scholarly journals Impaired physiological equilibrium syndrome in potential organ donors: identification of defining characteristics

2019 ◽  
Vol 18 (3) ◽  
pp. 643-693
Author(s):  
Luciana Nabinger Menna Barreto ◽  
Natália Chies ◽  
Éder Marques Cabral ◽  
Aline Tsuma Gaedke Nomura ◽  
Miriam de Abreu Almeida
Keyword(s):  
Literature Review ◽  
Web Of Science ◽  
Organ Donor ◽  
Organ Donors ◽  
Physiological Changes ◽  
Nursing Knowledge ◽  
Potential Organ Donor ◽  
Nursing Diagnosis ◽  
Acute Condition ◽  
Nursing Diagnoses

Introducción: La mayor parte de los diagnósticos de enfermería sobre los potenciales donantes de órganos están relacionados a alteraciones fisiológicas. Es común que estos pacientes presenten todos los diagnósticos citados para esta población. Pero todavía no existe en NANDA International un diagnóstico único que sea capaz de plantear este severo caso. Objetivo: Identificar en la literatura las posibles características definitorias para la propuesta de diagnóstico Síndrome del equilibrio fisiológico deteriorado en pacientes con muerte encefálica y potenciales donantes de órganos. Método: Revisión integrativa de la literatura con estudios publicados entre el 1997 y el 2017 en las bases de datos Web of Science, LILACS y PubMed.Resultados: La muestra constó de 37 artículos, de los cuales se identificó 44 posibles características distintas para el diagnóstico de enfermería en desarrollo. Se dividieron las características definitorias en cinco grupos principales: alteraciones endocrino-metabólicas; alteraciones hemodinámicas y/o cardiovasculares; alteraciones respiratorias; alteraciones nutricionales y alteraciones de la coagulación, inflamatorias e/o inmunológicas. Conclusiones: El desarrollo de este diagnóstico puede colaborar con la calificación de la taxonomía de NANDA Internacional, así como ampliar el conocimiento de la enfermería en el campo de mantenimiento del posible donante de órganos, lo que contribuye a la enseñanza e investigación. El empleo de este diagnóstico puede mejorar la sistematización del cuidado, auxilia en el mantenimiento del potencial donante y, en consecuencia, mejora la viabilidad de órganos para trasplante. Introduction: Most of nursing diagnoses for potential organ donors is related to physiological changes. These patients often have all diagnoses cited for this population. However, NANDA International does not have a diagnosis to address this acute condition. Objective: To identify possible defining characteristics for the diagnosis of impaired physiological equilibrium syndrome for brain death patients and for potential organ donors in the literature. Method: Integrative literature review including articles published between 1997 and 2017 in the databases Web of Science, LILACS and PubMed.Results: The sample consisted of 37 articles identifying 44 possible defining characteristics for the nursing diagnosis to be developed. The defining characteristics were divided into five major groups of changes: endocrine-metabolic changes, hemodynamic and/or cardiovascular changes, ventilatory changes, nutritional changes, coagulation changes, inflammatory and/ or immune changes.Conclusions: Developing this diagnosis can collaborate to the taxonomy of NANDA International, as well as to extend the nursing knowledge of the area of maintenance of the potential organ donor, contributing to teaching and research. The practical use of this diagnosis purpose can provide a better systematization of care, enabling the proper maintenance of the potential organ donor and consequently improving the viability of organs for transplantation. Introdução: A maior parte dos diagnósticos de enfermagem prevalentes para potenciais doadores de órgãos está relacionada com alterações fisiológicas. Não raro estes pacientes apresentam todos os diagnósticos citados para esta população. Todavia, não existe na NANDA International um diagnóstico único que aborde este quadro agudo. Objetivo: Identificar na literatura possíveis características definidoras para a proposta de diagnóstico Síndrome do equilíbrio fisiológico prejudicado para pacientes em morte encefálica e potenciais doadores de órgãos. Método: Revisão integrativa da literatura incluindo artigos publicados entre 1997 e 2017 nas bases de dados Web of Science, LILACS e PubMed.Resultados: A amostra foi constituída por 37 artigos identificando 44 possíveis características definidoras para o diagnóstico de enfermagem em desenvolvimento. As características definidoras foram divididas em cinco grandes grupos: alterações endócrino-metabólicas, alterações hemodinâmicas e/ou cardiovasculares, alterações ventilatórias, alterações nutricionais e alterações de coagulação, inflamatórias e/ou imunológicas.Conclusões: O desenvolvimento deste diagnóstico pode colaborar com a qualificação da taxonomia da NANDA International, além de ampliar o conhecimento da enfermagem na área de manutenção do potencial doador de órgãos contribuindo para o ensino e pesquisa. O uso desta proposta de diagnóstico na prática pode proporcionar uma melhor sistematização do cuidado, auxiliando a adequada manutenção do potencial doador e consequentemente melhor viabilidade dos órgãos ofertados para transplantes.

