scholarly journals MANAGEMENT OF NURSE CARE IN THE ORGAN AND TISSUE DONATION PROCESS

2020 ◽  
Vol 29 ◽  
Author(s):  
Neide da Silva Knihs ◽  
Ana Carolina Barbosa dos Santos ◽  
Aline Lima Pestana Magalhães ◽  
Sayonara de Fatima Faria Barbosa ◽  
Sibele Maria Schuantes Paim ◽  
...  
Keyword(s):  
Medical Records ◽  
Care Management ◽  
Descriptive Statistics ◽  
Tissue Donation ◽  
Organ And Tissue Donation ◽  
Transplant Center ◽  
Donation Process ◽  
Temperature Water ◽  
Management Issues ◽  
Process Method

ABSTRACT Objective: to identify the activities developed by nurses in care management in the organ and tissue donation process. Method: this is a quantitative, retrospective, exploratory and descriptive study, carried out in two hospital institutions in southern Brazil, between June 2013 and June 2016. The sample consisted of 104 records of patients notified to the State Transplant Center. For data analysis, descriptive statistics were used. Results: at Institution A, 70.2% (73) of medical records were analyzed and at Institution B, 29.8% (31). As for activities developed by nurses, it is noteworthy that in the first, they carried out 1,299 management activities (93.7%) and in the second, 317 (53.9%). As for assistance activities, in the first, 507 (83.1%) and in the second, 217 (63.1%) activities. With regard to nursing care, care should be taken to maintain temperature, water balance and glycemic control. Conclusion: it was possible to identify that nurses develop a greater number of actions aimed at management issues in the donation process. As for assistance, there was a greater concern with maintaining the temperature.

Increasing Referrals and Donations Using the Transplant Center Development Model

1996 ◽  
Vol 6 (1) ◽  
pp. 32-36 ◽  
Author(s):  
Mark T Gravel ◽  
Penelope Szeman
Keyword(s):  
Organ Donation ◽  
Organ Procurement ◽  
Medical Center ◽  
Development Model ◽  
Tissue Donation ◽  
Staff Education ◽  
Organ Procurement Organization ◽  
Organ And Tissue Donation ◽  
Transplant Center ◽  
Donation Process

Although transplantation centers directly benefit from organ and tissue donation, they continue to yield low organ and tissue referral and donation rates. Our medical center and organ procurement organization developed a model to increase referral and donation rates. This model, called the Transplant Center Development Model, facilitates the donation process, specializes staff education, and promotes administrative involvement. After it was was implemented at our medical center in 1991, the referral and donation rates from 1988 to 1990 were compared with those from 1991 to 1993. The results showed that after implementation of the model, the organ referral mean increased 47%; the organ donation mean, 50%; and the tissue donation mean, 117%. These findings suggest that this model may be a valuable tool in transplant center development.

scholarly journals Neonatal donation: are newborns too young to be recognized?

2021 ◽  
Author(s):  
Alicija Vileito ◽  
Christian V. Hulzebos ◽  
Mona C. Toet ◽  
Dyvonne H. Baptist ◽  
Eduard A. A. Verhagen ◽  
...  
Keyword(s):  
Intensive Care ◽  
The Netherlands ◽  
Medical Records ◽  
Neonatal Intensive Care ◽  
Tissue Donation ◽  
Neonatal Intensive Care Units ◽  
Tissue Donors ◽  
Multiple Factors ◽  
Organ And Tissue Donation ◽  
Insight Into

AbstractNeonatal organ and tissue donation is not common practice in the Netherlands. At the same time, there is a transplant waiting list for small size-matched organs and tissues. Multiple factors may contribute to low neonatal donation rates, including a lack of awareness of this option. This study provides insight into potential neonatal organ and tissue donors and reports on how many donors were actually reported to the procurement organization. We performed a retrospective analysis of the mortality database and medical records of two largest neonatal intensive care units (NICUs) in the Netherlands. This study reviewed records of neonates with a gestational age >37 weeks and weight >3000g who died in the period from January 1, 2005 through December 31, 2016. During the study period, 259 term-born neonates died in the two NICUs. In total, 132 neonates with general contra-indications for donation were excluded. The medical records of 127 neonates were examined for donation suitability. We identified five neonates with documented brain death who were not recognized as potential organ and/or tissue donors. Of the remaining neonates, 27 were found suitable for tissue donation. One potential tissue donor had been reported to the procurement organization. In three cases, the possibility of donation was brought up by parents.Conclusion: A low proportion (2%) of neonates who died in the NICUs were found suitable for organ donation, and a higher proportion (12%) were found suitable for tissue donation. We suggest that increased awareness concerning the possibility of neonatal donation would likely increase the identification of potential neonatal donors. What is Known:• There is an urgent need for very small organs and tissues from neonatal donorsWhat is New:• A number of neonates who died in the NICU were suitable organ or/and tissue donors but were not recognized as donors.• Knowledge on neonatal donation possibilities is also important for proper counseling of parents who sometimes inquire for the possibility of organ and tissue donation.

