scholarly journals CONHECIMENTO DO ENFERMEIRO NO PROCESSO DE DOAÇÃO DE ÓRGÃOS

2016 ◽  
Vol 6 (1/4) ◽  
pp. 31-35 ◽  
Author(s):  
Danielle Lino Doria ◽  
Paula Mara Gomes Leite ◽  
Fabiana Pereira Guimarães Brito ◽  
Gabriela Menezes Gonçalves De Brito ◽  
Gabryella Garibalde Santana Resende ◽  
...  
Keyword(s):  
Brain Death ◽  
Organ Donation ◽  
General Hospital ◽  
Donation Process ◽  
Terapia Intensiva ◽  
Hospital General

O papel do enfermeiro na manutenção do doador após o diagnóstico de Morte Encefálica (ME) é imprescindível. Objetivo:verificar o conhecimento do enfermeiro no processo de doação de órgãos e tecidos para transplantes, em um Hospital Geral deSergipe. Metodologia: transversal, descritivo, quantitativo, realizado através de entrevistas com 45 enfermeiros das unidadesde terapia intensiva e emergência. Resultados: 55,6% afirmaram que a ME não é de notificação compulsória; 8,9% indicaramtodos os exames gráficos necessários. Conclusão: os enfermeiros apresentaram considerável conhecimento em relação aoprocesso de doação, e baixo em relação a manutenção do potencial doador.Descritores: Enfermagem, Doação de órgãos, Morte encefálica.NURSES KNOWLEDGE IN THE PROCESS OF ORGAN DONATIONThe nurse’s role in donor maintenance after the diagnosis of Brain Death (ME) is essential. Objective: To check the nurse’sknowledge in the organ donation process and tissues for transplantation, in a General Hospital of Sergipe. Methodology:Cross-sectional, descriptive, quantitative, conducted through interviews with 45 nurses of the emergency and intensivecare units. Results: 55.6% said that the ME is not reportable; 8.9% indicated all the necessary graphics tests. Conclusion: thenurses had considerable knowledge regarding the donation process, and low relative maintenance of the potential donor.Descriptors: Nursing, Organ donation, Brain death.CONOCIMIENTO DEL ENFERMERO EN EL PROCESO DE DONACIÓN DE ÓRGANOSEl papel de la enfermera en el mantenimiento de los donantes después del diagnóstico de muerte encefálica (ME) es esencial.Objetivo: Para comprobar el conocimiento de la enfermera en el proceso de donación de órganos y tejidos para trasplante, enun Hospital General de Sergipe. Metodología: Estudio transversal, descriptivo, cuantitativo, realizado a través de entrevistas con45 enfermeras de las unidades de emergencia y cuidados intensivos. Resultados: el 55,6% dijo que el ME no es de notificaciónobligatoria; 8,9% indicó todas las pruebas de gráficos necesarios. Conclusión: las enfermeras tenían un conocimientoconsiderable sobre el proceso de donación, y bajo mantenimiento relativo de la posible donante.Descriptores: Enfermería, La donación de órganos, La muerte cerebral.

Readiness of critical care physicians and nurses to handle requests for organ donation

1998 ◽  
Vol 7 (1) ◽  
pp. 4-12 ◽  
Author(s):  
MJ Evanisko ◽  
CL Beasley ◽  
LE Brigham ◽  
C Capossela ◽  
GR Cosgrove ◽  
...  
Keyword(s):  
Critical Care ◽  
Brain Death ◽  
Organ Donation ◽  
The United States ◽  
Critical Care Nurses ◽  
Care Staff ◽  
Factual Knowledge ◽  
Donation Process ◽  
Nurses And Physicians ◽  
Effective Procedures