scholarly journals Real-Time Healthcare Intelligence in Organ Transplantation

2018 ◽  
pp. 128-152
Author(s):  
Bruno Fernandes ◽  
Cecília Coimbra ◽  
António Abelha
Keyword(s):  
Decision Making ◽  
Organ Transplantation ◽  
Organ Donor ◽  
Decision Making Process ◽  
Organ Donors ◽  
Potential Organ Donor ◽  
Critical Areas ◽  
Deceased Donors ◽  
End Stage ◽  
Donor Criteria

Organ transplantation is the best and often the only treatment for patients with end-stage organ failure. However, the universal shortage of deceased donors results in a worrying situation that must be addressed. Brain dead donors constitute the largest share of organ donors, but identifying a patient that may progress to brain death can be a complex task. Therefore, the urgent need of intelligent solutions to support the decision-making process is crucial in critical areas as the organ transplantation is. This work aims at acquiring knowledge on the potential organ donor criteria for further detection and implementing a platform to assist the process of identification of potential organ donors at Centro Hospitalar do Porto – Hospital de Santo António. The developed system is currently implemented and displays a steady and competent behavior providing consequently a way to have more control of the information needed for the decision-making process

scholarly journals Review of nursing diagnosis validation studies: caregiver role strain

2020 ◽  
Vol 41 ◽  
Author(s):  
Tânia Marlene Gonçalves Lourenço ◽  
Rita Maria Sousa Abreu-Figueiredo ◽  
Luís Octávio de Sá
Keyword(s):  
Chronic Illness ◽  
Literature Review ◽  
Validation Study ◽  
Validation Studies ◽  
Web Of Science ◽  
Role Strain ◽  
The Elderly ◽  
Nursing Diagnosis ◽  
Different Populations ◽  
Caregiver Role

ABSTRACT Objective: To analyze the nursing diagnosis NANDA-I - Caregiver Role Strain validation studies. Methods: Integrative literature review. Research of studies carried out between 2000 and 2018 with the descriptors: caregivers, nursing diagnosis and validation study in the following databases: Web of Science, EBESCOhost, Scielo Brasil and Portugal, LILACS, RCAAP, CAPES, NANDA-I website, and in the bibliographic references of the articles. Articles in Portuguese, English or Spanish were included. Results: The sample consisted of seven validation studies, with heterogeneity in the methodologies used. The populations where the diagnosis was clinically validated focused on caregivers for the elderly and people with chronic illness. The most prevalent defining characteristics were Stress and Apprehension related to the future. Conclusions: This diagnosis requires further validation studies among different populations in search of greater accuracy and a reduction in the number of defining characteristics, facilitating the use of taxonomy.

scholarly journals THE NURSING DIAGNOSIS 'IMPAIRED WALKING' IN ELDERLY: SYSTEMATIC LITERATURE REVIEW

2016 ◽  
Vol 25 (3) ◽  
Author(s):  
Cristina Maria Alves Marques-Vieira ◽  
Luís Manuel Mota de Sousa ◽  
Lisete Maria Ribeiro de Sousa ◽  
Sílvia Maria Alves Caldeira Berenger
Keyword(s):  
Clinical Practice ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Search Strategy ◽  
The Elderly ◽  
Related Factors ◽  
Nursing Knowledge ◽  
Nursing Diagnosis ◽  
Ebsco Host ◽  
Practice Education

