scholarly journals DOAÇÃO DE ÓRGÃOS E TECIDOS PARA TRANSPLANTES: motivos de não autorização

2013 ◽  
Vol 20 (3) ◽  
pp. 93
Author(s):  
Flaviana de Souza Marques ◽  
Maria das Dores Perpétua Barbosa ◽  
Ivete Maria Ribeiro
Keyword(s):  
Organ Donation ◽  
Tissue Donation ◽  
Santa Catarina ◽  
Potential Donor ◽  
Organ And Tissue Donation ◽  
Calidad De Vida ◽  
The Face ◽  
Unrelated Donors

Trata-se de uma pesquisa documental, de abordagem qualitativa e quantitativa. Ela objetivou conhecer os motivos que levam o familiar a não autorizar a doação de órgãos. Esses registros foram feitos por uma equipe da Comissão Intra-Hospitalar de Doação de Órgãos e Tecidos para Transplantes de um hospital do sul de Santa Catarina. A coleta de dados foi realizada mediante um formulário com questões abertas e fechadas e registradas no próprio instrumento. Os sujeitos deste estudo foram os não doadores registrados nos formulários de notificação de potencial doador com coração parado e de morte encefálica, que fazem parte dos registros desta comissão. Os formulários analisados compreendem os anos de janeiro de 2011 até abril de 2013. De acordo com os registros da Comissão, a recusa familiar atingiu 135 casos, além de 21 casos específicos de que o paciente em vida não desejava ser doador. Portanto, a notificação incompleta impediu a classificação da recusa familiar neste estudo. Conhecer os fatores que dificultam a doação de órgãos poderá contribuir na dinâmica da equipe, uma vez que esta poderá atuar de maneira mais efetiva diante das negativas, elevando, desta forma, os índices de transplantes e melhorando a qua-lidade de vida dos indivíduos que estão à espera de um doador.Palavras-chave: Transplante de tecido. Transplante de órgãos. Triagem de doadores. Doadores não re-lacionados. ORGAN AND TISSUE DONATION FOR TRANSPLANTATION:reasons for non-authorizationAbstract: This is a documentary research, of a qualitative and quantitative approach. It aimed to identifythe reasons that lead family members not to allow organ donation. These records were made by an Intra-Hospital Commission on Organ and Tissue Donation for Transplantation team of a hospital in the south of Santa Catarina. The data collection was conducted using a form with open and closed questions and registered on the instrument itself. The subjects of this study were the non-donors registered in the notification forms of potential donor with cardiac arrest and brain death, which are part of the records of this committee. The forms analysed comprise the years from January 2011 to April 2013. According to the records of the Commission, refusal family reached 135 cases, and 21 specific cases that the patient in life didn’t want to be a donor. Therefore, underreporting prevented the classification of family refusal in this study. Knowing the factors that hinder organ donation can contribute to team dynamics, since it can act more effectively in the face of negatives, increasing, thus, the rates of transplantation and improving the quality of life of individuals who are waiting for a donor.Keywords: Tissue transplantation. Organ transplantation. Donor selection. Unrelated donors. DONACIÓN DE ÓRGANOS Y TEJIDOS PARA TRANSPLANTES:motivos de no autorizacionesResumen: Tratase de una investigación documental, de abordaje cualitativo y cuantitativo. Esta tiene como objetivo conocer los motivos que llevan al familiar a no autorizar la donación de órganos. Estos registrosfueron hechos por un equipo de la Comisión Intrahospitalaria de Donaciones de Órganos y Tejidos para Trasplantes de un hospital del sur de Santa Catarina. La colecta de datos fue realizada mediante preguntasabiertas, cerradas y registradas en el propio instrumento. Los sujetos de este estudio fueron los no donantes registrados en los formularios de notificación de donante potencial con corazón parado y de muerte encefálica, que hacen parte de los registros de esta comisión. Los formularios analizados comprendenlos años de enero de 2011 hasta abril de 2013. De acuerdo con los registros de la Comisión, la negativa familiar alcanzó el número de 135 casos, además de 21 casos específicos en los que el paciente en vida no deseaba ser donante. Por lo tanto, la notificación incompleta impidió la clasificación de la negativa familiar en este estudio. Conocer los factores que dificultan la donación de órganos podrá contribuir en la dinámica del equipo, una vez que esta podrá actuar de manera más efectiva delante de las negativas, elevando, de esta forma, los índices de trasplantes y mejorando la calidad de vida de los individuos que están a la espera de un donante.Palabras clave: Trasplante Transplante de tejidos. Trasplante Transplante de órganos. Selección de donante. Donante no emparentado93

scholarly journals A Gift of Generosity—An Explanation of Organ and Tissue Donation and Transplantation for Muslim Audiences