BACKGROUND: Critical care nurses and physicians usually care for those patients whose condition progresses to brain death and are also often responsible for requesting organ donation from the family of a brain-dead patient. We hypothesized that staff support, knowledge, and training levels would be significantly associated with organ donation rates. OBJECTIVE: To assess the readiness of critical care staff to successfully handle requests for organ donation. METHODS: A total of 1061 critical care staff from 28 hospitals in four separate regions of the United States completed a questionnaire that assessed (1) factual knowledge about organ donation, (2) understanding of brain death, (3) previous training in procedures for requesting donations, and (4) comfort levels with the donation process. RESULTS: Staff training in effective procedures for requesting organ donations was significantly correlated with hospitals' donation rates. Less than a third of respondents, however, had received training in explaining brain death to and requesting organ donation from a grieving family. In hospitals with high rates of organ donation, 52.9% of staff had received training; in hospitals with low rates of organ donation, 23.5% of staff had received training. Levels of factual knowledge about organ donation and brain death were unexpectedly low but were not significantly related to hospitals' rates of organ donation. CONCLUSIONS: Training of critical care nurses and physicians in effective procedures for requesting organ donation is significantly associated with higher rates of organ donation, yet two thirds of critical care staff report no relevant training. Consequently, critical care staff cannot be considered ready to effectively handle requests for organ donation.

scholarly journals The donor potential of twenty six donor bases in the Russian Federation: external audit (a pilot project)

2020 ◽  
Vol 48 (3) ◽  
pp. 153-161
Author(s):  
V. L. Vinogradov ◽  
K. K. Gubarev ◽  
A. I. Zakhlevnyy ◽  
D. S. Svetlakova
Keyword(s):  
Intensive Care ◽  
Brain Injury ◽  
Brain Death ◽  
Organ Donation ◽  
Intensive Care Units ◽  
Pilot Project ◽  
Secondary Brain Injury ◽  
External Audit ◽  
Potential Donor ◽  
Donation Process

Rationale: The imbalance between the need for donor organs and their current availability is a growing problem for all countries. An assessment of potential donor numbers is considered to be an important step towards better understanding of the problem as a whole at the national scale. This would help to build up a concept of a successful strategy to resolve this inequity.Aim: To analyze the use of external audit of the efficacy of identification of potential organ donors with confirmed brain death.Materials and methods: As a part of a pilot project aimed to increase the efficacy of donor bases of the Russian Federal Medical Biological Agency (FMBA), we retrospectively analyzed 5932 medical files of patients who died from 2014 to 2018 in the departments of resuscitation and intensive care units of 26 medical establishments serving as a donor bases in Moscow, Orenburg, Saratov, Abakan, Stavropol and FMBA of Russia. The probability of brain death was assessed with a special QAPDD (Quality Assurance Program in the Deceased Donation Process) technique focused on organ donation after brain death which is used for external audit in Spanish hospitals.Results: Clinical manifestation of brain death were identified in 20.3% (95% confidence interval (CI) 18.4–22.4) of the patients aged 18 to 65 years with severe primary and secondary brain injury who died in the departments of resuscitation and had been maintained on mechanical ventilation at least 12 hours until their death was confirmed. The rate of potential donor identification with clinical manifestations of brain death in the donating in-patient departments was 12% (95% CI 10.5–13.7) of those who died with severe primary and secondary brain injury. The external audit performed in 26 donating in-patient departments, has shown that 41% (95% CI 35.8–46.4) of potential donors with brain death were not identified.Conclusion: With the use of the QAPDD technique in our study, we found that 41% of potential donors were not identified in the Russian in-patient clinics participating in organ donation. Based on the information obtained during the audit of medical files in intensive care units, we can make realistic conclusions on the current system of organ donation, identify potential pitfalls in the identification procedures of potential donors, increase the efficacy of donation process, and to improve the system as a whole. The process could become effective only through the activities of specially trained donor hospital transplant coordinators.

