Motivos da recusa familiar para a efetivação da doação de órgãos: uma revisão integrativa

Abstract

Family refusals to donate organs of their relatives have caused a large number of non-fulfillment of donations in Brazil and worldwide. This study aims to identify and understand the main reasons for this refusal family reported in the literature in the period 2000-2010, published in national and international journals. The sample consisted of 8 articles mostly qualitative research, written by nurses and published in Brazil in 2009. Were found seven possible responses to the survey question: what are the main reasons for rejection familiar to the effectuation of organ donation reported in the literature: ignorance of the donor's will, inappropriate approach, inadequacy in organ donation system, misinformation about brain death, religiosity, external appearance of possible living donor and lack of previous clarifications about the possibility of brain death. The search result shows that the reasons for refusing familiar to donate organs relate the general population misinformation or inappropriate familiar approach by health professionals. We suggest that the professionals involved in the process of organ fundraising and donation draw strategies for clarify the population in relation to organ donation and empower themselves for appropriate approach and appropriate information transmission to family.