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

2015 ◽  
Vol 5 (14) ◽  
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 Pedagogical training of medicine professors

2010 ◽  
Vol 18 (1) ◽  
pp. 102-108 ◽  
Author(s):  
Nilce Maria da Silva Campos Costa
Keyword(s):  
Continuing Education ◽  
Exploratory Study ◽  
Structured Interview ◽  
Qualitative Approach ◽  
Professional Experience ◽  
Training Process ◽  
Graduate Courses ◽  
Pedagogical Training ◽  
Teaching Competence ◽  
Negative Factors

This study examines the pedagogical training process of medical professors at a Brazilian university, the meanings attributed to it, and the positive and negative aspects identified in it. This is a descriptive-exploratory study, using a qualitative approach with a questionnaire utilizing open-ended and closed questions and a semi-structured interview. The majority of queried individuals had no formal teacher training and learned to be teachers through a process of socialization that was in part intuitive or by modeling those considered to be good teachers; they received pedagogical training mainly in post-graduate courses. Positives aspects of this training were the possibility of refresher courses in pedagogical methods and increased knowledge in their educational area. Negative factors were a lack of practical activities and a dichotomy between theoretical content and practical teaching. The skills acquired through professional experience formed the basis for teaching competence and pointed to the need for continuing education projects at the institutional level, including these skills themselves as a source of professional knowledge.

Organ donation

2015 ◽  
Author(s):  
Thomas Mone
Keyword(s):  
Organ Donation ◽  
Social Systems ◽  
Organizational Structures ◽  
Developed Countries ◽  
Waiting Lists ◽  
Healthcare Management ◽  
Theory And Practice ◽  
High Performing ◽  
Job Roles ◽  
Donation Process

Kidney transplantation has been and continues to be dependent on the apparently unscientific and decidedly personal act of organ donation. In the best-performing regions of the world, 75–95% of those who are medically suitable actually become donors upon their deaths, but because of increasing rates of organ failure, even in these high-performing areas, waiting lists continue to grow. Deceased organ donation performance is highly variable even among medically developed countries, and it is especially challenged in countries with cultural, legal, ethical or religious, economic, clinical, or organizational practices that limit donation. Recognizing these challenges, the transplantation community has collaborated to identify and promulgate international best practices and to foster innovation in the management of deceased donation. The goal of this effort is to clarify the organizational structures, social change interventions, and medical practices necessary to maximize both living and deceased donation. Although donation practice differs significantly across countries, successful organ donation programmes share certain traits and practices that can be modified to fit varied medical delivery reimbursement and social systems and structures. The world’s best-performing donation programmes have focused on increasing the public’s and healthcare professionals’ trust in the donation process, ensuring equitable access to transplantation, and they have built donation organizations that borrow from the theory and practice of business and healthcare management systems. The critical processes, essential functions, job roles, and foundational principles of successful donation programmes require the use of the tools that have been shown to improve donation and increase transplantation, thereby reducing (or, ideally, ending) deaths on the waiting lists. The wider adoption of these tools by countries with fledgling or struggling organ donation would increase organ availability and its exploitation of the poor who in many countries become organ ‘vendors’ rather than donors.

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 Fatigue in children and adolescents with cancer from the perspective of health professionals

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Michele Cristina Miyauti da Silva ◽  
Luís Carlos Lopes Júnior ◽  
Lucila Castanheira Nascimento ◽  
Regina Aparecida Garcia de Lima
Keyword(s):  
Content Analysis ◽  
Continuing Education ◽  
Children And Adolescents ◽  
Health Professionals ◽  
Exploratory Study ◽  
Physical Therapists ◽  
Qualitative Approach ◽  
Structured Interviews ◽  
Thematic Content Analysis ◽  
Assistant Nurses

ABSTRACT Objective: to investigate health professionals' knowledge about the concept, assessment and intervention in fatigue in children and adolescents with cancer. Method: exploratory study with qualitative approach, with 53 health professionals (10 nurses, 33 assistant nurses, 3 physicians, 3 nutritionists, 2 psychologists and 2 physical therapists). Semi structured interviews were held, which were recorded and analyzed by means of inductive thematic content analysis. Results: the data were organized around three themes: knowledge of health professionals about fatigue; identification of fatigue and interventions to relieve fatigue. Conclusion: the results indicate the health professionals' limited knowledge about fatigue, as well as the lack of investment in their training and continuing education. Most of all, the lack of research on the theme in the Brazilian context remains a barrier to support improvements in care for this symptom in children and adolescents with cancer.

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 Gestão da informação e registros de enfermagem na atenção básica: estudo descritivo

2016 ◽  
Vol 15 ◽  
pp. 527
Author(s):  
Dorquelina Augusta Maia Rodrigues de Oliveira ◽  
Geilsa Soraia Cavalcanti Valente
Keyword(s):  
Exploratory Study ◽  
Healthcare Setting ◽  
Qualitative Approach ◽  
Structured Interviews ◽  
Work Processes ◽  
Health Records ◽  
Nursing Professionals ◽  
The City ◽  
Quality Of Nursing

This is a Professional Master’s dissertation project on Education in Health, Fluminense Federal University. Aims: to identify the work processes of professionals in the Primary Care context as regards the production and use of health records; to discuss the importance of information management in a healthcare setting and its relevance to the quality of nursing records. Method: this is a descriptive exploratory study using a qualitative approach of three healthcare units in the city of Rio de Janeiro. The subjects are 12 nursing professionals who operate in these units. Data will be collected by semi-structured interviews between December 2015 and January 2016, and will be processed using content analysis.

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.  

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