Grief care for organ donor families in Taiwan: A case study of a single medical center

WEN YU HSU, Taiwan

Social Worker
Social Work Office
National Taiwan University Hospital

Abstract

Grief care for organ donor families in Taiwan: A case study of a single medical center

Wen Yu Hsu1.

1Social Work Office, National Taiwan University Hospital , Taipei City, Taiwan

In 1969, Taiwan completed its first cadaveric kidney transplant, marking the beginning of organ donation development in the country. As related regulations gradually improved, the government established the Taiwan Organ Registry and Sharing Center in 2002 to oversee organ allocation, provide services for donor families, and promote education and awareness. The establishment of this system ensures that organ donation is carried out in a lawful and ethically appropriate manner.

In practice, grief support for donor families is primarily provided by organ procurement coordinators and medical social workers in hospitals. Through both individual and group approaches, they assist families in coping with the sorrow of losing a loved one and in regulating their emotions. This study focuses on a medical center where the researcher is based, reviewing past records of grief care services for organ donor families to analyze the service model and its effectiveness.

The grief care services are mainly divided into two phases. The first phase occurs during the decision-making and donation process. Social workers and coordinators offer immediate support, such as emotional companionship, psychological comfort, and empathetic listening, helping families make critical decisions under stressful circumstances. The second phase involves continued support after the donation is completed, including individual counseling sessions, phone check-ins, and home visits, to establish a long-term support mechanism.

In addition, the medical team organizes a variety of supportive activities such as memorial concerts, therapeutic groups, family retreats, and experience-sharing forums. These events provide opportunities for families to connect, support one another, express emotions, and reconstruct life meaning. This integrated care strategy—combining individual and group support, as well as short-term and long-term interventions—strengthens the families' support networks and psychological resilience.

The study results indicate that sustained and multi-layered grief care services effectively help donor families alleviate their grief responses, enhance emotional adjustment, and improve overall life adaptation. Through a phased, integrated, and culturally sensitive service model, the medical team not only serves as a steady source of support during the grieving process but also enriches the humanistic dimension of the organ donation system.

All the donors and their families, and my colleague - all the coordinators.".

References:

[1] Donor Family
[2] Grief care
[3] Integrated care strategy

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