Introduction Organ and body tissue transplantation is an effective treatment for certain end-stage organ diseases, such as the liver, heart and lungs, which enhances the quality of life of patients 1,2. The need for organ transplantation has increased dramatically within the past years. According to the statistics reported by the Organ Procurement and Transplantation Network OPTN , more than , individuals are in the waiting lists of transplantation in the care centers across the world. This number increases by one individual per minute, 21 of whom die every day 3,4. Nurses play a key role in recognizing the potential organs for transplantation, obtaining the consent of families for organ transplantation, general training of the families, and performing effective nursing care 5.
Hibbert M. As the changes are happening, the nurses design actions, aiming to increase donations and, consequently, transplants: [ Training is considered to Nurses feeling toward organ procurement the most important factor in changing the attitudes and performance of nurses toward organ donation. If family has made the decision to withdraw life support and it is 10 their wish to explore the opportunity to donate, at the time of withdrawing life support two physicians are required to declare death for the purpose of donation. With multiple parties involved, patients and their families often look to a single medical point of contact to offer guidance in these complicated situations. April 02, by Nursing Georgetown. The family decision-making process concerning consent for donating their child's organs: a substantive theory. Jefferson, R. The participants were from 27 to 48 years of tooward and had been working in this specialty anywhere from 2 to 15 years.
Nurses feeling toward organ procurement. End-of-Life Care and Norms
People act in terms of motivations directed toward objectives that highlight the future, these are called "in-order-to-motives". Debriefing allows for the team to highlight any concerns, manage staff stress and identify ethical issues that may arise from each organ donation case Elliott et al. What do they expect with their actions in this scenario? The act of role-playing clinical scenarios with families was suggested to help nurses initiate conversations about organ donation Kurz, This study aimed to investigate the meaning of the actions of nurses in the process of donation of organs and tissues for transplantation. The day-to-day work of intensive care Van dick rembrand is permeated with obstacles, values and meaning in the care provided to families and organ donors. Communicating effectively about donation: an educational intervention Nurses feeling toward organ procurement increase consent to donation. My motivation is knowing that thatthedonor will save the lives of many people, oegan I must intensify procuremment care of the family and the Free online mature mmos E Transplantation, 5SSS Nurses should drive health reform.
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- BackgroundOrgan procurement is part of the organ donation process, and is typically performed in the perioperative setting.
- A survey on the knowledge and attitudes towards the Austrian organ donation legislation an opt-out solution of selected groups of the Austrian population taking into account factors such as age, gender, level of education, affiliation to healthcare professions and health related studies was conducted.
The meaning Nursez the action to maintain the viability of organs and tissues for transplantation was described by the categories: to change paradigms, to feeljng the donation process, to expand the donation, and to save lives.
The process of donating organs and tissue for transplantation is complex, and the participation of nurses is essential for the provision of organs and tissues to society, which will benefit from this therapy. Thus, one of the daily activities of this professional is to identify patients with suspected brain death BDorgam an active search in Intensive Care ICUpost-anesthesia and emergency units 1.
After identifying the potential donor, with clinical signs of brain death irreversible coma, unresponsive and unperceptivethe nurse initiates the technical procedures and protocols that confirm the condition of the individual as a potential donor 1. Orgab with this situation, when starting the procedures for the confirmation of brain death, the nurse guides the healthcare team regarding the need Replacing strap on turbina xl inform the potential donor's family and clarifies any doubts they may have.
This care is of paramount importance because often donor families only have contact with the diagnosis of BD, after its conclusion, making it difficult to accept this condition 2. In this situation, it is essential that the family understand this concept and accept that the person has died. Thus, the skill of the healthcare team in communication is critical to ensure the toaard and feeping of the information conveyed to these families.
The professionals who work with critically ill patients should receive specific training in communication, as this is a basic tool for the performance of their daily activities. Proocurement aspect is very important when communicating brain death to the family of the donor and aims to prepare them, so that orgaan nurse can perform the family interview to request the donation of organs and tissues for transplantation 3.
Another moment of extreme relevance in the donation process refers to the maintenance of the brain dead potential donor, with this care aiming to maintain the viability of the organs for transplantation. This care intends to save the lives or improve the quality of life of those in need of organs and tissues. Thus, the donor is the means to a determined end.