Donation Education for Medical Students: Enhancing the Link between Physicians and Procurement Professionals

2005 ◽  
Vol 15 (2) ◽  
pp. 124-128 ◽  
Author(s):  
Christian C. Essman ◽  
Daniel J. Lebovitz
Keyword(s):  
Medical Students ◽  
Organ Donation ◽  
Ethical Issues ◽  
Organ Procurement ◽  
Tissue Donation ◽  
Current Crisis ◽  
Educational Approach ◽  
Organ And Tissue Donation ◽  
Donation Process ◽  
Organ Procurement Organizations

Purpose Increasing healthcare professionals' knowledge about organ and tissue donation; the national mandates regarding referral compliance; and the effect on donors, donor families, and transplant recipients is a challenging task. Physicians not routinely involved in organ donation or transplantation are some of the most difficult professionals for organ procurement organizations to access. A course for medical students was developed to initiate the transfer of information, comfort, and familiarity with the organ and tissue donation process. Methods Discussions with a local medical school revealed that little organized education on organ and tissue donation existed. An elective course was developed consisting of 2-hour lectures, once a week for 6 weeks. Topics included an overview of tissue and organ donation, history and significance of the current crisis, determination of brain death and its role in organ donation, tissue donation, pretransplant and posttransplant processes, ethical issues, and the donor family and recipient experience. Results A thorough course proposal was presented to the medical school's Chairman of Surgery and Chairman of Transplantation. The proposal was approved for first- and second-year medical students. Conclusion Offering medical students a unique and comprehensive course may attract curious students who could become future champions for donation. This type of educational approach may significantly influence future interactions between physicians and organ procurement organizations. If more organ procurement organizations implement this type of program, the medical students' knowledge of donation will not only affect and benefit the local organ procurement organization's service area but other procurement organizations throughout the country as well.

scholarly journals Parents’ experiences of requests for organ and tissue donation: the value of asking

2019 ◽  
Vol 104 (9) ◽  
pp. 837-843 ◽  
Author(s):  
Anne-Sophie Darlington ◽  
Tracy Long-Sutehall ◽  
Duncan Randall ◽  
Claire Wakefield ◽  
Victoria Robinson ◽  
...  
Keyword(s):  
Neonatal Intensive Care ◽  
Tissue Donation ◽  
Neonatal Intensive Care Units ◽  
Tissue Donors ◽  
Organ And Tissue Donation ◽  
Bereaved Parents ◽  
Donation Process ◽  
Organ Tissue ◽  
Parents Experiences

ObjectiveA proportion of children die, making them potentially eligible to be organ/tissue donors. Not all are approached for donation, and experiences of those parents are not well understood. The objective was to investigate to what extent organ and tissue donation (OTD) is discussed as part of end-of-life care and to explore parents’ and healthcare professionals’ (HCPs) experiences.DesignA retrospective qualitative study.SettingMulticentre study with participants recruited through two neonatal intensive care units (ICUs), two paediatric ICUs, a cardiac ICU and a children’s hospice.PatientsBereaved parents, parents of a child with a long-term condition (LTC) and HCPs.InterventionsNone.Main outcomes and measuresParents’ and HCPs’ views and experiences of discussions about OTD.Results24 parents of 20 children were interviewed: 21 bereaved parents and 3 parents of a child with a LTC. Seven parents were asked about donation (13 not asked), four agreed and two donated. 41 HCPs were interviewed. Themes: complexity of donation process, OTD as a coping strategy, the importance of asking, difficulty of raising the topic,\ and parents’ assumptions about health of organs (when donation is not discussed).ConclusionsThe findings add new knowledge about parents’ assumptions about the value of their child’s organs when discussions about OTD are not raised, and that HCPs do not routinely ask, are sometimes hesitant to ask in fear of damaging relationships, and the reality of the complexity of the donation process. Given the current levels of awareness around OTD, the topic should be raised.

scholarly journals Family interview for organ and tissue donation: good practice assumptions

2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Neide da Silva Knhis ◽  
Sabrina Regina Martins ◽  
Aline Lima Pestana Magalhães ◽  
Saulo Fábio Ramos ◽  
Camila Telemberg Sell ◽  
...  
Keyword(s):  
Emotional Support ◽  
Good Practice ◽  
Tissue Donation ◽  
Family Time ◽  
Thematic Content Analysis ◽  
Organ And Tissue Donation ◽  
Donation Process ◽  
Simple Language ◽  
History Of ◽  
Family Interview

ABSTRACT Objectives: to identify information that can support creating good practice assumptions to develop family interview for organ and tissue donation. Methods: this scoping study, conducted in two Brazilian hospitals in the southern, between April and December 2017, included integrative review and consultation with 15 families who experienced interview for organ donation. For data analysis, thematic content analysis was used. Results: three categories emerged: communication of death, which shows the need to know the history of hospitalization of patients; emotional support, the team must have mastery of the stages of mourning; information about donation, professionals need to know the stages of the donation process and respect families’ time. Final Considerations: good practice assumptions point to the need for team training, respect for family time and the use of simple language.