Organ Donation

2019 ◽  
pp. 545-551
Author(s):  
Lissi Hansen ◽  
Lauren F. Dunn
Keyword(s):  
Palliative Care ◽  
Brain Death ◽  
Organ Donation ◽  
Organ Procurement ◽  
Federal Regulations ◽  
Donation After Circulatory Death ◽  
Bedside Nurse ◽  
Donation Process ◽  
Organ Procurement Organizations ◽  
Circulatory Death

This chapter examines the organ donation process from the time the bedside nurse recognizes that a patient should be referred for organ donation until organ procurement has been completed. It also discusses when to speak with families about organ donation, how to address family concerns, the clinical triggers for organ donation, differences between brain death donation and donation after circulatory death (DCD), and palliative care for patients who are candidates for DCD. State and federal regulations related to prospective donors and safeguarding standards that are in place for organ procurement organizations (OPO) and hospitals are also included.

Religious Attitudes regarding Organ Donation

1996 ◽  
Vol 6 (4) ◽  
pp. 186-190 ◽  
Author(s):  
Christine Gallagher
Keyword(s):  
Brain Death ◽  
Organ Donation ◽  
Medical Information ◽  
Further Education ◽  
Religious Leaders ◽  
Seminary Students ◽  
Religious Attitudes ◽  
Hospital Chaplains ◽  
Donation Process ◽  
To Receive

This study of seminary students, religious leaders, and hospital chaplains illustrates the importance of educating clergy about organ donation. Religious objections are often cited as a reason for refusal to give consent for donation. Results of this study show that most clergy are supportive of organ donation. However, the survey pointed out some misunderstanding of the concept of brain death. Thus, although the clergy are supportive and influential, they tend not to receive medical information that is key to the donation process. Further education specifically focused on religious leaders is needed.

scholarly journals Time for determining the diagnosis of brain death and its relation to organ donation

10.3823/2358 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Ingrid Gurgel Amorim ◽  
Ana Elza Oliveira De Mendonça ◽  
Izaura Luzia Silvério Freire ◽  
Thaiza Teixeira Xavier Nobre ◽  
Raysa Da Silva Dantas ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Brain Death ◽  
Organ Donation ◽  
Key Words ◽  
Key Words Brain ◽  
Tissue Donation ◽  
Brain Death Diagnosis ◽  
Death Time ◽  
Donation Process ◽  
Quantitative Descriptive

This study aimed to identify the time needed for confirmation of brain death and its relation to organ donation. Quantitative, descriptive and retrospective study with 175 patients who had diagnosis of brain death completed between January and December 2013. The time from 11 to 20 hours (38.9%) prevailed, with average of 17.91 hours (SD 17.53). There was significant association between the finding of brain death diagnosis in less than 20 hours and the number of donated livers (P = 0.041). We stress the importance of speeding up the diagnosis of brain death as an important step of the donation process, in order to contribute to realization of transplants. Key words: Brain Death; Time; Directed Tissue Donation; Nursing.  

Attitude of health care professionals to brain death: influence on the organ donation process

2007 ◽  
Vol 22 (2) ◽  
pp. 211-215 ◽  
Author(s):  
Jonathan Cohen ◽  
Sharona Ben Ami ◽  
Tamar Ashkenazi ◽  
Pierre Singer
Keyword(s):  
Health Care ◽  
Brain Death ◽  
Organ Donation ◽  
Health Care Professionals ◽  
Donation Process

scholarly journals Clinical Diagnosis and Ancillary Tests in Brain Death: Effects on The Organ Donation Process

2020 ◽  
Author(s):  
Ciler Zincircioglu ◽  
Aykut Saritas ◽  
Burcu Acar Cinleti ◽  
Adil Akin Yildiran ◽  
Kazim Rollas ◽  
...  
Keyword(s):  
Brain Death ◽  
Organ Donation ◽  
Clinical Diagnosis ◽  
Donation Process

scholarly journals Vivência das comissões intra-hospitalares de doação de órgãos/tecidos para transplante

2015 ◽  
pp. 5
Author(s):  
Maicon De Araujo Nogueira ◽  
Carlos Richard Alves Leite ◽  
Elielson Varlindo Reis Filho ◽  
Lúcia Menezes de Medeiros
Keyword(s):  
Brain Death ◽  
Continuing Education ◽  
Organ Donation ◽  
Exploratory Study ◽  
Waiting Lists ◽  
Qualitative Approach ◽  
Public Hospitals ◽  
Limiting Factors ◽  
Donation Process ◽  
The City