Religions ◽  
2021 ◽  
Vol 12 (10) ◽  
pp. 815
Author(s):  
Mohammad Abdus Sayek Khan
Keyword(s):  
Organ Donation ◽  
Life Support ◽  
Organ Donor ◽  
Tissue Donation ◽  
Loved One ◽  
Organ And Tissue Donation ◽  
Lack Of Information ◽  
The Family ◽  
End Stage

Diseased Organ and tissue donation and transplantation entails removing organ and tissues from someone (the donor) and transplanting them into another person (the recipient). Transplanting organs and tissues from one person hold the capacity to save or significantly improve the quality of life of multiple recipients. This is a rare opportunity for one to become an organ donor. In 2018, Australia had a population of 24.99 million. A total of 160,909 lives were lost that year; almost half of this death occurred in hospitals. However, a person may only be able to become a donor if their death occurs in a particular way and fulfils a defined set of special criteria—for example, while on the life support machine in an intensive care unit. Because of this, only 1211 people out of the large number of lives lost in 2018 were eligible to be potential organ donors. This is one of reasons we encourage everybody to consider the virtues of organ and tissue donation in any end-of-life discussion. Diseased organ donation occurs only when the clinician is certain that the person has died. The death is diagnosed by neurological criteria or by circulatory criteria which are discussed in detail in the article. This is an unconditional altruistic and non-commercial act. A large number of people are waiting on transplant list in Australia who are suffering from end stage organ failure; some of them will die waiting unless one receives an organ transplantation. Australians are known to be highly generous people. That is why 98% of Australian say ‘Yes’ to become an organ donor when they die. But in reality, only about 64% of families consent for organ donation on an average. There are widespread misconceptions and myths about this subject, mostly due to lack of information and knowledge. I have attempted to explain the steps of diseased organ donation in this article which, hopefully will be able to break some of those misconceptions. I have avoided to discuss living donation which is entirely a different subject. I have only touched on Islamic perspective of organ donation here as multiple Islamic scholars are going to shed lights here. We encourage everybody to ‘Discover’ the facts about organ and tissue donation, to make an informed ‘Decision’ and ‘Discuss’ this with the family. If the family knows the wishes of the loved one, it makes their decision-making process much easier during such a devastating and stressful time.

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.

Índices de mortalidade pediátrica em uma unidade de terapia intensiva pediátrica no município de Lages, Santa Catarina, Brasil

2009 ◽  
Vol 3 (2) ◽  
pp. 282
Author(s):  
Camila Neves Sampaio ◽  
Elaine Rossi Ribeiro
Keyword(s):  
Intensive Care ◽  
Life Quality ◽  
Pediatric Intensive Care ◽  
Prevention Measures ◽  
Santa Catarina ◽  
Calidad De Vida ◽  
Factores De Riesgo ◽  
Terapia Intensiva ◽  
Made In