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

2019 ◽  
Vol 23 (4) ◽  
Author(s):  
Neide da Silva Knihs ◽  
Aline Lima Pestana Magalhães ◽  
Juliana Santos ◽  
Isabela dos Santos Wolter ◽  
Sibele Maria Schuantes Paim
Keyword(s):  
Brain Death ◽  
Medical Records ◽  
Hemodynamic Instability ◽  
Descriptive Statistics ◽  
Management Tool ◽  
Tissue Donation ◽  
Healthcare Team ◽  
System Method ◽  
L 22 ◽  
Quality Tool

Abstract Objective: Identify by means of a management tool causes of losses of possible and potential organs and tissues donation as opportunities of improvements in the organs and tissues donation system. Method: Descriptive and quantitative study developed in three hospitals in the south of the country, which used an instrument of the National Transplant Organization of Spain to trace opportunities of improvements in the scenario of the organs and tissues donation. Tha data collect was carried out in patients´medical records from July and October 2017. The data were analyzed through the descriptive statistics. Results: Of the 321 deaths occurred, 73% were heart arrested and 27% were brain death. In all hospitals the percentage of brain death was higher than 25%. The causes of losses involve hemodynamic alterations 78.3% and medical contraindications 21,7%, with respect to hemodynamic instability 33% related to the hypotension, polyuria 28% , sodium more than 155mEq/l 22% and temperature below 35.5ºC in 17%. Conclusion and Implications for practice: The main causes of loss involve the hemodynamic instability and the contraindication, with respect to opportunities of improvements it was possible to measure the causes of the non-validation of the potential organs donor. The management tool used in the study allows the healthcare team to develop strategies directed towards actual problems incurred at the stages of the donation and transplantation process.

scholarly journals An overview of organ donation for support staff

2019 ◽  
Vol 13 (7) ◽  
pp. 350-353
Author(s):  
Gregory Bleakley
Keyword(s):  
Organ Donation ◽  
End Of Life Care ◽  
Best Practice ◽  
Support Staff ◽  
Tissue Donation ◽  
Life Care ◽  
Organ And Tissue Donation ◽  
Donation Process ◽  
Collaborative Working ◽  
Key Terms

The purpose of this article is to outline the importance of organ and tissue donation as a normal part of end-of-life care. Organ-donation statistics are presented, which highlight the need for more donors. Many healthcare assistants (HCAs) and registered nurses are involved in the care of dying and deceased patients. This article intends to equip the HCA with knowledge of key terms and best practice concerning the organ- and tissue-donation process. Grief response is briefly explored and the importance of collaborative working is discussed. A framework for best practice is presented to enhance the likelihood of a positive donation outcome.

scholarly journals ELECTIVE VENTILATION AS AN IMPROVEMENT MEASURE IN ORGAN AND TISSUE DONATION PROCESS

2015 ◽  
Vol 3 (Suppl 1) ◽  
pp. A900 ◽  
Author(s):  
F Segura ◽  
D Daga ◽  
A Puerto ◽  
J Pérez-Vacas ◽  
A Fernández-Porcel ◽  
...  
Keyword(s):  
Tissue Donation ◽  
Organ And Tissue Donation ◽  
Improvement Measure ◽  
Donation Process

Family perspectives on organ and tissue donation for transplantation: A principlist analysis

2017 ◽  
Vol 25 (8) ◽  
pp. 1041-1050
Author(s):  
Marcelo José dos Santos ◽  
Lydia Feito
Keyword(s):  
Organ Donation ◽  
Organ Procurement ◽  
Sao Paulo ◽  
Tissue Donation ◽  
São Paulo ◽  
Ethical Considerations ◽  
Donation Process ◽  
The Family ◽  
Organ Procurement Organizations ◽  
Family Interview

Background: The family interview context is permeated by numerous ethical issues which may generate conflicts and impact on organ donation process. Objective: This study aims to analyze the family interview process with a focus on principlist bioethics. Method: This exploratory, descriptive study uses a qualitative approach. The speeches were collected using the following prompt: “Talk about the family interview for the donation of organs and tissues for transplantation, from the preparation for the interview to the decision of the family to donate or not.” For the treatment of qualitative data, we chose the method of content analysis and categorical thematic analysis. Participants: The study involved 18 nurses who worked in three municipal organ procurement organizations in São Paulo, Brazil, and who conducted family interviews for organ donation. Ethical considerations: The data were collected after approval of the study by the Research Ethics Committee of the School of Nursing of the University of São Paulo. Results: The results were classified into four categories and three subcategories. The categories are the principles adopted by principlist bioethics. Discussion: The principles of autonomy, beneficence, non-maleficence, and justice permeate the family interview and reveal their importance in the organs and tissues donation process for transplantation. Conclusion: The analysis of family interviews for the donation of organs and tissues for transplantation with a focus on principlist bioethics indicates that the process involves many ethical considerations. The elucidation of these aspects contributes to the discussion, training, and improvement of professionals, whether nurses or not, who work in organ procurement organizations and can improve the curriculum of existing training programs for transplant coordinators who pursue ethics in donation and transplantation as their foundation.

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