Identificar as principais dificuldades vivenciadas pelas Comissões Intra-hospitalares de Doação de Órgãos e Tecidos para Transplantes (CIHDOTT) que atuam nos hospitais da rede pública da cidade de Belém. Estudo descritivo, exploratório com abordagem qualitativa. Das cinco instituições envolvidas na pesquisa somente duas possuem CIHDOTT em efetivo funcionamento, revelando uma disparidade entre a legislação e a realidade de Belém-PA. Observou-se como fatores limitantes desse processo a falta de conhecimento dos profissionais em relação ao protocolo de morte encefálica, falta de engajamento das equipes em relação ao processo doação e o preconceito com os possíveis doadores. Demostrou-se que muito se deve caminhar para alcançar um grau de excelência de doação e transplante nessas instituições. A sensibilização e educação contínua dos profissionais envolvidos no processo para melhor compreensão do processo de doação contribuirá de maneira positiva para a redução do tempo nas filas de espera para transplante.Descritores: Diretrizes, Doação, Transplante. Experience the committees intra-hospital of organ donation/ tissue for transplantAbstract: This Identify the main difficulties experienced by Intra-hospital Committees Donation of Organs and Tissues for Transplantation (CIHDOTT) working in public hospitals of the city of Belém. Descriptive, exploratory study with a qualitative approach. Of the five institutions involved in research have only two CIHDOTT in effective functioning, revealing a gap between legislation and the reality of Belém-PA. It was noted as limiting factors of this process the lack of knowledge among professionals regarding brain death protocol, lack of engagement of the teams regarding the donation process and prejudice with possible donors. It demonstrated that much you must travel to reach a level of excellence donation and transplantation in these institutions. Awareness and continuing education of professionals involved in the process to better understand the donation process will contribute positively to the reduction of time on waiting lists for transplantation. Descriptors: Guidelines, Donation, Transplantation. Experiencia de los comités de intra-hospital de donación de órganos/ tejidos para trasplanteResumen: Identificar las principales dificultades experimentadas por los comités intra-hospitalarias donación de órganos y tejidos para trasplante (CIHDOTT) que trabajan en los hospitales públicos de la ciudad de Belém: Estudio descriptivo, exploratorio con enfoque cualitativo. De las cinco instituciones que participan en la investigación tienen sólo dos CIHDOTT en funcionamiento efectivo, revelando una brecha entre la legislación y la realidad de Belém, PA. Se señaló como factores de este proceso de limitación de la falta de conocimiento entre los profesionales respecto protocolo muerte cerebral, la falta de compromiso de los equipos sobre el proceso de donación y los prejuicios con los posibles donantes. Se demostró que mucho tiene que viajar para llegar a un nivel de excelencia en la donación y el trasplante en estas instituciones. Sensibilización y formación continuada de los profesionales que intervienen en el proceso de comprender mejor el proceso de donación contribuirá positivamente a la reducción del tiempo en lista de espera para el trasplante. Descriptores: Directrices, Donación, Trasplante.

scholarly journals Caracterização da restrição física de pacientes em unidades de cuidados intensivos de hospital geral

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Karoliny Cavalheiro da Silva ◽  
Marcio Roberto Paes ◽  
Tatiana Brusamarello
Keyword(s):  
Intensive Care ◽  
General Hospital ◽  
Intensive Care Units ◽  
Movement Restriction ◽  
Descriptive Research ◽  
Physical Restriction ◽  
Terapia Intensiva ◽  
Quantitative Descriptive ◽  
Hospital General