ABSTRACTObjective: to investigate the pediatrics mortality indices in children from 0 until 15 years at a Pediatric Intensive Care Unit in Lages city, Santa Catarina, Brazil. Method: this about a descriptive study carried through July 2007 whose data had been gathered refering to all deaths occured in PICU from January 2006 to June 2007 collected from register handbooks and books from PIC. Data were grouped month by month and divided by age, origin, sex, condition and length of stay in PICU. The results were discussed for the development of preventive measures. Results: after the collection of these data, the deaths were classified in preventable and not preventable in accordance with the Tenth Revision of the International Classification of Illnesses and suggestions of prevention measures were made in the sense of diminishing these indices, improving the children’s life quality treated at PICU. Conclusion: the objectives outlined for this study were reached and the pediatrics mortality at PICU were identified, describing deaths in preventable or not preventable. And with this, some actions have been suggested improve these indices. Descriptors: infant mortality; intensive care units; pediatrics; risk factors.RESUMOObjetivo: investigar os índices de mortalidade pediátrica em crianças de 0 a 15 anos em uma Unidade de Terapia Intensiva Pediátrica do município de Lages, Santa Catarina, Brasil. Método: trata-se de um estudo descritivo realizado no mês de julho de 2007, onde foram reunidos dados através de prontuários, livros de registros da UTIP e protocolos de óbitos. Os dados foram agrupados mês a mês, sendo divididos em idade, procedência, sexo, doenças e tempo de permanência na UTIP. Os resultados foram discutidos para a elaboração de medidas de prevenção. Resultados: após a coleta destes dados, os óbitos foram classificados como evitáveis e não evitáveis de acordo com a Décima Revisão da Classificação Internacional de Doenças, e sugestões de medidas de prevenção foram feitas no sentido de que se possa diminuir estes índices, melhorando a qualidade de vida das crianças recebidas na referida UTIP. Conclusão: os objetivos traçados para este estudo foram alcançados, conseguiu-se identificar os índices de mortalidade pediátrica nesta UTIP, classificando os óbitos como évitáveis e não evitáveis. E, com isto, foram sugeridas algumas ações que podem melhorar estes índices. Descritores: mortalidade infantil; unidades de terapia intensiva pediátrica; fatores de risco.RESUMENObjetivo: investigar la tasa de mortalidad pediátrica en niños de 0 a 15 años en una Unidad de Cuidado Intensivo Pediatrico de la ciudad de Lages, Santa Catarina, Brasil. Método: se trata de un estudio descriptivo realizado en julio de 2007, donde se recongieron datos sobre todas las muertes en el PICU entre enero de 2006 y junio de 2007 recogidos a través de registros médicos, los libros, registros y protocolos de la PICU muertes. Los datos fueron agupados por meses y se dividen por edad, origen, sexo, condición u la duración da la stancia en PICU. Los resultados se discutieron para el desarrollo de medidas preventivas. Resultados: después de recoger estos datos, las muertes fueron clsificadas como evitables y no evitables de acuerdo con la Décima Revisión de la Clasificación Internacional de Enfermedades, y las sugerencias  de las medidas  preventivas se han tomado en el sentido de que puede reducir estas tasas, la mejora de la calidad  de vida de los niños recibieron em el PICU. Conclusión: los objetivos definidos para este estudio se lograron, fuimos capaces de determinar las tasas de mortalidad pediátrica de PICU, que descibe la muerte en prevenibles o no prevenibles. Y con esto, alguns han sugerido medidas que pueden mejorar estos índices. Descriptores: Mortalidad infantil; Unidades de cuidado intensivo pediátrico; Factores de riesgo.

Requesting organ donation: an interview study of donor and nondonor families

1998 ◽  
Vol 7 (1) ◽  
pp. 13-23 ◽  
Author(s):  
W DeJong ◽  
HG Franz ◽  
SM Wolfe ◽  
H Nathan ◽  
D Payne ◽  
...  
Keyword(s):  
Organ Donation ◽  
Hospital Care ◽  
Public Support ◽  
Actual Behavior ◽  
Emotional Needs ◽  
Next Of Kin ◽  
Potential Donor ◽  
The Difference ◽  
Family Beliefs

BACKGROUND: Approximately half of the families asked to consider donation of a relative's organs decline to give consent. Understanding the difference between stated public support of organ donation and actual behavior is key to decreasing the shortage of donor organs. OBJECTIVES: To gain insight into the experiences of potential donor families and to define features of the donation-request process and other factors that are associated with consent for organ donation. METHODS: A structured telephone interview was conducted with the immediate next of kin of 164 medically suitable potential organ donors. Interviews 30 to 60 minutes long were held with members of both donor and nondonor families 4 to 6 months after the death of the study participant's relative. RESULTS: Several factors were associated with consent for organ donation: characteristics of the patient and the patient's family, beliefs and attitudes about organ donation and transplantation, whether the family knew the deceased's wishes about donation, the family's satisfaction with the hospital care that their relative received, specific aspects of the donation-request process, and the family's understanding of brain death. CONCLUSIONS: Organ donation rates could be increased by enhancing the quality of hospital care and ensuring that the request for donation is handled in a way that meets the families' informational and emotional needs.

