Consent from the family of a possible donor directly influences organ donation rates. The process of obtaining consent, however, is often addressed during a time in which the family’s ability to make decisions is affected by the psychological trauma related to the sudden and unexpected reality of death. This research study implemented a qualitative interpretive descriptive design to gain insight into the way family members of brain-dead patients try make sense of the conflict they experience while faced with a compelling decision about organ donation. Data was collected during in-depth, unstructured, individual interviews with family members (n=8), representing the diverse population of the Western Cape Province in South Africa. Digitally voice-recorded interviews were transcribed, followed by thematic data analysis. Seven common themes emanated from the data, which clarified the family’s decisional conflict regarding organ donating to a certain degree. Although the findings of the study resonate with several similar international studies, it also brings new insight to the role played by the so-called key decision maker(s) in the family. The key decision maker carries the greatest weight in the family’s final decision, and must acquire an informed understanding of both brain death and organ donation. Understanding the role of the key decision maker may well be crucial to the supporting transplant coordinator during the time of decision-making. Recommendations were formulated for education, policy, practice and further research. / MCur, North-West University, Potchefstroom Campus, 2015

Consent from the family of a possible donor directly influences organ donation rates. The process of obtaining consent, however, is often addressed during a time in which the family’s ability to make decisions is affected by the psychological trauma related to the sudden and unexpected reality of death. This research study implemented a qualitative interpretive descriptive design to gain insight into the way family members of brain-dead patients try make sense of the conflict they experience while faced with a compelling decision about organ donation. Data was collected during in-depth, unstructured, individual interviews with family members (n=8), representing the diverse population of the Western Cape Province in South Africa. Digitally voice-recorded interviews were transcribed, followed by thematic data analysis. Seven common themes emanated from the data, which clarified the family’s decisional conflict regarding organ donating to a certain degree. Although the findings of the study resonate with several similar international studies, it also brings new insight to the role played by the so-called key decision maker(s) in the family. The key decision maker carries the greatest weight in the family’s final decision, and must acquire an informed understanding of both brain death and organ donation. Understanding the role of the key decision maker may well be crucial to the supporting transplant coordinator during the time of decision-making. Recommendations were formulated for education, policy, practice and further research. / MCur, North-West University, Potchefstroom Campus, 2015