A Enfermagem Intensivista Frente À Doação De Órgãos: Uma Revisão Integrativa.

Abstract

Objective: To identify the productions that address the role of the intensive care nurse in the context of brain death, identifying their results and conclusions. Methods: It was used the literature integrative review in SciELO database with six stages, namely: problem formulation, data collection, data evaluation, analysis and interpretation of results and synthesis of knowledge. The data of the selected articles were organized into tables for better understanding of them. Results: There were 17 articles on theme, of these, 3 had the inclusion criteria of the study. Conclusion: One can see the relevance of a specific knowledge of health professionals, especially nurses, in donation and transplantation area, and the limited number of publications on the subject by the nurses and the precarious approach to donation and transplantation in the curriculum graduation. Descriptors RESUMENObjetivo: Identificar las producciones que abordan el papel del enfermero de cuidados intensivos en el contexto de la muerte cerebral, la identificación de sus resultados y conclusiones. Métodos: Se utilizó la revisión integradora literatura en la base de datos SciELO con seis etapas, a saber: formulación del problema, recopilación de datos, evaluación de datos, análisis e interpretación de los resultados y síntesis del conocimiento.Los datos de los artículos seleccionados se organizaron en mesas para una mejor comprensión de las mismas. Resultados: Se encontraron 17 artículos sobre el tema de estos, 3 tenían los criterios de inclusión del estudio. Conclusión: Se puede ver la relevancia de un conocimiento específico de profesionales de la salud, sobre todo enfermeras, en la donación y el trasplante de área y el número limitado de publicaciones sobre el tema de las enfermeras y el enfoque precaria a la donación y el trasplante en los planes de estudios de pregrado.

Organ and tissue donation: use of quality tool for process optimization

“…[17][18] However, this same legislation defines for the HCT professionals the promotion of the quality, as well as the development of safe stages aimed at ensuring care to the bereaved family, agility in each stage of the process, as well as feasible organs for the transplantation. [10][11][12][13][14][15][16][17][18] In the latter of the promotion of quality and safety in this process, the data of the current study indicate the possibility of screening and mapping possible donors, beyond of presenting opportunities of improvements when revealing the main causes of the non-validation of these potential donors to SCT´s. It is still distinguished that in the three studied hospitals the BD porcentage was higher than 25%, which value is higher than the one estimated in the legislation (14%).…”

“…In addition, this professional has been assumed the results management and the effectiveness of this process, with the aim at minimizing eventual errors and damages that may occurr in the donation process. [10][11][12][13][14][15][16] In Brazil, the nurse assumes the role of a member and manager of the HTC, besides developing actions related to identify, validate and manager the care to the possible donor (patient with clinical, laboratorial and radiological criteria for opening the brain death protocol), regarding the potential donor (patient whose BD protocol was concluded with positive result for BD) 17 and the family. She supports and coordinates the logistics of capturing organs and administrative processes regarding the quality of this process.…”

“…[11][12]17 The nurse as manager of the HTC, together with the multiprofessional team of the Intensive Care Units (ICU's), has the great challenge of identifying, often, opportunities of improvements in the donation system and transplant to allow legal stages through legal and ethical parameters and above all, to ensure the safety and quality in the donation, besides feasible organs for the transplant. [10][11][12][13][14][15] Screening opportunities of improvements in the health system provides the elaboration of effective strategies based on actual problems. The organs and tissues donation system is a complex process, thus, it requires a look of the health team targeted to licit stages, effective and safe in order to ensure quality in the donation and safety in the transplant.…”

Management of Nurse Care in the Organ and Tissue Donation Process

“…[6][7] In this regard, it is necessary that this assistance be aimed at preserving viable organs for transplantation. [7][8] It is understood that the role of HTC nurses, in the context of organ and tissue donation, has grown and stood out in Brazil over the years. The activities developed by these professionals involve assistance and management in order to offer continuity of care to PD and with the possibility of helping other lives.…”

“…Of the few studies that show the real demand for activities of this professional in organ donation, some register the main difficulties and confrontations 7,8 . However, they do not reveal or even describe the steps and activities practiced by these professionals.…”