Organ Donation Workshop – a Survey on Nurses’ Knowledge and Attitudes toward Organ and Tissue Donation in Iran

2009 ◽  
Vol 32 (10) ◽  
pp. 739-744 ◽  
Author(s):  
Hamid Reza Aghayaw ◽  
Babak Arjmand ◽  
Seyed Hassan Emami-Razavi ◽  
Ali Jafarian ◽  
Ali Reza Shabanzadeh ◽  
...  
Keyword(s):  
Organ Donation ◽  
Tissue Donation ◽  
Knowledge And Attitudes ◽  
Organ And Tissue Donation ◽  
Nurses Knowledge

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.

IDENTIFICAÇÃO DOS SERVIÇOS ECOSSISTÊMICOS DE PROVISÃO PRESTADOS PELA CAATINGA NA MICRORREGIÃO DO SERIDÓ OCIDENTAL, RIO GRANDE DO NORTE, BRASIL

2019 ◽  
Vol 21 (2) ◽  
pp. 477-490
Author(s):  
Carlos Roberto Da Silva Filho ◽  
Nayara Marques Santos ◽  
Jânio Carlos Fernandes Guedes ◽  
Diógenes Félix Da Silva Costa
Keyword(s):  
Ecosystem Services ◽  
Well Being ◽  
International Classification ◽  
Biomass Energy ◽  
Calidad De Vida ◽  
In The Wild ◽  
Current Scenario ◽  
Los Grupos

Serviços Ecossistêmicos são bens produzidos pelos ecossistemas que são utilizados pela sociedade na manutenção da sua qualidade de vida. Diante do cenário atual sobre os impactos que os ecossistemas sofrem, essa temática ganhou relevância, pois podem vir a elucidar as populações sobre a importância do bem estar natural. A exemplo da Caatinga, terceiro bioma mais degradado em território brasileiro. Diante desse fato, o referente trabalho objetivou identificar os serviços ecossistêmicos de provisão prestados pelas áreas de Caatinga microrregião do Seridó Ocidental/RN, seguindo a classificação Common International Classification of Ecosystem Services CICES. Como resultados, identificou-se inúmeros serviços de provisão distribuídos nas classes inspecionadas. Houveram exemplos nos grupos de biomassa, energia e água, aparecendo em maior destaque nas duas primeiras, a provisão de remédios caseiros e materiais derivados das plantas da Caatinga. Também foram identificados serviços prestados pela fauna, na classe de animais selvagens e suas saídas, por meio de uso da caça. Por fim, conclui-se que a identificação dos serviços ecossistêmicos mostrou-se importante, pois nos fornecem informações que podem garantir subsídios para a elaboração de ferramentas que induzam a conservação da biodiversidade. No entanto, se faz necessário mais pesquisas voltadas a este tema. Como resultado, identificamos numerosos servicios de aprovisionamiento distribuidos en las clases inspeccionadas. Hubo ejemplos en los grupos de biomasa, energía y agua, que aparecieron de manera más destacada en los dos primeros, la provisión de remedios caseros y materiales derivados de las plantas de Caatinga. También identificamos servicios de vida silvestre en la clase de vida silvestre y sus salidas a través de la caza. Finalmente, se concluye que la identificación de los servicios del ecosistema demostró ser importante porque nos proporcionan información que puede garantizar subsidios para la elaboración de herramientas que induzcan la conservación de la biodiversidad. Sin embargo, se necesita más investigación sobre este tema.Palavras-chave: Serviços Ecossistêmicos; Caatinga; Seridó Ocidental. ABSTRACTEcosystem services are goods produced by ecosystems that are used by society to maintain their quality of life. Given the current scenario on the impacts that ecosystems suffer, this issue has gained relevance, as they may elucidate the population on the importance of natural well-being. Like the Caatinga, the third most degraded biome in Brazilian territory. In view of this fact, the objective of this work was to identify the ecosystem services provided by the Caatinga micro-region of western Seridó / RN, following the Common International Classification of Ecosystem Services CICES. As a result, a number of provision services were identified in the inspected classes. There were examples in the biomass, energy and water groups, appearing more prominently in the first two, the provision of home remedies and materials derived from Caatinga plants. Wildlife services, in the wild class and their exits, were also identified through the use of hunt. Finally, it is concluded that the identification of ecosystem services has proved to be important, since they provide us with information that can guarantee subsidies for the elaboration of tools that induce the conservation of biodiversity. However, more research on this topic is needed.Keywords: Ecosystem Services; Caatinga; Western Seridó. RESUMENLos servicios ecosistémicos son bienes producidos por ecosistemas que la sociedad utiliza para mantener su calidad de vida. Dado el escenario actual sobre los impactos que sufren los ecosistemas, este tema ha ganado relevancia, ya que pueden dilucidar a las poblaciones sobre la importancia del bienestar natural. Como Caatinga, el tercer bioma más degradado en Brasil. Dado este hecho, este trabajo tuvo como objetivo identificar los servicios ecosistémicos proporcionados por la microrregión Caatinga de las áreas occidentales de Seridó/RN, siguiendo la Common International Classification of Ecosystem Services CICES. Como resultado, identificamos numerosos servicios de aprovisionamiento distribuidos en las clases inspeccionadas. Hubo ejemplos en los grupos de biomasa, energía y agua, que aparecieron de manera más destacada en los dos primeros, la provisión de remedios caseros y materiales derivados de las plantas de Caatinga. También identificamos servicios de vida silvestre en la clase de vida silvestre y sus salidas a través de la caza. Finalmente, se concluye que la identificación de los servicios del ecosistema demostró ser importante porque nos proporcionan información que puede garantizar subsidios para la elaboración de herramientas que induzcan la conservación de la biodiversidad. Sin embargo, se necesita más investigación sobre este tema.Palabras clave: Servicios ecosistémicos; Caatinga; Seridó Occidental.