ABSTRACT Walk is an activity that requires different skills and can be highly complex particularly for the elderly. The aim was to identify the defined characteristics and related factors of the nursing diagnosis impaired walking in elderly. A Systematic literature review, based on a search done between January and March 2014, in the electronic platforms EBSCO Host (r) , SCOPUS and ISI, and using the search strategy walk* OR gait AND Nurs*. A sample of 36 studies was obtained. A total of 17 defined characteristics and 34 related factors were identified. Among all, nine defined characteristics and 20 related factors are not listed in the diagnosis of NANDA International. This research identified new defined characteristics and related factors not listed in NANDA International. This study is a contribution to the development of the taxonomy of NANDA International, which should represent nursing knowledge, and this highlights some implications for clinical practice, education and further research.

scholarly journals Organ Donation and the Ars Moriendi

2019 ◽  
Vol 86 (4) ◽  
pp. 327-334
Author(s):  
Stephen Doran
Keyword(s):  
Organ Donation ◽  
Human Person ◽  
Organ Donor ◽  
Third Party ◽  
Organ Donors ◽  
Potential Organ Donor ◽  
Ars Moriendi ◽  
Dying Patients ◽  
Donation Process ◽  
The Impact

Organ donation is rightly understood as a gift that is a genuine act of love. Organ donation as an act of love requires it to be an act of freedom that honors the integrity of the human person who is in the process of dying. However, the process of organ donation, by necessity, inserts a third party of interest whose primary aim is to assist someone other than the dying person. Caregivers can become “organ focused” instead of “patient focused.” The procurement of organs potentially results in the commodification of the potential organ donor. Furthermore, death is not a momentary event but rather an ontological change in the person where the union of body and soul becomes divided. This Catholic understanding of death is important to assess the impact of organ donation on the process of dying. Family members of organ donors often have traumatic memories associated with the organ donation process, potentially overshadowing the ars moriendi—the art of dying. Summary: While organ donation is an act of love, the donation process can be distraction from the care of the dying patient, who may be treated differently than other dying patients who are not organ donors. A Catholic understanding of death is helpful in assessing the impact of the organ donation process.

scholarly journals Diagnósticos de enfermagem para pacientes com traumatismo cranioencefálico: revisão integrativa

2021 ◽  
Vol 20 (4) ◽  
pp. 584-628
Author(s):  
Maria Isabel Caetano da Silva ◽  
Raul Roriston Gomes da Silva ◽  
Sandy Hellen Santos Nogueira ◽  
Simone Marcelino Lopes ◽  
Rayane Moreira de Alencar ◽  
...  
Keyword(s):  
Nursing Care ◽  
Clinical Characteristics ◽  
Web Of Science ◽  
Craniocerebral Trauma ◽  
Clinical Manifestations ◽  
Head Region ◽  
Search Terms ◽  
Nursing Diagnosis ◽  
Nursing Professionals ◽  
Nursing Diagnoses