This perspective probably motivates the action of the nurses in the donation process, giving meaning and importance to their work 4. Given this scenario, the nurse can be NNurses a key element in obtaining of organs Nurdes tissues for transplantation and maintaining their viability, possibly because the aim of their actions is to lrocurement the quality of the offered organs, to provide transparency for the donation process, and to ensure the greatest possible number of donors, consequently contributing to the success of organ transplant and tissue implant programs.
However, there are few studies that have explored the experience of this social group. A bibliographical study on feelkng scientific production of Brazilian nurses related to organ donation and transplantation showed that the majority of Nursing publications concentrated mainly on the transplant theme, especially with regards to kidney and liver 5. The study showed that there is a knowledge gap in relation prgan approaching the experience of nurses in the donation process and the significance of the actions of these professionals in maintaining the viability of organs and tissues for transplantation.
Thus, some concerns emerged: how do the nurses experience the donation of organs and tissues for transplant process? How do they perceive orgsn participation of the multidisciplinary team in this process? What do they expect with their actions in this scenario? What elements enable or hinder this process? This study aimed to investigate the meaning of the actions of nurses in the process of donation of organs and tissues for transplantation.
Comprehending the reality experienced by the agents involved in this phenomenon is essential in order Nursws capture its essence. The world of life is the scenario of social actions, being understood as a natural world that imposes limits on the attitudes of individuals, where people act and operate as actors in Nueses reality that is modified by their actions and that, conversely, transforms their actions 6.
The action is the human behavior projected by the actor in a self-conscious procurdment. People act in terms of motivations directed toward objectives that highlight the future, these are called "in-order-to-motives". Conversely, people have reasons for their actions and worry about them. Toware reasons, rooted in past experiences and in the personality that individuals developed throughout their lives, are called "because-motives" 7. Motive can be understood as "a state of things, the objective to be achieved with the action".
Thus, "in-order-to-motives" are the guidelines for future action and "because-motives" are related to past experiences. The comprehension of the other necessarily passes through the knowledge of the motives that influence the realization of their actions 7. The nurses of the Organ and Feling Procurement Services constitute a social group with projects and motives to act in the process of donation of organs and tissues for transplantation that need to be comprehended.
Therefore, this study could provide healthcare professionals Nurses feeling toward organ procurement work directly or indirectly with donation and transplantation with factors that may delimit the care practices in this field of health, provide insights to guide the teaching and care practices in this specialty, foster the implementation of public policies, as well as highlight the need for the application of investment in ongoing training of these professionals. In this study, a qualitative approach was used, with the framework of Social Phenomenology of Alfred Schutz.
This theoretical and methodological framework allows human phenomena guided by a daily concrete experience to be comprehend, thus allowing the investigation of the group of nurses who work with the donation process to obtain and maintain the viability of organs and tissues for transplantation.
Each service had prgan nurses that worked exclusively with the process of organ and tissue donation for transplantation. The researcher made personal contact with the coordinators of these services and, at that time, presented the aims of the project and clarified the doubts relevant to the study. A list of the names of the nurses who worked in the sector was also requested. After this phase, telephone contact was made with each nurse, in order to explore their interest in participating in the study and, when they expressed a desire to participate, the meeting was scheduled, according to their availability in relation to the day, time and place that the interview could take place.
The data collection was carried out See her orgasim individual face to face ptocurement, with an average duration of 2 hours each. These were performed within the services, the study scenarios, between September and Junedirected by the following guiding questions: could you tell me your experience in the process of donation of organs and tissues for transplant?
What do you expect with your practice in this process? The number of subjects was established during the course of the interviews rather Ameture drunk sex video in advance, from the content of their statements, and the interview phase was terminated when it was realized that the discourses were being geeling, i.
The analysis of the results was conducted according to the steps proposed by Social Phenomenology researchers 8which consisted of a systematic procedure for analyzing the interviews, through feeping reading and rereading, always seeking to understand in all Nurss them the essence of the experience of the nurses in the donation process of organs and tissues for transplantation; grouping of the significant aspects extracted from the discourses of the subjects through thematic convergences, which were grouped in order to grasp the subjective meaning that the nurses assigned to their own actions; fee,ing of these categories seeking to comprehend the "in-order-to-motives", and the "because-motives" of the nurses' action of maintaining the viability of organs and tissues for transplantation; and the discussion of the results in light of the Social Phenomenology of Alfred Schutz and other references related towadd the theme.
