","article-title":"Approaching families on the subject of organ donation: a phenomenological study of the experience of healthcare professionals.","volume":"29","author":"A Or\u00f8y","year":"2013","journal-title":"Intensive and Critical Care Nursing"},{"issue":"2","key":"pone.0312462.ref047","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1177\/1049732313519709","article-title":"The troubles of telling: managing communication about the end of life.","volume":"24","author":"A Broom","year":"2014","journal-title":"Qualitative Health Research"},{"issue":"4","key":"pone.0312462.ref048","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1177\/1049732319858614","article-title":"Exploring family decisions to refuse organ donation at imminent death.","volume":"30","author":"W Darnell","year":"2020","journal-title":"Qualitative Health Research"},{"issue":"1","key":"pone.0312462.ref049","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1086\/222821","article-title":"Uncertainty in medical prognosis clinical and functional","volume":"66","author":"F. Davis","year":"1960","journal-title":"American Journal of Sociology"},{"issue":"21\u201322","key":"pone.0312462.ref050","doi-asserted-by":"crossref","first-page":"3900","DOI":"10.1111\/jocn.14618","article-title":"Managing clinical uncertainty: an ethnographic study of the impact of critical care outreach on end-of-life transitions in ward-based critically ill patients with a life-limiting illness","volume":"27","author":"N Pattison","year":"2018","journal-title":"Journal of Clinical Nursing"},{"key":"pone.0312462.ref051","doi-asserted-by":"crossref","first-page":"1782","DOI":"10.1111\/ajt.15253","article-title":"Summary of Spanish recommendations on intensive care to facilitate organ donation","volume":"19","author":"M Mart\u00edn-Delgado","year":"2019","journal-title":"American Journal of Transplantation"},{"key":"pone.0312462.ref052","volume-title":"eBook","author":"L. Candiotto","year":"2019"},{"issue":"6","key":"pone.0312462.ref053","doi-asserted-by":"crossref","first-page":"1846","DOI":"10.1016\/j.transproceed.2021.06.022","article-title":"The emotional labor of the transplant coordinator: An inherent predicament","volume":"53","author":"Y Bokek-Cohen","year":"2021","journal-title":"Transplantation Proceedings"},{"issue":"5","key":"pone.0312462.ref054","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1177\/0969733008092874","article-title":"Ethical issues of transplant coordinators in Japan and the Uk","volume":"15","author":"F. Arie","year":"2008","journal-title":"Nursing Ethics."},{"issue":"2","key":"pone.0312462.ref055","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1177\/0969733014523170","article-title":"Do we treat individuals as patients or as potential donors? 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Grief","year":"2020"},{"issue":"1","key":"pone.0312462.ref058","first-page":"75","article-title":"Emotional paths of professional experiences in transplant coordinators","volume":"40","author":"A Danet","year":"2020","journal-title":"Nefrologia"},{"key":"pone.0312462.ref059","doi-asserted-by":"crossref","first-page":"1","DOI":"10.12659\/AOT.921727","article-title":"Optimizing organ donation: expert opinion from Austria, Germany, Spain and the U.K","volume":"25","author":"F Becker","year":"2020","journal-title":"Annals of Transplantation"},{"issue":"2","key":"pone.0312462.ref060","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1177\/0969733017708331","article-title":"An assessment of advance relatives approach for brain death organ donation","volume":"26","author":"C Michaut","year":"2019","journal-title":"Nursing Ethics"},{"issue":"7","key":"pone.0312462.ref061","doi-asserted-by":"crossref","first-page":"2529","DOI":"10.1016\/j.transproceed.2016.07.006","article-title":"Practices around communication about organ donation in Hungary","volume":"48","author":"S Mih\u00e1ly","year":"2016","journal-title":"Transplantation Proceedings"},{"issue":"11","key":"pone.0312462.ref062","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1136\/bmjopen-2023-075433","article-title":"Organ donation decision-making in ICU patients: from the perspectives of organ coordinators and physicians in China\u2013a qualitative study","volume":"13","author":"X Yang","year":"2023","journal-title":"BMJ Open"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0312462","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T18:33:27Z","timestamp":1734978807000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0312462"}},"subtitle":[],"editor":[{"given":"Michal","family":"Mahat-Shamir","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,12,23]]},"references-count":62,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,12,23]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0312462","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,23]]}}}