Introducción: El trauma craneoencefálico (LCT) es cualquier impacto que afecta la región de la cabeza que involucra el cuero cabelludo, el cráneo, el cerebro y los vasos sanguíneos, afectando estas estructuras. Los profesionales de enfermería desempeñan un papel fundamental al ayudar a estos pacientes.Objetivo: Enumerar los diagnósticos de enfermería (DE) de NANDA I que se pueden proponer para pacientes hospitalizados con LCT.Método: Revisión integral de la literatura, realizada en las bases de datos: LILACS, BDENF, IBECS, MEDLINE, CINAHL, SCOPUS y WEB OF SCIENCE, utilizando los términos de búsqueda: “Traumatismo craneocerebral / craneocerebral”, “Diagnóstico de enfermería / Diagnóstico de enfermería " y " Enfermagem / Enfermería ". Se incluyeron artículos en portugués, inglés y español.Resultados: Se seleccionaron 12 artículos. A partir de la lectura de los estudios, en función de las características clínicas y las necesidades básicas afectadas de los pacientes con LCT, 18 ED se enumeran, organizan en orden alfabético y de acuerdo con el dominio en el que se encuentran en NANDA YO.Consideraciones finales: Los resultados de esta investigación permitieron caracterizar aspectos importantes relacionados con el paciente con LCT y llevar el enfoque de la literatura sobre diagnósticos de enfermería a esta audiencia. Hay una brecha en las investigaciones que abordan las DE para pacientes con LCT, teniendo en cuenta que una parte importante de la investigación informa sobre las manifestaciones clínicas percibidas durante la atención de enfermería y no aporta los diagnósticos elaborados. Introduction: Traumatic Brain Injury (TBI) is any impact that affects the head region involving the scalp, skull, brain and blood vessels, affecting these structures. Nursing professionals play a fundamental role during the care of these patients.Objective: To list the Nursing Diagnoses (ND) of NANDA I that can be proposed for patients hospitalized with TBI.Method: Integrative literature review, performed at the following databases: LILACS, BDENF, IBECS, MEDLINE, CINAHL, SCOPUS and WEB OF SCIENCE, using the search terms: “Traumatismos Craniocerebrais/Craniocerebral Trauma”, “Diagnóstico de Enfermagem/Nursing Diagnosis” and “Enfermagem/Nursing”. Articles in Portuguese, English and Spanish were included.Results: The selection included 12 articles. From the reading of the studies, based on the clinical characteristics and the basic needs affected by patients with TBI, 18 ND were listed, organized alphabetically and according to their domain in NANDA I.Final considerations: The findings of this research allowed characterizing important aspects related to the patient with TBI and bringing the literature approach on nursing diagnoses to this population. There is a gap in the investigations that address ND for patients with TBI, taking into account that a significant part of the studies report on the clinical manifestations perceived during nursing care and do not bring the elaborated diagnoses. Introdução: Traumatismo Cranioencefálico (TCE) é qualquer impacto que atinge a região da cabeça envolvendo couro cabeludo, crânio, cérebro e vasos sanguíneos, afetando essas estruturas. Os profissionais de Enfermagem desempenham um papel fundamental durante a assistência a esses pacientes. Objetivo: Elencar os Diagnósticos de Enfermagem (DE) da NANDA I que podem ser propostos para pacientes internados com TCE.Método: Revisão integrativa da literatura, realizada nas bases de dados: LILACS, BDENF, IBECS, MEDLINE, CINAHL, SCOPUS e WEB OF SCIENCE, utilizando os termos de busca: “Traumatismos Craniocerebrais/Craniocerebral Trauma”, “Diagnóstico de Enfermagem/ Nursing Diagnosis” e “Enfermagem/Nursing”. Foram incluídos artigos nos idiomas português, inglês e espanhol.Resultados: Foram selecionados 12 artigos. A partir da leitura dos estudos, com base nas características clínicas e nas necessidades básicas afetadas dos pacientes com TCE foram elencados 18 DE, estão organizados em ordem alfabética e de acordo com o domínio em que se encontra na NANDA I.Considerações finais: Os achados dessa pesquisa possibilitaram caracterizar aspectos importantes relacionados ao paciente com TCE e trazer a abordagem da literatura sobre os diagnósticos de enfermagem a esse público. Percebe-se uma lacuna nas investigações que abordem os DE para pacientes com TCE, levando em consideração que uma parte significativa das pesquisas relatam sobre as manifestações clínicas percebidas durante o cuidado de enfermagem e não trazem os diagnósticos elaborados.

scholarly journals Stressors in the nursing care delivered to potential organ donors

