Artigo Acesso aberto Produção Nacional

Facilitating aspects and barriers in the effectiveness of donation of organs and tissues

2014; Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem; Volume: 23; Issue: 4 Linguagem: Inglês

10.1590/0104-07072014002350013

ISSN

1980-265X

Autores

Izaura Luzia Silvério Freire, Quinídia Lúcia Duarte de Almeida Quithé de Vasconcelos, Gabriela de Sousa Martins Melo, Gilson de Vasconcelos Torres, Ednaldo Cavalcante de Araújo, Francisco Arnoldo Nunes de Miranda,

Tópico(s)

Palliative and Oncologic Care

Resumo

This study aims to ascertain the influence of the structure and process on the effectiveness of donation of organs and tissues. It is an evaluative, longitudinal study, with a quantitative approach, undertaken in six hospitals of Natal-RN, with 65 potential donors. The data collection instrument was a structured script of non-participant observation. The data were analyzed using descriptive statistics and the application of the Chi-squared, Fisher, and Mann Whitney tests. The effectiveness of donation was 27.7%. No significant difference occurred between structure and effectiveness of donation, however, inadequacies were observed in the physical resources (36.9%), material resources (30.8%), organizational structure (29.2%), and human resources (18.5%). In the process, the phases of maintenance (p=0.004), diagnosis of brain death (p=0.032), family interview (p≤0.001) and documentation (p=0.001) presented significant differences with effectiveness. The adequacy of the factors related to the structure and process is associated with the effectiveness of the donation. Improvement of these indices depends on the speed with which the process is conducted, in addition to the adequate structure.

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