MANAGEMENT OF NURSE CARE IN THE ORGAN AND TISSUE DONATION PROCESS

this is a quantitative, retrospective, exploratory and descriptive study, carried out in two hospital institutions in southern Brazil, between June 2013 and June 2016. The sample consisted of 104 records of patients notified to the State Transplant Center. For data analysis, descriptive statistics were used.

Results:

at Institution A, 70.2% (73) of medical records were analyzed and at Institution B, 29.8% (31). As for activities developed by nurses, it is noteworthy that in the first, they carried out 1,299 management activities (93.7%) and in the second, 317 (53.9%). As for assistance activities, in the first, 507 (83.1%) and in the second, 217 (63.1%) activities. With regard to nursing care, care should be taken to maintain temperature, water balance and glycemic control.

Conclusion:

it was possible to identify that nurses develop a greater number of actions aimed at management issues in the donation process. As for assistance, there was a greater concern with maintaining the temperature.

DESCRIPTORS:
Nursing Care; Transplantation; Health management; Tissue and organ procurement; Nursing

Variable	Category	Institution A				Institution B
Variable	Category	n	%	Mean	Standard deviation	n	%	Mean	Standard deviation
Assistance activities according to COFEN resolution	Performed	421	83.1	5.81	2.1	137	63.1	4.4	1.4
	No Performed	86	16.9	1.2	0.4	80	36.9	2.7	1.1
	Total	507	100	-	-	217	100	-	-
Management activities according to COFEN resolution	Performed	1.299	93.7	17.8	5.8	317	53.9	10.67	3.6
	No Performed	87	6.3	1.2	0.4	271	46.1	9.0	2.8
	Total	1,386	100	-	-	588	100	-	-

Atividades Gerenciais	Institution A (n=73)				Institution B (n=31)				Total (n=104)
	Yes		No		Yes		No		Yes		No
	n	%	n	%	n	%	n	%	n	%	n	%
Record information about possible donor conditions	73	100	00	00	26	83.9	05	16.1	99	95.2	05	4.8
Notify STC after diagnosis of BD is completed	73	100	00	00	30	96.8	01	3.2	103	99.4	01	0.96
Forward documents and exams as requested by STC	73	100	00	00	27	87.1	04	12.9	100	95.15	04	3.85
Make sure that all surgery reports have been performed	66	90.4	07	9.6	6	19.4	25	80.6	72	69.23	32	30.77
Manage PD maintenance	73	100	00	00	26	83.9	05	16.1	99	95.2	05	4.8
Manage hemodynamic conditions	70	95.9	03	4.1	27	87.1	04	12.9	97	93.3	07	6.7
Manage the operating room coordination	66	90.4	07	9.6	06	19.4	25	80.6	72	69.23	32	30.77
There is a record of information regarding problems evidenced in the process	67	91.8	06	19.4	06	8.2	25	80.6	73	70.2	31	29.8

Assistance Activities	Institution A (n=73)				Institution B (n=31)				Total (n=104)
	Yes		No		Yes		No		Yes		No
	n	%	n	%	n	%	n	%	n	%	n	%
Perform physical examination in PD	48	65.8	25	34.2	22	71.0	09	29.0	70	67.3	34	32.7
Assist the medical staff in developing a diagnosis of BD	72	98.6	1	1.4	25	80.6	06	19.4	97	93.3	07	6.7
Develop systematization of care for PD	46	63.0	27	37.0	21	67.7	10	32.3	67	64.5	37	35.5
Develop actions for hemodynamic maintenance	48	65.8	25	34.2	22	71.0	09	29.0	70	67.3	34	32.7
Develop welcoming of PD’s families	43	58.9	30	41.4	05	16.1	26	83.9	48	46.1	56	53.9
Participate in reporting death with the health staff	71	97.3	02	2.7	18	58.1	13	41.9	89	85.6	15	14.4
Participate in the family interview	71	97.3	02	2.7	20	64.5	11	35.5	91	87.5	13	12.5

Hemodynamic Maintenance Actions	Institution A (n=73)				Institution B (n=31)				Total (n=104)
	Yes		No		Yes		No		Yes		No
	n	%	n	%	n	%	n	%	n	%	n	%
Warmed up patients	48	65.8	25	34.2	22	71.0	09	29.0	70	67.3	34	32.7
Performed blood glucose according to AMIB protocol	45	64.2	25	34.2	15	48.3	16	51.7	60	66	41	34
Infused heated fluids	46	63.0	27	37.0	21	67.7	10	32.3	67	64.5	37	35.5
Performed water balance every six hours	48	65.8	25	34.2	22	71.0	09	29.0	70.0	67.3	34	32.7
Assessed vital signs every six hours	43	58.9	30	41.4	26	83.9	05	16.1	69	57.6	35	42.4
Developed actions to prevent infections	71	97.3	02	2.7	18	58.1	13	41.9	89	85.6	15	14.4

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] CORRESPONDING AUTHOR
Neide da Silva Knihs. neide.knihs@ufsc.br