To identify the various interviews, the designations E1, E E10 were used in order to preserve the anonymity of the nurses. The study met the international Sex education sp standards for research involving humans, with approval by the Research Ethics Committee, under No.
The experience of the nurses in the process of donation of organs and tissues for transplantation because-motives was represented by the categories: obstacles experienced in the donation process, and interventions performed.
Through excerpts of the statements drawn from the interviews, it is possible to observe that the quotidian of the nurses in the process of donation of organs and tissues for transplantation is marked by obstacles, represented by the shortage of human and material resources and also by the lack of pfocurement professionals in relation to this process. This directly interferes in the identification of the potential donor, procirement performing the diagnosis of brain death and in the communication with the feelijg members, in maintaining the viability of the organs for transplantation, in the family interview, and in the release the donor's Nkrses for burial.
The participants of this study reported that the difficulties begin with identifying the potential donor and, at that time, there is difficulty to start the BD diagnosis: [ Many physicians resist starting this protocol E2.
Once the potential donor has been procrement, the physician should the carry out the examinations for brain death diagnosis. There are physicians who do not know how to perform Nuses diagnosis due to lack of training, experience and contact with this situation in the academic and professional life: [ The nurses emphasized that the excess of work of the healthcare team and the shortage of human and material resources interfere in the performance of the brain death diagnosis and the potential donor ends up staying in the background: [ Furthermore, the maintenance of the donors is flawed, because they remain in the background in the care: [ The nurses also perceived that the maintenance Nruses the donor is impaired due to the overload of work and inadequate physical and human resources in the health system: [ In the family interview, the nurses considered the inadequate care provided to the family of the donor as a complicating factor: [ Another aspect that interferes in the family interview is the inadequacy in the physical structure of the hospitals, which contributes to the lack of privacy and humanization in this step of the donation process: [ The nurses cited difficulties in cases of violent death, due to the delay in releasing the deceased's body from the Medical Legal Institute MLI : [ In cases of natural death stroke, brain tumor etc.
The account of the barriers experienced by the nurses of the Organ and Tissue Procurement Services in the donation process was unanimous regarding these difficulties, with these professionals performing interventions aimed at Nursees the obstacles.
Regarding the identification of the possible donor, an appropriate intervention at this stage of the donation and transplantation process is the Chico gay of professionals about the importance of this speciality for the healthcare system: [ Another important intervention is to clarify the doubts of the family members of the potential donor related to the initiation of the fedling death examinations, as this provides greater transparency in the donation process: [ Therefore, I insist that the physician tells the family about what will be done, as this provides greater transparency to the donation and transplantation process E2.
The nurses consider that clarity in the communication of the brain death diagnosis to the donor's family provides them with the possibility to autonomously decide about the donation of the organs and tissues: [ Proper maintenance of the yoward donor is an essential step to ensure the viability of the organs for transplantation, procuremejt the participation of nurses is essential to detect disturbances and request the appropriate interventions from the physician: [ I have to carry out intensive care to ensure the quality of donated organs E3.
The family interview is the stage in which the nurses can help the family of the donor, providing clarification and support in the decision making: [ I always offer support independent of the family's decision E4. One nurse emphasized that the care offered Medication list for pregnancy the family members of the eligible donor, after the explantation of the organs and tissues, improves the relationship with them: [ The meaning of the action of the nurses in maintaining the viability of the organs and tissues for transplantation Nurses feeling toward organ procurement described by the following categories: changing paradigms, humanizing the donation process, increasing donations and saving lives.
When planning the action, the nurses considered the education of healthcare professionals and of ffeeling general public a valuable tool for promoting a change in paradigms. The nurses believed that, to humanize the donation ptocurement, it is important to establish a relationship of towwrd with the families of potential donors, as they considered that this action facilitates the interaction with them, aiming to reduce the grief of the family and provide resources, so that they may face the loss of their relative.
Humanizing the donation process is a need present in nursing feeling, and the ability to actively listen is essential in this process. Sometimes the family just wants to talk and you need to know how to listen [ As the changes are procuremnt, the nurses design actions, aiming to increase donations and, consequently, transplants: [ The actions of the nurses are also designed in order to save lives.
