The maintenance care of potential organ donors: ethnographic study on the experience of a nursing team

Lemes, Maria Madalena Del Duqui; Bastos, Marisa Antonini Ribeiro

doi:10.1590/s0104-11692007000500016

Cited by 6 publications

(7 citation statements)

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“…This category of challenge is related to the care process including technical procedures for the hemodynamic maintenance of a possible organ donor,[ 14 25 28 ] interrelation between other units and the nursing team,[ 19 ] lack of knowledge about the care process for brain death, nurses' perceptions of their professional responsibility, and role regarding organ donation. [ 7 9 16 21 22 26 ] These issues cause severe care tensions in nurses, lack of knowledge can lead to prolongation of the patient care process, and negatively affect the quality of care provided for organ donors.…”

Section: Resultsmentioning

confidence: 99%

Nurses' challenges in caring for an organ donor brain dead patient and their solution strategies: A systematic review

Yazdimoghaddam

Manzari

Mohammadi

2020

Iranian J Nursing Midwifery Res

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Background: Caring for brain dead patient is one of the most troublous duties of an Intensive Care Unit (ICU) nurse. This study aimed to determine nursing challenges based on recent literature and identify the strategies to overcome these challenges. Materials and Methods: In this systematic review, the standard systematic review guideline of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was used with articles published in PubMed, Science Direct, Scientific Information Database (SID), and Google Scholar databases during 2000–2018 on the keywords “brain dead OR brain death” and “nurses OR nursing.” After the primary search, 212 articles were found. Eventually, 21 articles were selected for the final evaluation. Results: According to the results, the challenges included the concept and diagnosis of brain death, religious, and cultural beliefs opposing organ donation, lack of knowledge about the care process, interactions with the families. The proposed strategies were providing medical and nursing interventions to maintain a brain dead patient for organ donation, providing working conditions that maintain nurses' health, and increase the quality of care. Conclusions: Nurses play an important role in the care process of brain dead patients; therefore, recognizing their challenges can be thefirst step in increasing holistic care and maintaining organ vitality for transplantation. It is suggested that nursing authorities commence special educational programs with the aim to increase the knowledge of nurses about the care process of brain dead patients.

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Section: Resultsmentioning

confidence: 99%

Nurses' challenges in caring for an organ donor brain dead patient and their solution strategies: A systematic review

Yazdimoghaddam

Manzari

Mohammadi

2020

Iranian J Nursing Midwifery Res

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“…These data corroborate the findings in the literature, which indicated that the main motivations in related donation are, the fact that the subject is placed, potentially, as the savior of the life of a family member, as well as religious beliefs. Hence it is very difficult to sustain a refusal in such circumstances, despite the fear and ambivalence that mark the desire to donate bone marrow (14) . This responsibility to donate marrow and to see themselves placed with the burden of "saving the sibling", and the consequent impossibility of escape from this responsibility can become overwhelming and lead to psychological distress and symptoms of anxiety in the related bone marrow donor (5) .…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…It appears that, in publications, attention is focused more on comprehending the process of bone marrow transplantation for patients (13) , or other members of the family nucleus (2) . The issue of organ donation appears especially in postmortem donations, following the perceptions of family members (14) and professionals (15) .In this context, this study aimed to characterize the sociodemographic profile of participants and to comprehend the perception of sibling bone marrow donors regarding the donation, identifying the motives, feelings and expectations related to the process. …”

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Bone Marrow Donation from the Perspective of Sibling Donors

Oliveira-Cardoso

Santos

Mastropietro

et al. 2010

Rev. Latino-Am. Enfermagem

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This study aimed to characterize the sociodemographic profile of sibling bone marrow donors and to describe how they perceive the donation. This was a descriptive, exploratory and longitudinal study. Participants were 20 related bone marrow donors, between 18 and 42 years of age (mean=30.5 years, sd=7.47). Interviews were held before and immediately after the donation. Sociodemographic data were subject to descriptive statistical analysis and qualitative data to categorical content analysis. In the interviews held before the donation, stressor events were the sibling's disease and treatment and the responsibility of being the donors. During the interviews after the donation, the following were mentioned: anxiety on the day before and on the day of the donation, pain the following day, and acknowledgement of the health team's support as a facilitator of the donation process. In view of the findings, it is important for the team to outline intervention strategies to meet to the donors' specific needs.Descriptors: Tissue Donors; Family; Bone Marrow Transplantation; Mental Health. 1 Paper extracted from Master's Thesis "Repercussões psicológicas da doação da medula óssea no doador relacionado", presented to Donación de médula ósea en la perspectiva de hermanos donadoresEste estudio objetivó caracterizar el perfil socio demográfico y describir la percepción, de hermanos donadores de médula ósea, acerca de la donación. Se trata de estudio descriptivo, exploratorio y con recorte longitudinal. Participaron 20 donadoresrelacionados de médula ósea, con edades entre 18 y 42 años (promedio=30,5 años, de=7,47). Fueron utilizadas entrevistas, aplicadas antes e inmediatamente después de la donación. Fue realizado un análisis estadístico descriptivo de los datos socio demográficos y análisis de contenido categorial de los datos cualitativos. En las entrevistas antes de la donación aparecieron como eventos causantes de estrés: el enfermarse, el tratamiento del hermano y la responsabilidad de ser los donadores. En el período posterior a la donación fue relatada ansiedad (en la víspera y en el día de la donación), dolor en el día siguiente, y reconocimiento del apoyo del equipo como elemento facilitador del proceso de donación. Frente a lo encontrado, se recomienda que el equipo planifique estrategias de intervención que permitan atender las necesidades específicas de los donadores.Descriptores: Donadores de Tejido; Família; Trasplante de Medula Ósea; Salud Mental. IntroductionBone Marrow Transplantation (BMT) is becoming an effective alternative treatment for potentially fatal illnesses (1) , the diagnoses of which generate psychological impact for the patient and their family unit (2) . Families who are confronted with this challenge are generally faced with the disruption of quotidian life, as it was prior to diagnosis. Coupled with this grief, the families are forced to face the destruction of the family myth that the fatal diseases only happen to others (3) .The diagnosis introduces a moment of crisis, to the extent that a n...

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“…Die häufigsten Erfahrungen, die beschrieben wurden, liegen bei: ▬ Der belastenden Situation in der Betreuung an sich [5][6][7][8][9][10][11][12][13][14][15][16] ▬ Dem Umgang mit Angehörigen [6][7][8][9][11][12][13][15][16][17][18][19][20][21][22][23][24] ▬ Den fehlenden Todeszeichen und oder der Unklarheit zwischen Tod und Hirntod 6,8,9,11,[13][14][15][16][18][19][20][22][23][24][25][26]…”

Section: Literaturunclassified

„… das ist eine schwierige Situation“

Drexler¹

2015

intensiv

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The maintenance care of potential organ donors: ethnographic study on the experience of a nursing team

Abstract: OS CUIDADOS DE MANUTENÇÃO DOS POTENCIAIS DOADORES DE ÓRGÃOS: ESTUDO ETNOGRÁFICO SOBRE A VIVÊNCIA DA EQUIPE DE ENFERMAGEM

Cited by 6 publications

References 8 publications

Nurses' challenges in caring for an organ donor brain dead patient and their solution strategies: A systematic review

Nurses' challenges in caring for an organ donor brain dead patient and their solution strategies: A systematic review

Bone Marrow Donation from the Perspective of Sibling Donors

„… das ist eine schwierige Situation“

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