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Influencing relatives to respect donor autonomy : should we nudge families to consent to organ donation?
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Sharif, Adnan and Moorlock, Greg (2018) Influencing relatives to respect donor autonomy : should we nudge families to consent to organ donation? Bioethics, 32 (3). pp. 155-163. doi:10.1111/bioe.12420
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Official URL: https://doi.org/10.1111/bioe.12420
Abstract
Refusing consent to organ donation remains unacceptably high, and improving consent rates from family or next-of-kin is an important step to procuring more organs for solid organ transplantation in countries where this approval is sought. We have thus far failed to translate fully our limited understanding of why families refuse permission into successful strategies targeting consent in the setting of deceased organ donation, primarily because our interventions fail to target underlying cognitive obstacles. Novel interventions to overcome these hurdles, incorporating an understanding of cognitive psychology and behavioral change therapy, may be beneficial. One potential intervention is to use the concept of nudge theory, where decision-making is influenced by encouraging positive reinforcement and indirect suggestion. Purposefully nudging families to given consent for organ donation by understanding, and then overcoming, their inherent cognitive biases is novel but also controversial. This article explores the roles of relatives in decisions about organ donation, how nudge theory translates to organ donation and discusses the arguments for and against its application. We then discuss a collaborative framework to develop, test and trial nudge interventions to improve consent for organ donation.
Item Type: | Journal Article | ||||||||
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Subjects: | B Philosophy. Psychology. Religion > BJ Ethics | ||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Bioethics | ||||||||
Publisher: | Wiley | ||||||||
Official Date: | February 2018 | ||||||||
Dates: |
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Volume: | 32 | ||||||||
Number: | 3 | ||||||||
Page Range: | pp. 155-163 | ||||||||
DOI: | 10.1111/bioe.12420 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||
Date of first compliant deposit: | 9 January 2018 |
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