Fig. 2

Thematic schema of Indigenous participants perspectives, experiences and values of kidney transplantation. We found that participants recognise the pressing need for more readily available kidney transplants, both for themselves and others in their communities with ESKF. However, they faced prejudice, lack of cultural competence and barriers to transplantation in systems that did not support effective and culturally appropriate delivery of information and care. In particular, participants felt that clinicians often did not understand or acknowledge their cultural beliefs. Although traditional values and beliefs influenced views and concerns regarding transplantation, many acknowledged these alongside the need to be pragmatic about kidney transplants. Finally, participants reported profound difficulty asking others to donate because of the enormity of the request, future potential of obligation to the donor, and the lack of viable donors in their families. They also expressed concern about complications for recipients and the financial burden of both receiving and donating a kidne