da Silva-Knihs Neide, Erbs-Pessoa João Luis, Pestana-Magalhães Aline Lima, Schuantes-Paim Sibele Maria, Fischer-Wachholz Laísa, Lima-Silva Elza, de Aguiar-Roza Bartira
Federal University of Santa Catarina, Health Science Center, Nursing Department, Florianópolis, Santa Catarina, Brazil.
Health State Agency of São Paulo, Transplantation Central of São Paulo, São Paulo, São Paulo, Brazil.
Enferm Intensiva (Engl Ed). 2021 May 10;33(1):20-32. doi: 10.1016/j.enfi.2021.02.001.
To identify the available information to support registered nurses' clinical decisions in assessing and validating potential organ and tissue donors during the COVID-19 pandemic.
This is a scoping review developed in six stages. The sixth stage was developed with registered nurses who work in the Brazil Organ Donation System. To consolidate the information and prepare all assumptions, the legislation in force in Brazil was followed.
Recommendations from 19 articles identified in the literature were analyzed; additionally, 52 professionals who work at Brazil Organ Donation System participated in the research. Four care assumptions were formed: investigation of community transmission, investigation of clinical situations, screening for COVID-19 signs and symptoms, and investigation of alterations presented in the physical examination. Such assumptions are formed by 34 care guidelines.
Care assumptions were prepared to guide and support registered nurses during assessment and validation of potential organ and tissue donors. From this perspective, assumptions certainly promote safety, effectiveness and quality in the service offered during the organ and tissue donation process in the midst of the COVID-19 pandemic, in addition to empowering registered nurses in this scenario. Quality and bio-surveillance through the donation stages have been discussed extensively in recent times, to improve donation and transplantations by valuing care, safety, and quality of life of recipients.
The care assumptions presented in this study support and subsidize the daily practice of registered nurses who work in assessing and validating potential organ and tissue donors, enabling these professionals to make decisions based on secure information.
确定在新冠疫情期间支持注册护士评估和确认潜在器官和组织捐赠者的临床决策的可用信息。
这是一项分六个阶段开展的范围综述。第六阶段是与在巴西器官捐赠系统工作的注册护士共同开展的。为整合信息并准备所有假设，遵循了巴西现行立法。
对文献中确定的19篇文章的建议进行了分析；此外，52名在巴西器官捐赠系统工作的专业人员参与了研究。形成了四个护理假设：社区传播调查、临床情况调查、新冠症状和体征筛查以及体格检查中出现的异常情况调查。这些假设由34条护理指南构成。
制定护理假设是为了在评估和确认潜在器官和组织捐赠者期间指导和支持注册护士。从这个角度来看，这些假设无疑会在新冠疫情期间的器官和组织捐赠过程中所提供的服务中促进安全性、有效性和质量，此外还能增强注册护士在这种情况下的能力。近年来，人们广泛讨论了贯穿捐赠阶段的质量和生物监测，以通过重视接受者的护理、安全和生活质量来改善捐赠和移植情况。
本研究中提出的护理假设为从事评估和确认潜在器官和组织捐赠者工作的注册护士的日常实践提供支持和资助，使这些专业人员能够基于可靠信息做出决策。