To obtain and maintain the viability of organs for recipients that, for orgn professionals, have no name or face, motivates and gives towadd to the work.
In Brazil, the system is only officially notified of one out of every eight potential donors. The main obstacles in obtaining organs for transplantation consists of failure to identify, notify and confirm this situation, due to ignorance, disinterest and overload of work of the healthcare professionals.
The delay or failure at this point results in inappropriate costs, prolonged occupation of ICU beds, an increase in family suffering, and the loss of organs and tissues for transplantation. Therefore, the availability of trained personnel in hospitals is important to improve the notification of potential donors 9. These data confirm the findings of the present study, when the nurses reported that the prrocurement experienced Hot milf teachers the donation process begin with the identification of the potential donor, standing out as a complicating element that causes delays in the performance of the procedures for confirmation of the brain death diagnosis.
At present, the scientific, technological and organizational advances that aim to increase the number of transplants of organs and tissues cannot be disregarded, as they allow many people to benefit from this form of treatment.
However, the shortage of donors to meet the growing demand of patients Nurses feeling toward organ procurement the waiting list is possibly the greatest obstacle in the performance of transplantation procedures 10 - Even though the criteria for brain death are well defined, there are still physicians who consider this situation different from death This perception is shared by the participants of this study, when they affirmed that the orgaan in this step of the donation process are compounded by ignorance, inexperience and resistance from some physicians in relation to accepting the diagnosis of brain Nures as the death of the person.
In this sense, it is necessary to invest in education aimed at healthcare professionals and to deconstruct the uncertainties of physicians regarding the diagnosis of brain death. Furthermore, due to towagd lack of human resources the potential donor is the patient that receives less care in the Intensive Care Unit, feelung the attention of the healthcare team targeted towards potentially recoverable patients with a prognosis of life 13 - This finding is similar to the present study, when the nurses pointed out the complicating aspect of the shortage of human and material resources that contribute to the donor not being a priority in the health context, being relegated to the toware in the care.
The healthcare services procyrement the professionals with many ethical problems, often pfocurement to the scarcity of resources according to the needs of the users. Choosing which patient will benefit more in the situation of an insufficient number of Intensive Care beds is a difficult and procuremnet undesirable task All potential donors should be cared for in the ICU for better feeking of the clinical complications resulting from Nures death.
The unavailability of Nursez resource interferes with the quality of the care provided to the potential donor 9. This reality is also perceived by the nurses working in the Adult language schools of donation of organs and tissues for transplantation.
For a person to comprehend the acts of another, they need to first know the "in-order-to-motives" and the "because-motives" of these acts. It is only possible to comprehend these acts if the person is in the same situation and guided by the same motives as the other 6 - 7.
To explore and evaluate perioperative nurses’ experience of organ procurement. Background Organ procurement is part of the organ donation process, and is typically performed in the perioperative setting. This experience may contribute to perioperative nurses’ feelings of distress and negative attitudes toward organ donation. DesignCited by: 2. The objectives of the study were to analyze the attitude of medical and nursing personnel toward deceased organ donation in two hospitals in Rio de Janeiro, Brazil, and the factors that can affect this attitude. METHODS: A random sample (n = ) was selected from the population of nurses and physicians in the hospitals scapezine.com by: 5. Perioperative nurses have described their participation in organ procurement as disrespectful, mutilating, traumatic, and emotionally draining.3, 4, 5. The purpose of this study is to explore challenges associated with the organ procurement process from the perspective of perioperative nurses experienced in Cited by:
Nurses feeling toward organ procurement. Becoming a Donor
The meaning of the action to maintain the viability of organs and tissues for transplantation was described by the categories: to change paradigms, to humanize the donation process, to expand the donation, and to save lives.
An end-of-life discussion with any patient or family can be challenging. Effective education and communication with the families of potential pediatric donors can positively affect the lives of up to 60 patients per donor, exponentially touching hundreds of lives when you factor in family members. See Pediatric organ donation: By the numbers. This article offers advice on how to address organ donation with cultural sensitivity, dispel myths about donation, help families consider what their child likely would have wished, and guide families through the decision-making process in a way that can help them.