Objetivos: caracterizar a restrição física de pacientes em unidades de cuidados intensivos de um hospital geral. Método: pesquisa quantitativa, descritiva realizada em unidades de terapia intensiva de hospital geral em 2019. Foram observados 80 episódios de restrição física em 33 pacientes. Utilizou-se um instrumento estruturado para coletar os dados, que foram analisados por estatística simples. Resultados: todas as restrições mecânicas estavam aplicadas nos membros superiores com a utilização de pulseiras, das quais 77,5% eram de ataduras de crepe com compressa cirúrgicas; 86,3% dos casos tinham restrição parcial dos movimentos. Do total das restrições, 96,2% ocorreram em pacientes com sonda nasogástrica/enteral, 67,5% em pacientes sob ventilação mecânica; 53,9% dos casos os pacientes estavam sob sedação; 33,3% apresentavam agitação psicomotora. Houve somente 5,2% de registros de enfermeiros e 42,5% de técnicos de enfermagem no prontuário do paciente, contudo inexistia a prescrição médica ou de enfermagem do procedimento. Conclusões: identificou-se a falta de critérios definidos para o uso da restrição física dos pacientes. A inexistência de prescrição de enfermagem ou médica e baixa qualidade e quantidade de registros sobre o procedimento interferiu na compreensão da justificativa do emprego da restrição física.Descritores: Enfermagem; Cuidados de enfermagem; Restrição física; Unidades de terapia intensiva; Hospitais gerais. CHARACTERIZATION OF PHYSICAL RESTRICTION OF PATIENTS IN INTENSIVE CARE UNITS IN A GENERAL HOSPITALObjectives: to characterize the physical restriction of patients in intensive care units of a general hospital. Method: quantitative, descriptive research conducted in intensive care units of a general hospital in 2019. The researchers observed eighty episodes of physical restriction in 33 patients. A structured instrument was used to collect the data, which were analyzed using simple statistics. Results: all mechanical restrictions were applied to the upper limbs with the use of bracelets, of which 77.5% were made of crepe bandages with surgical compresses; 86.3% of the cases had partial movement restriction. Of the total restrictions, 96.2% occurred in patients with a nasogastric/enteral tube, 67.5% in patients on mechanical ventilation; 53.9% of the cases the patients were under sedation; 33.3% had psychomotor agitation. There were only 5.2% of nurses' records and 42.5% of nursing technicians in the patient's health charts, however there was no medical or nursing prescription for the procedure. Conclusions: it was identified the lack of defined criteria for the use of the' physical restrictions. The lack of a nursing or medical prescription and low quality and quantity of records on the procedure interfered with the understanding of the justification for the use of physical restriction.Descriptors: Nursing; Nursing care; Physical restriction; Intensive care units; General hospitals. CARACTERIZACIÓN DE LA RESTRICCIÓN FÍSICA DE PACIENTES EN UNIDADES DE CUIDADOS INTENSIVOS EN UN HOSPITAL GENERALObjetivos: caracterizar la restricción física de pacientes en unidades de cuidados intensivos de un hospital general. Método: investigación cuantitativa y descriptiva realizada en unidades de cuidados intensivos de un hospital general en 2019. Se observaron 80 episodios de restricción física en 33 pacientes. Se utilizó un instrumento estructurado para recopilar los datos, que se analizaron mediante estadísticas simples. Resultados: todas las restricciones mecánicas se aplicaron a las extremidades superiores con pulseras, de las cuales el 77,5% estaban hechas de vendas con compresas quirúrgicas; el 86,3% de los casos tenían restricción de movimiento parcial. Del total de restricciones, el 96.2% ocurrió en pacientes con sonda nasogástrica / enteral, el 67.5% en pacientes con ventilación mecánica; El 53,9% de los casos los pacientes estaban bajo sedación; El 33,3% tenía agitación psicomotora. Solo había 5,2% de los registros de las enfermeras y el 42,5% de los técnicos de enfermería en la historia clínica del paciente, sin embargo, no hubo prescripción médica o de enfermería para el procedimiento. Conclusiones: se identificó la falta de criterios definidos para el uso de las restricciones físicas de los pacientes. La falta de una receta médica o de enfermería y la baja calidad y cantidad de registros en el procedimiento interfirieron con la comprensión de la justificación para el uso de restricción física.Descriptores: Enfermería; Atención de enfermería; Restricción física; Unidades de cuidados intensivos; Hospitales generales.

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