2009 ◽  
Vol 17 (6) ◽  
pp. 1023-1029 ◽  
Author(s):  
Laura de Azevedo Guido ◽  
Graciele Fernanda da Costa Linch ◽  
Rafaela Andolhe ◽  
Carmine Cony Conegatto ◽  
Carolina Codevila Tonini
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Care ◽  
Organ Donor ◽  
Physical Activities ◽  
Organ Donors ◽  
Tissue Donors ◽  
Adult Intensive Care Unit ◽  
Potential Organ Donor ◽  
Self Confidence

This study examines those situations that are typical to the work of the nursing team in the intensive care unit, especially those that nursing teams consider stressful and are common in intensive care units in the treatment of patients being considered as potential organ or tissue donors. It is an exploratory-descriptive study, established with a qualitative approach, conducted at an Adult Intensive Care Unit. The reports revealed the fact that organ donation leads to different situations and emotions. Regarding the perception of nursing care to the potential organ donor patient, the subjects reported they did not discriminate patients when delivering care, but recognize a certain lack of self-confidence and preparation dealing with brain death. They try to minimize the effects of stressors with physical activities, social support, spirituality, or attempt to separate work from personal life.

scholarly journals When Life Ceases—Relatives’ Experiences When a Family Member Is Confirmed Brain Dead and Becomes a Potential Organ Donor—A Literature Review

2020 ◽  
Vol 6 ◽  
pp. 237796082092203
Author(s):  
Birgitta Kerstis ◽  
Margareta Widarsson
Keyword(s):  
Literature Review ◽  
Brain Death ◽  
Family Member ◽  
Healthcare Professionals ◽  
Organ Donor ◽  
Essential Information ◽  
Potential Organ Donor ◽  
Donation Process ◽  
Brain Dead ◽  
Meta Analyses

Introduction Most healthcare professionals rarely experience situations of a request for organ donation being made to the patient’s family and need to have knowledge and understanding of the relatives’ experiences. Objective To describe relatives’ experiences when a family member is confirmed brain dead and becomes a potential organ donor. Methods A literature review and a thematic data analysis were undertaken, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting process. A total of 18 papers, 15 qualitative and 3 quantitative, published from 2010 to 2019, were included. The electronic search was carried out in January 2019. Results The overarching theme When life ceases emerged as a description of relatives’ experiences during the donation process, including five subthemes: cognitive dissonance and becoming overwhelmed with emotions, interacting with healthcare professionals, being in a complex decision-making process, the need for proximity and privacy, and feeling hope for the future. The relatives had different needs during the donation process. They were often in shock when the declaration of brain death was presented, and the donation request was made, which affected their ability to assimilate and understand information. They had difficulty understanding the concept of brain death. The healthcare professionals caring for the patient had an impact on how the relatives felt after the donation process. Furthermore, relatives needed follow-up to process their loss. Conclusion Caring science with an explicit relative perspective during the donor process is limited. The grief process is individual for every relative, as the donation process affects relatives’ processing of their loss. We assert that intensive care unit nurses should be included when essential information is given, as they often work closest to the patient and her or his family. Furthermore, the relatives need to be followed up afterwards, in order to have questions answered and to process the grief, together with healthcare professionals who have insight into the hospital stay and the donation process.

scholarly journals DONORS (Donation Network to Optimise Organ Recovery Study): Study protocol to evaluate the implementation of an evidence-based checklist for brain-dead potential organ donor management in intensive care units, a cluster randomised trial

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e028570 ◽  
Author(s):  
Glauco Adrieno Westphal ◽  
Caroline Cabral Robinson ◽  
Alexandre Biasi ◽  
Flávia Ribeiro Machado ◽  
Regis Goulart Rosa ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Organ Donor ◽  
Evidence Based ◽  
Organ Donors ◽  
Potential Organ Donor ◽  
Cluster Randomised ◽  
Recovery Study ◽  
Organ Recovery ◽  
Brain Dead ◽  
Organ Donor Management