scholarly journals P146: Organ and tissue donation from poisoned patients in the emergency department: a Canadian perspective

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S109-S109
Author(s):  
L. J. Staple ◽  
J. MacIntyre ◽  
N. G. Murphy ◽  
S. Beed ◽  
C. LeBlanc
Keyword(s):  
Organ Donation ◽  
Chemical Exposure ◽  
Knowledge Bases ◽  
Survey Study ◽  
Tissue Donation ◽  
Emergency Physicians ◽  
Cross Sectional ◽  
Organ And Tissue Donation ◽  
Physician Characteristics ◽  
Canadian Association

Introduction: Screening for organ and tissue donation is an essential skill for emergency physicians. In 2015, 4564 individuals were on a waiting list for organ transplant and 242 died while waiting. As Canadas donation rates are less than half that of other comparable countries, it is crucial to ensure we are identifying all potential donors. Patients deceased from poisoning are a source that may not be considered for referral as often as those who die from other causes. This study aims to identify if patients dying from poisoning represent an under-referred group and determine what physician characteristics influence referral decisions. Methods: In this cross-sectional unidirectional survey study, physician members of the Canadian Association of Emergency Physicians were invited to participate. Participants were presented with 20 organ donation scenarios that included poisoned and non-poisoned deaths, as well as one ideal scenario for organ or tissue donation used for comparison. Participants were unaware of the objective to explore donation in the context of poisoning deaths. Following the organ donation scenarios, a range of follow-up questions and demographics were included to explore factors influencing the decision to refer or not refer for organ or tissue donation. Results were reported descriptively and associations between physician characteristics and decisions to refer were assessed using odds ratios and 95% confidence intervals. Results: 208/2058 (10.1%) physicians participated. 25% did not refer in scenarios involving a drug overdose (n=71). Specific poisonings commonly triggering the decision to not refer included palliative care medications (n=34, 18%), acetaminophen (n=42, 22%), chemical exposure (n=48, 27%) and organophosphates (n=87, 48%). Factors associated with an increased likelihood to refer potential donors following overdose included previous organ and tissue donation training (OR=2.6), having referred in the past (OR=4.3), available donation support (OR=3.9), greater than 10 years of service (OR=2.1), large urban center (OR=3.8), holding emergency medicine certification (OR=3.6), male gender (OR=2.2, CI), and having indicated a desire to be a donor on government identification (OR=5.8). Conclusion: Scenarios involving drug overdoses were associated with under-referral for organ and tissue donation. As poisoning is not a contraindication for referral, this represents a potential source of donors. By examining characteristics that put clinicians at risk for under-referral of organ or tissue donors, becoming aware of potential biases, improving transplant knowledge bases, and implementing support and training programs for the organ and tissue donation processes, we have the opportunity to improve these rates and reduce morbidity and mortality for Canadians requiring organ or tissue donation.

