Meanings of brain-dead patient care for intensive care unit nurses
DOI:
https://doi.org/10.33448/rsd-v11i6.29241Keywords:
Patient care; Critical care; Nursing care; Brain death; Intensive care units.Abstract
The objective of this study was to identify the meanings of care for patients with brain death from the perspective of nurses in an adult Intensive Care Unit. Methodology: Qualitative, descriptive, exploratory study, with 35 nurses working in intensive and private care in the Southeast regions of Brazil, carried out from March to September 2020. and transported to the Software Interface de R pourles Analyses Multidimensionnelles de Textes et de Questionnaires. Results: Two categories emerged: Brain death protocol directing care and experiencing care for brain-dead patients. The diagnosis of brain death was described as something normal, which follows a safe and systematized protocol, aimed at nursing care in the possibility of organ donation. Nurses considered the care of patients with brain death as a sad event, mainly because it is an irreversible situation, and because they witness the suffering and pain of family members. Final considerations: It was identified that the care of the patient with brain death is surrounded by feelings, emotions and opinions, which can contribute or diverge to the diagnosis, which reinforces the need to reflect and break the paradigms related to the theme.
References
Alves, N., Oliveira, L., Santos, A. D., Leal, H., & Souza, T. (2018). Manejo dos pacientes em morte encefálica. Rev. Enferm. UFPE On Line. 12 (4): 953-61.
Associação Brasileira de Transplante de Órgãos (ABTO) (2017). Registro Brasileiro de Transplantes. Dimensionamento dos Transplante no Brasil e em cada estado [Internet]. São Paulo: ABTO.
Cavalcante, L. P., Ramos, I. C., Araújo, M. A. M., Alves, M. D. S., & Braga, V. A. B. (2014). Cuidados de enfermagem ao paciente em morte encefálica e potencial doador de órgãos. Acta Paul. Enferm. 27(6):567-72.
Chuisto, I. T. N., Silva, V. A., Ribeiro, B. M. S. S.., Miranda, J. A. M., Silva, J. D. D.., & Marcon, S. S. (2020) Dealing with death and dying in an intensive care unit in Paraná. Rev. Enferm. UFPI. 9(1): 1-9.
Conselho Federal de Medicina (CFM) (2017). Resolução n. 2.173 de 23 de novembro de 2017. Define os critérios do diagnóstico de morte encefálica. Diário Oficial da União [Internet]. Brasília.
Costa, C. R., Costa, L. P., & Aguiar, N. (2016). A enfermagem e o paciente em morte encefálica na UTI. Rev. Bioét. 24 (2): 368-73.
Coyle, MA (2000). Meeting the needs opf the familuy: the role of the specialist nurse in the management of brain death. Intens. Crit. Care Nurs. 16 (1): 45-50.
Flodén, A., Berg, M., & Forsberg, A (2011). ICU nurses’ perceptions of responsibilities and organisation in relation to organ donation- a phenomenographic study. Intensive Crit Care Nurs. 27(6): 305-16.
Gomes, C. S., Araújo, D. M., Oliveira, H. B., & Sampaio, N. F. (2018). Perspectiva da enfermagem no processo de doação de órgãos e tecidos: relato de experiência. Rev. Enferm. UFPI. 7(1): 71-4.
Junqueira, M., Cavalcanti, I. F. F. M.., Santos, J. R.., Silva, P. P. B. A., & Silva, F. P. (2016). Morte encefálica: o enfermeiro prestando assistência ao potencial doador de órgãos e tecidos. Rev. Saúde. 10(1): 113-113.
Lima, A. A. F. (2012). Doação de órgãos para transplante: conflitos éticos na percepção do profissional. Mundo Saúde. 36 (1): 27-33.
Lima, A. A. F., Silva, M. J. P., & Pereira, L. L. (2009). Sufrimiento y contradicción: el significado de la muerte y del morir para los enfermeros que trabajan en el proceso de donación de órganos para trasplante. Enferm. Glob. 8(1): 1-17.
Lomero, M. D. M.., Jiménez-Herrera, M., Rasero, M. J., & Sandiumenge, A. (2017). Nurses’ attitudes and knowledge regarding organ and tissue donation and transplantation in a provincial hospital: A descriptive and multivariate analysis. Nurs. Health Sci. 19(3): 322-30.
Magalhães, A. L. P.., Erdmann, A. L., Souza, F. G. M. S.., Lanzoni, G. M. M.., Silva, E. L., & Mello, A. L. S. F. (2018). Significados do cuidado de enfermagem ao paciente em morte encefálica potencial doador. Rev. Gaúcha Enferm. 39: 1-9.
Magalhães, A. L. P., Oliveira, R. J. T.., Ramos, S. F., Lobato, M. M., Knihs, N. S., & Silva, E. L (2019). Gerência do cuidado de enfermagem ao paciente em morte encefálica. Rev. Enferm. UFPE On-line. 13(4): 1124-32.
Masoumian, H. S. T., Manzari, Z., & Khaleghi, I (2015). ICU Nurses’ knowledge, attitude, and practice towards their role in the organ donation process from brain dead patients and factors influencing it in Iran. Int. J. Org. Transplant. Med. 6(3): 105-13.
McMahan, J (2006). An alternative to brain death. J. Law Med. Ethics. 34(1): 44-8.
Moghaddam, H. Y., Manzari, Z. S., Heydari, A., & Mohammadi, E (2018). Explaining nurses’ experiences of caring for brain dead patients: a content analysis. Electronic Physician. 10(8): 7205-16.
Souza, F. M., Bento, C. J., & Milagres, S. C. (2019). Percepções do enfermeiro intensivista frente à morte encefálica e à doação de órgãos. Rev. Enferm. Brasil. 18(1): 12-23.
Souza, J. S. B., Lira, G. G., & Mola, R. (2015). Notificação da morte encefálica em ambiente hospitalar. Rev. Rene. 16(2): 194-200.
Souza, R. S. S., Marziale, M. H. P., Silva, G. T. R., & Nascimento, P. L (2021). Tradução e validação para o português brasileiro e avaliação do checklist COREQ. Acta Paul. Enferm. 34: 1-9.
Whetstine, L. M. (2007). Bench-to-beside review: when is dead really dead, on the legitimacy of using neurologic criteria to determine death. Crit. Care. 11(2): 1-3.
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