IntroductionThere is an increasing demand for multi-organ donors for organ transplantation programmes. This study protocol describes the Donation Network to Optimise Organ Recovery Study, a planned cluster randomised controlled trial that aims to evaluate the effectiveness of the implementation of an evidence-based, goal-directed checklist for brain-dead potential organ donor management in intensive care units (ICUs) in reducing the loss of potential donors due to cardiac arrest.Methods and analysisThe study will include ICUs of at least 60 Brazilian sites with an average of ≥10 annual notifications of valid potential organ donors. Hospitals will be randomly assigned (with a 1:1 allocation ratio) to the intervention group, which will involve the implementation of an evidence-based, goal-directed checklist for potential organ donor maintenance, or the control group, which will maintain the usual care practices of the ICU. Team members from all participating ICUs will receive training on how to conduct family interviews for organ donation. The primary outcome will be loss of potential donors due to cardiac arrest. Secondary outcomes will include the number of actual organ donors and the number of organs recovered per actual donor.Ethics and disseminationThe institutional review board (IRB) of the coordinating centre and of each participating site individually approved the study. We requested a waiver of informed consent for the IRB of each site. Study results will be disseminated to the general medical community through publications in peer-reviewed medical journals.Trial registration numberNCT03179020; Pre-results.

scholarly journals Clinical indicators for nursing diagnosis Ineffective protection in adolescents with cancer

2017 ◽  
Vol 70 (6) ◽  
pp. 1330-1336 ◽  
Author(s):  
Marília Mendes Nunes ◽  
Tânia Alteniza Leandro ◽  
Marcos Venícios de Oliveira Lopes ◽  
Viviane Martins da Silva
Keyword(s):  
Literature Review ◽  
Childhood Cancer ◽  
Web Of Science ◽  
Scientific Evidence ◽  
National Institutes Of Health ◽  
National Library ◽  
Clinical Indicators ◽  
Factors Associated ◽  
Nursing Diagnosis

ABSTRACT Objective: To investigate scientific evidence related to the term protection and clinical indicators and etiologic factors for nursing diagnosis Ineffective protection in adolescents with cancer. Method: Integrative literature review in the databases of Scopus, Web of Science, National Library of Medicine and National Institutes of Health (PubMed) and Cochrane; by intersection of the descriptors protection and childhood cancer, which resulted in seven articles. These were insufficient for a comprehension of the term protection and aspects related to its impairment, therefore it was necessary to include a further three reference books. Results: Five clinical indicators and three etiologic factors associated to Ineffective protection were identified some of which were not cited in NANDA-International. Conclusions: There are clinical and etiologic factors important for the identification of ineffective protection in adolescents with cancer.

scholarly journals Nursing diagnosis "impaired walking" in elderly patients: integrative literature review

2015 ◽  
Vol 36 (1) ◽  
pp. 104-111 ◽  
Author(s):  
Cristina Maria Alves Marques-Vieira ◽  
Luís Manuel Mota de Sousa ◽  
João Filipe de Matos Machado Carias ◽  
Sílvia Maria Alves Caldeira
Keyword(s):  
Literature Review ◽  
Elderly Patients ◽  
Recent Literature ◽  
International Classification ◽  
Related Factors ◽  
Nursing Knowledge ◽  
Search Results ◽  
Nursing Diagnosis

The impaired walking nursing diagnosis has been included in NANDA International classification taxonomy in 1998, and this review aims to identify the defining characteristics and related factors in elderly patients in recent literature. Integrative literature review based on the following guiding question: Are there more defining characteristics and factors related to the nursing diagnosis impaired walking than those included in NANDA International classification taxonomy in elderly patients? Search conducted in 2007-2013 on international and Portuguese databases. Sample composed of 15 papers. Among the 6 defining characteristics classified at NANDA International, 3 were identified in the search results, but 13 were not included in the classification. Regarding the 14 related factors that are classified, 9 were identified in the sample and 12 were not included in the NANDA International taxonomy. This review allowed the identification of new elements not included in NANDA International Taxonomy and may contribute to the development of taxonomy and nursing knowledge.

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