{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T06:20:10Z","timestamp":1791440410300,"version":"4.3.3"},"reference-count":45,"publisher":"AACN Publishing","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9,1]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Most family members of potential organ donors experience the death of their relative in an intensive care unit. While under an emotional burden, bereaved relatives must make a decision that will affect the life of other patients. A better understanding of grief within the context of organ donation will help intensive care unit staff better support families during this process.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To empirically describe the emotional reactions of potential organ donors\u2019 family members facing a loved one\u2019s death and analyze the relationship of these reactions to factors that occur in the process of illness and death.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A prospective observational study was conducted in 16 Spanish hospitals for 36 months. Data of 421 relatives of potential organ donors, collected through a previously validated instrument, included relatives\u2019 emotional responses, deceased\u2019s and relatives\u2019 characteristics, circumstances of death, and behavior of health care staff.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Unexpected deaths were linked to more intense emotional reactions and less acceptance of death than were anticipated deaths. Additional stressors, such as perception of poor treatment by hospital staff, perception of deficient medical care, and poor relationships among family members, were associated with stronger reactions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Observation and analysis of the factors studied may help hospital staff members anticipate bereaved relatives\u2019 emotional reactions and provide better support during the grieving process, increasing family members\u2019 well-being and facilitating a better-informed organ donation decision.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4037\/ajcc2020960","type":"journal-article","created":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T03:47:06Z","timestamp":1598932026000},"page":"358-368","source":"Crossref","is-referenced-by-count":13,"title":["Grief Reactions of Potential Organ Donors\u2019 Bereaved Relatives: An Observational Study"],"prefix":"10.4037","volume":"29","author":[{"given":"Mar\u00eda","family":"Soria-Oliver","sequence":"first","affiliation":[{"name":"Mar\u00eda Soria-Oliver is an associate professor of social psychology and vice-dean of the Faculty of Health Sciences, UNIR\u2013International University of La Rioja, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bego\u00f1a","family":"Aramayona","sequence":"additional","affiliation":[{"name":"Bego\u00f1a Aramayona is an undergraduate fellow, Mar\u00eda J. Mart\u00edn and Jos\u00e9 M. Mart\u00ednez are associate professors, and Rub\u00e9n Garc\u00eda-S\u00e1nchez is an assistant professor in the Department of Social Psychology and Methods, Faculty of Psychology, Autonomous University of Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge S.","family":"L\u00f3pez","sequence":"additional","affiliation":[{"name":"Jorge S. L\u00f3pez is an associate professor in the Faculty of Health Sciences, Public University of Navarre, Spain, and a member of the IdiSNA, Navarre Institute for Health Research."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda J.","family":"Mart\u00edn","sequence":"additional","affiliation":[{"name":"Bego\u00f1a Aramayona is an undergraduate fellow, Mar\u00eda J. Mart\u00edn and Jos\u00e9 M. Mart\u00ednez are associate professors, and Rub\u00e9n Garc\u00eda-S\u00e1nchez is an assistant professor in the Department of Social Psychology and Methods, Faculty of Psychology, Autonomous University of Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 M.","family":"Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Bego\u00f1a Aramayona is an undergraduate fellow, Mar\u00eda J. Mart\u00edn and Jos\u00e9 M. Mart\u00ednez are associate professors, and Rub\u00e9n Garc\u00eda-S\u00e1nchez is an assistant professor in the Department of Social Psychology and Methods, Faculty of Psychology, Autonomous University of Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"S\u00e1enz","sequence":"additional","affiliation":[{"name":"Raquel S\u00e1enz is an assistant professor in the Faculty of Health Sciences, Public University of Navarre."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rub\u00e9n","family":"Garc\u00eda-S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Bego\u00f1a Aramayona is an undergraduate fellow, Mar\u00eda J. Mart\u00edn and Jos\u00e9 M. Mart\u00ednez are associate professors, and Rub\u00e9n Garc\u00eda-S\u00e1nchez is an assistant professor in the Department of Social Psychology and Methods, Faculty of Psychology, Autonomous University of Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2471","reference":[{"key":"2020083123470154000_b1-0290358","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.jhealeco.2016.06.009","article-title":"Donor registries, first-person consent legislation, and the supply of deceased organ donors","volume":"49","author":"Callison","year":"2016","journal-title":"J Health Econ"},{"issue":"6","key":"2020083123470154000_b2-0290358","doi-asserted-by":"crossref","first-page":"2533","DOI":"10.1093\/ndt\/gfr619","article-title":"The authority of next-of-kin in explicit and presumed consent systems for deceased organ donation: an analysis of 54 nations","volume":"27","author":"Rosenblum","year":"2012","journal-title":"Nephrol Dial Transplant"},{"issue":"2","key":"2020083123470154000_b3-0290358","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1177\/152692480801800209","article-title":"What does a diagnosis of brain death mean to family members approached about organ donation? 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