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儿科器官捐献家庭访谈护理包。

Care bundle for family interview for pediatric organ donation.

机构信息

Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil.

Federal University of São Paulo, São Paulo, São Paulo, Brazil.

出版信息

J Pediatr Nurs. 2022 May-Jun;64:56-63. doi: 10.1016/j.pedn.2022.01.010. Epub 2022 Feb 10.

DOI:10.1016/j.pedn.2022.01.010
PMID:35152001
Abstract

PURPOSE

to develop a care bundle for best practices in conducting the family interview for organ and tissue donation with the families of children and adolescents.

DESIGN AND METHODS

methodological study, with a qualitative approach, developed in Brazil, in three stages: literature review, qualitative study with professionals and family members, and development of the care bundle.

RESULTS

Nine studies were selected and 17 health professionals and nine family members were interviewed. With this data, the care bundle was developed in three categories: communication of death, emotional support and information about organ and tissue donation. The recommendations were evaluated by five external professionals and all of them assessed the bundle as having the highest possible quality.

CONCLUSIONS

the care bundle was built following the stages of integrative literature review and interviews with professionals working in this scenario and family members who have already gone through a family interview for organ and tissue donation of children and adolescents.

PRACTICE IMPLICATIONS

the use of this material is seen as an important resource to support the professional during the conduction of the family interview in a scenario as sensitive and challenging as the care to family members facing death and the decision of organ and tissue donation of children and adolescents. Furthermore, the care bundle can increase the quality of family interviews and impact the reduction of family refusals.

DESCRIPTORS

Practice Guideline as Topic. Tissue and Organ Procurement. Patient Care Team. Nursing. Pediatrics. Communication.

摘要

目的

制定一套最佳实践护理包,用于对儿童和青少年家属进行器官和组织捐献的家庭访谈。

设计与方法

这是一项在巴西开展的方法学研究,采用定性方法,分三个阶段进行:文献回顾、专业人员和家庭成员的定性研究,以及护理包的开发。

结果

共纳入 9 项研究,对 17 名卫生专业人员和 9 名家庭成员进行了访谈。根据这些数据,护理包分为三个类别:死亡沟通、情感支持和器官与组织捐献信息。建议由 5 名外部专业人员进行评估,他们都认为该护理包的质量最高。

结论

该护理包是在综合文献回顾和与从事这一领域的专业人员以及已经经历过儿童和青少年器官和组织捐献家庭访谈的家庭成员访谈的阶段中构建的。

实践意义

在面对死亡和儿童及青少年器官和组织捐献决策的家属时,使用这一材料被视为支持专业人员进行家庭访谈的重要资源。此外,该护理包可以提高家庭访谈的质量,减少家庭拒绝的情况。

术语

实践指南主题。组织和器官采购。患者护理团队。护理。儿科学。沟通。

相似文献

1
Care bundle for family interview for pediatric organ donation.儿科器官捐献家庭访谈护理包。
J Pediatr Nurs. 2022 May-Jun;64:56-63. doi: 10.1016/j.pedn.2022.01.010. Epub 2022 Feb 10.
2
[Considerations for quality assurance of discussions with relatives in direct association with organ donation].[与器官捐赠直接相关的与亲属讨论的质量保证考量]
Anaesthesiologie. 2022 Jun;71(6):437-443. doi: 10.1007/s00101-021-01054-y. Epub 2021 Oct 15.
3
Communication of Death in the Context of Infant-Child Donation: Best Practices for Creating Family Interview for Organ and Tissue Donation.婴幼儿捐赠背景下的死亡告知:器官和组织捐赠家庭访谈的最佳实践
Transplant Proc. 2020 Jun;52(5):1216-1222. doi: 10.1016/j.transproceed.2020.01.074. Epub 2020 Mar 19.
4
Family Interview Evaluation for Organ Donation: Communication of Death and Information About Organ Donation.家庭访谈评估器官捐献:死亡沟通和器官捐献信息。
Transplant Proc. 2022 Jun;54(5):1202-1207. doi: 10.1016/j.transproceed.2022.02.064. Epub 2022 Jun 25.
5
Health Care Professionals as Relatives in Organ Donation Interviews: Analysis of the Important Role of Health Care Professionals as Family Members.器官捐赠访谈中作为亲属的医护人员:医护人员作为家庭成员的重要作用分析
Transplant Proc. 2021 Mar;53(2):560-564. doi: 10.1016/j.transproceed.2020.10.043. Epub 2020 Dec 15.
6
Experiences of Families Following Organ Donation Consent: A Qualitative Systematic Review.器官捐赠同意后家庭的经历:一项定性系统综述
Transplant Proc. 2021 Mar;53(2):501-512. doi: 10.1016/j.transproceed.2020.09.016. Epub 2021 Jan 19.
7
Family perspectives on organ and tissue donation for transplantation: A principlist analysis.家庭对器官和组织移植捐赠的看法:原则分析。
Nurs Ethics. 2018 Dec;25(8):1041-1050. doi: 10.1177/0969733016687156. Epub 2017 Jan 10.
8
Organ Donation Following Neurologic and Circulatory Determination of Death.脑死亡和循环停止后的器官捐献。
Pediatr Crit Care Med. 2018 Aug;19(8S Suppl 2):S26-S32. doi: 10.1097/PCC.0000000000001518.
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Family interview for organ and tissue donation: good practice assumptions.器官和组织捐赠的家庭访谈:良好实践假设。
Rev Bras Enferm. 2021 Jun 16;74(2):e20190206. doi: 10.1590/0034-7167-2019-0206. eCollection 2021.
10
The experiences of family members of deceased organ donors and suggestions to improve the donation process: a qualitative study.器官捐献者逝世后其家属的经历和对改善捐献流程的建议:一项定性研究。
CMAJ. 2022 Aug 8;194(30):E1054-E1061. doi: 10.1503/cmaj.220508.

引用本文的文献

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Nurse Specialist in the Organ and Tissue Donation Process with Coordination Role: A Scoping Review.器官和组织捐赠过程中具有协调作用的专科护士:一项范围综述
Nurs Rep. 2025 Jan 24;15(2):39. doi: 10.3390/nursrep15020039.