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提高器官和组织捐赠过程质量的干预措施。

Interventions to Improve the Quality in the Organ and Tissue Donation Process.

作者信息

de Oliveira Restier Renata Bentes, Knihs Neide da Silva, Salum Nádia Chiodelli, Pontes Daniela Oliveira, Magalhães Aline Lima Pestana, Dos Santos Edcléia Gonçalves, Walendowsky Ana Silvia Sincero Dos Reis, Pessoa João Luis Erbs, Roza Bartira De Aguiar, Ramos Saulo Fabio

机构信息

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

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

出版信息

Transplant Proc. 2023 Jul-Aug;55(6):1346-1351. doi: 10.1016/j.transproceed.2023.06.004. Epub 2023 Aug 1.

Abstract

BACKGROUND

Map Interventions is capable of supporting the multidisciplinary team that works in organ and tissue donation to disseminate quality in this process.

METHODS

A scoping review study that was conducted through the steps proposed by the Joanna Briggs Institute.

RESULTS

Fifty-six studies made up the sample. 2018 (no. 07, 12.5%) had the highest number of publications. The country that published the most was the United States (no. 16, 28.56%). The database with the most publications was the Cumulative Index to Nursing and Allied Health Literature - CINAHL (no. 15, 26.78%). The most used interventions, which had the most significant impact on the improvement of results and quality, were the use of indicators in all stages of the organ and tissue donation process; the use of real goals that can be achieved; frequent audits, validation of instruments to track opportunities for improvement; as well as methodologies to implement quality and education among professionals who work in this process. Such interventions reveal important changes in the organ donation process, especially in the notification of potential and effective donors, as well as providing an opportunity for safety in the stages of the organ and tissue donation process.

CONCLUSION

The interventions tracked suggest the implementation of a set of actions formed by the continuous use of auditing, indicators, continuing education with the team that works in the process of organ and tissue donation, combined with the management of the results obtained through the indicators, where it is generated from these data, actions that have a direct impact on the weaknesses identified.

摘要

背景

地图干预能够支持从事器官和组织捐赠工作的多学科团队在这一过程中传播质量理念。

方法

通过乔安娜·布里格斯研究所提出的步骤进行了一项范围综述研究。

结果

样本由56项研究组成。2018年(第7期,12.5%)的出版物数量最多。发表文章最多的国家是美国(16篇,28.56%)。出版物最多的数据库是护理及相关健康文献累积索引(CINAHL)(15篇,26.78%)。对改善结果和质量影响最大的最常用干预措施包括在器官和组织捐赠过程的各个阶段使用指标;使用可实现的实际目标;频繁进行审计,验证用于跟踪改进机会的工具;以及在从事这一过程的专业人员中实施质量和教育的方法。这些干预措施揭示了器官捐赠过程中的重要变化,特别是在潜在和有效捐赠者的通知方面,同时也为器官和组织捐赠过程各阶段的安全提供了机会。

结论

所跟踪的干预措施建议实施一系列行动,包括持续使用审计、指标,对从事器官和组织捐赠过程的团队进行继续教育,并结合对通过指标获得的结果进行管理,从这些数据中生成对已确定弱点有直接影响的行动。

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