Perceoção do enfermeiro brasileiro sobre a manutenção do potencial doador de órgãos em morte encefálica

Abstract

Organ transplantation is a therapeutic modality that depends on organ quality to be successful. The best way to increase the supply of organs for transplantation is the optimal use of its main source: the cadaver donor with brain death (BD). The aim of this study was to identify the perception of the nurse in the process of maintenance of potential organ and tissue donor with brain death. It is a meta-synthesis, whose studies were searched at databases BDENF, LILACS and SciELO. A total of 367 publications were identified including repetitions, selected six, two of which were included in the sample because they meet the inclusion criteria: primary qualitative studies conducted with Brazilian nurses publicized in English, Spanish or Portuguese in the period 2002-2012. The results revealed that nurses' knowledge is unsatisfactory about the concept and pathophysiology of BD; care is provided in a disorganized manner and there is a lack of clarity on what is the specific care for patients in BD, and questioning about the death topic was also present. It is concluded that despite the small number of studies that composed the meta-synthesis, those presentsa low to moderate risk of bias allowing the results of this research to provide subsidies for evaluations, reflections and actions related to significant changes in the management of quality of care provided to patients in BD, in addition to implementing educative measures about the importance of professionals in the donation process, starting fromunder graduation, in order to reduce the time on waiting lists for an organ transplant in Brazil.