Taking Care of Relationships in the Intensive Care Unit: Positive Impact on Family Consent for Organ Donation

Bocci, Maria Grazia; D’Alò, Ciro; Barelli, Roberta; Inguscio, Simona; Prestifilippo, Alessia; Paolo, Salvatore Di; Lochi, Serena; Fanfarillo, M; Grieco, Domenico Luca; Maviglia, Riccardo; Caricato, Anselmo; Mistraletti, Giovanni; Pulitanò, Silvia; Antonelli, Massimo; Sandroni, Claudio

doi:10.1016/j.transproceed.2016.09.042

Cited by 30 publications

(36 citation statements)

References 7 publications

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“…In one case, this resulted in the donation of fewer organs and tissues than intended at the outset. Our findings concur that the donation discussion may be enhanced by improving aspects of family care and provision [21].…”

Section: Global Theme -The Presentsupporting

confidence: 85%

“…This was most notable in cases of DBD. Families expressed satisfaction with the sensitivity of the approach and the requestor; two important variables that are known to influence the decision to donate [6,20,21]. The facilities within specialist areas were not always deemed to be conducive to the sensitivity of the donation discussion, and a lack of privacy was an issue…”

Section: Global Theme -The Presentmentioning

confidence: 99%

See 1 more Smart Citation

Bereaved donor families' experiences of organ and tissue donation, and perceived influences on their decision making

Sque

Walker

Long-Sutehall

et al. 2018

Journal of Critical Care

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Section: Global Theme -The Presentsupporting

confidence: 85%

Section: Global Theme -The Presentmentioning

confidence: 99%

Bereaved donor families' experiences of organ and tissue donation, and perceived influences on their decision making

Sque

Walker

Long-Sutehall

et al. 2018

Journal of Critical Care

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“…Contudo, entende-se que é por meio de uma comunicação efetiva que o processo se torna mais seguro, a família, mais satisfeita e mais propensa à doação. Destaca-se que, até a decisão da doação, a família perpassa por distintas etapas relacionadas à comunicação, as quais envolvem: comunicação da gravidade; comunicação sobre o início do protocolo de ME; comunicação da morte e, por fim, a informação sobre a doação de órgãos (BOCCI et al, 2016;CAJADO, 2017).…”

Section: Discussionunclassified

Cuidados Paliativos Em Pacientes Oncológicos: Uma Reflexão Inter- E Multidisciplinar

Santos¹

2021

Ciências Da Saúde: Influências Sociais, Políticas, Institucionais E Ideológicas 3

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“…Since 2013, as we have recently published, we developed a new communication approach addressed to relatives of patients admitted to the intensive care unit (ICU) ( [18], with permission]). It consists of a patient/relative-centered approach, in which doctors, nurses, psychologists and volunteers support relatives throughout the care process.…”

Section: New Communication Approachmentioning

confidence: 99%

“…When considering patients in critical conditions admitted in the ICU, the care-taking process of the medical staff is addressed toward relatives more than toward patients, who continue to receive highquality care. Clinically speaking, the communication-based relationship has a central role and a positive action on health improvement in the care process [18].…”

Section: Delivering the Communication (How And When)mentioning

confidence: 99%

Family-Centered Care to Improve Family Consent for Organ Donation

Bocci¹,

Prestifilippo²,

D’Alò³

et al. 2018

Organ Donation and Transplantation - Current Status and Future Challenges

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The need for organ donation has increased over time, but the shortage of available donors is the major limiting factor in transplantation. Organ donation refusal from relatives of potential donors with brain death significantly reduces organ availability. We report a brief analysis about family conflicts in decision-making and causes for refusing donation; moreover, we describe new family-centered strategies in the intensive care unit (ICU) and our systematic communication approach between medical staff and patients' relatives. In 2016 we conducted a single-center, non-randomized, controlled and before and after study in our ICU, an 18-bed intensive care unit (ICU) of a university hospital. We compared the rate of consent for organ donation before and after the introduction of the new communication approach. The application of a new communication approach between medical staff and relatives of brain-dead patients was associated with a significant increase in the rate of consent to donation. The positive results of the 3-year period 2013-2015 have been confirmed in the 2-year period 2016-2017. Our results highlight the importance of empathy and counselor support of relatives in the ICU.

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Taking Care of Relationships in the Intensive Care Unit: Positive Impact on Family Consent for Organ Donation

Cited by 30 publications

References 7 publications

Bereaved donor families' experiences of organ and tissue donation, and perceived influences on their decision making

Bereaved donor families' experiences of organ and tissue donation, and perceived influences on their decision making

Cuidados Paliativos Em Pacientes Oncológicos: Uma Reflexão Inter- E Multidisciplinar

Family-Centered Care to Improve Family Consent for Organ Donation

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