scholarly journals Práticas integrativas e complementares para promoção e recuperação da saúde

2020 ◽  
Vol 10 (30) ◽  
pp. 209-221
Author(s):  
Oclaris Lopes Munhoz ◽  
Bruna Xavier Morais ◽  
Emanuelli Mancio Ferreira da Luz ◽  
Tânia Solange Bosi de Souza Magnago
Keyword(s):  
Health Promotion ◽  
Music Therapy ◽  
Complementary Therapies ◽  
Intervention Studies ◽  
Research Question ◽  
Calidad De Vida ◽  
Insuficiencia Cardiaca ◽  
The Face ◽  
Theses And Dissertations

Este estudo objetivou identificar e caracterizar as tendências das Teses e Dissertações, produzidas no Brasil, acerca da efetividade das PIC para promoção e recuperação da saúde. Estudo documental, descritivo e exploratório, realizado a partir das produções disponíveis no Catálogo de Periódicos da Coordenação de Aperfeiçoamento de Pessoal. Incluiu-se estudos primários e de intervenção. Estudos que não contemplaram a temática, com resumos incompletos ou indisponíveis, que não responderam à questão de pesquisa, estudos metodológicos ou de revisão foram excluídos. Predominaram estudos oriundos de dissertações e desenvolvidos por enfermeiros. Acupuntura, musicoterapia e reiki foram as práticas mais utilizadas. As PIC mostraram-se efetivas para o tratamento de ansiedade, estresse, obesidade, dor e proporcionaram melhora do sono, das condições circulatórias e da qualidade de vida. Acupuntura, auriculoterapia, musicoterapia e reiki surgem como tendências das PIC para a promoção e recuperação da saúde, demonstrando-se efetivas diante de condições crônicas e de distúrbios físicos e fisiológicos.Descritores: Terapias Complementares, Saúde, Promoção da Saúde. Integrative and complementary practices for health promotion and recoveryAbstract: This study aimed to identify and characterize the trends of Theses and Dissertations, produced in Brazil, about the effectiveness of ICPs for health promotion and recovery. Documentary, descriptive and exploratory study, made from the productions available in the Journal Catalog of the Personnel Improvement Coordination. This included primary and intervention studies. Studies that did not address the theme, with incomplete or unavailable abstracts, that did not answer the research question, methodological or review studies were excluded. Studies originating from dissertations and developed by nurses predominated. Acupuncture, music therapy and reiki were the most used practices. The ICPs were effective for the treatment of anxiety, stress, obesity, pain and provided improved sleep, circulatory conditions and quality of life. Acupuncture, auriculotherapy, music therapy and reiki appear as ICP tendencies for health promotion and recovery, proving to be effective in the face of chronic conditions and physical and physiological disorders.Descriptors: Complementary Therapies, Health, Health Promotion. El cuidador de paciente con insuficiencia cardíaca: desafíos en el cuidadoResumen: Este estudio tuvo como objetivo identificar y caracterizar las tendencias de Tesis y Disertaciones, producidas en Brasil, sobre la efectividad de los PIC para la promoción y recuperación de la salud. Estudio documental, descriptivo y exploratorio, basado en las producciones disponibles en el Catálogo de revistas de coordinación de mejora del personal. Esto incluyó estudios primarios y de intervención. Se excluyeron los estudios que no abordaron el tema, con resúmenes incompletos o no disponibles, que no respondieron a la pregunta de investigación, los estudios metodológicos o de revisión. Predominaron los estudios provenientes de disertaciones y desarrollados por enfermeras. La acupuntura, la musicoterapia y el reiki fueron las prácticas más utilizadas. Las PIC fueron eficaces para tratar la ansiedad, el estrés, la obesidad, el dolor y mejoraron el sueño, las condiciones circulatorias y la calidad de vida. La acupuntura, la auriculoterapia, la musicoterapia y el reiki aparecen como tendencias ICP para la promoción y recuperación de la salud, demostrando ser efectivas frente a afecciones crónicas y trastornos físicos y fisiológicos.Descriptores: Terapias Complementarias, Salud, Promoción de la Salud.

Resource barriers to the facilitation of organ and tissue donation reported by Australian emergency clinicians

2013 ◽  
Vol 37 (1) ◽  
pp. 60 ◽  
Author(s):  
Claudia H. Marck ◽  
George A. Jelinek ◽  
Sandra L. Neate ◽  
Bernadine M. Dwyer ◽  
Bernadette B. Hickey ◽  
...  
Keyword(s):  
Emergency Department ◽  
Online Survey ◽  
Tissue Donation ◽  
Donor Pool ◽  
Potential Donor ◽  
Cross Sectional ◽  
Work Related ◽  
Organ And Tissue Donation ◽  
Ed Overcrowding ◽  
Related Stress

Objective. To explore emergency department clinicians’ perceived resource barriers to facilitating organ and tissue donation (OTD). Methods. A cross-sectional national online survey of Australian emergency department (ED) clinicians. Results. ED clinicians reported a range of resource barriers that hinder the facilitation of OTD, most notably a lack of time to discuss OTD with a patient’s family (74.6%). Those reporting more resource barriers had been less involved in OTD-related tasks. For example, those reporting a lack of time to assess a patient’s suitability to be a potential donor had less experience with OTD-related tasks in the last calendar year than did those who reported that they often or always have enough time for this (P < 0.01). In addition, ED clinicians working in DonateLife network hospitals were more involved in OTD-related tasks (P < 0.01) and reported fewer resource shortages in the ED and the hospital overall. Conclusions. Resource shortages hinder the facilitation of OTD in the ED and are related to decreased involvement in OTD-related tasks. In addition, ED clinicians working in DonateLife hospitals are more involved in OTD-related tasks and report fewer resource shortages overall. Addressing resource shortages and extending the DonateLife network could benefit OTD rates initiated from the ED. What is known about the topic? Increasing the rate of organ and tissue donation (OTD) has become progressively more urgent as waiting lists for organs and tissues are growing globally. Recently a missed potential donor pool was recognised in emergency departments (EDs) and the Organ and Tissue Authority implemented a ‘clinical trigger’ tool to aid with the identification of potential donors in EDs. However, many Australian studies have reported worsening ED overcrowding and resource shortages in recent years with an adverse effect on patient care and satisfaction as well as on ED clinicians’ work-related stress and satisfaction. International literature has identified that certain resource barriers hinder the facilitation of organ and tissue in EDs. However, there is currently no literature available on how resource barriers in Australian EDs affect the facilitation of OTD. What does this paper add? Our study shows that Australian ED clinicians perceive a range of resource barriers that hinder the facilitation of OTD, most notably a lack of time to discuss OTD with a patient’s family or to identify potential donors. We also found that those reporting more resource barriers had been less involved in OTD-related tasks in the last calendar year. In addition, those that work in hospitals that are part of the DonateLife network, and thus have dedicated staff available for OTD-related tasks, were more involved in OTD-related tasks and reported fewer resource shortages in the ED and the hospital overall. What are the implications for practitioners? To maximize the number of potential donors recognised and referred from the ED, it may be important to decrease the resource barriers identified in this study. Notably, the presence of specialist OTD staff, a function of being part of a DonateLife network hospital, may result in a decreased perception of resource barriers in the ED and more engagement with OTD-related tasks by ED clinicians.

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