Validating potential organ and tissue donors in the middle of the COVID-19 pandemic: Scoping review and recommendations construction.

OBJECTIVE: To identify the available information to support registered nurses' clinical decisions in assessing and validating potential organ and tissue donors during the COVID-19 pandemic. METHOD: This is a scoping review developed in six stages. The sixth stage was developed with registered nurses who work in the Brazil Organ Donation System. To consolidate the information and prepare all assumptions, the legislation in force in Brazil was followed. RESULTS: Recommendations from 19 articles identified in the literature were analyzed; additionally, 52 professionals who work at Brazil Organ Donation System participated in the research. Four care assumptions were formed: investigation of community transmission, investigation of clinical situations, screening for COVID-19 signs and symptoms, and investigation of alterations presented in the physical examination. Such assumptions are formed by 34 care guidelines. DISCUSSION: Care assumptions were prepared to guide and support registered nurses during assessment and validation of potential organ and tissue donors. From this perspective, assumptions certainly promote safety, effectiveness and quality in the service offered during the organ and tissue donation process in the midst of the COVID-19 pandemic, in addition to empowering registered nurses in this scenario. Quality and bio-surveillance through the donation stages have been discussed extensively in recent times, to improve donation and transplantations by valuing care, safety, and quality of life of recipients. CONCLUSION: The care assumptions presented in this study support and subsidize the daily practice of registered nurses who work in assessing and validating potential organ and tissue donors, enabling these professionals to make decisions based on secure information.

Validating potential organ and tissue donors in the middle of the COVID-19 pandemic: Scoping review and recommendations construction / Validación de los donantes potenciales de órganos y tejidos en medio de la pandemia de COVID-19: revisión del alcance y construcción de recomendaciones

Objective: To identify the available information to support registered nurses’ clinical decisions in assessing and validating potential organ and tissue donors during the COVID-19 pandemic.Method: This is a scoping review developed in six stages. The sixth stage was developed with registered nurses who work in the Brazil Organ Donation System. To consolidate the information and prepare all assumptions, the legislation in force in Brazil was followed.Results: Recommendations from 19 articles identified in the literature were analyzed; additionally, 52 professionals who work at Brazil Organ Donation System participated in the research. Four care assumptions were formed: investigation of community transmission, investigation of clinical situations, screening for COVID-19 signs and symptoms, and investigation of alterations presented in the physical examination. Such assumptions are formed by 34 care guidelines.Discussion: Care assumptions were prepared to guide and support registered nurses during assessment and validation of potential organ and tissue donors. From this perspective, assumptions certainly promote safety, effectiveness and quality in the service offered during the organ and tissue donation process in the midst of the COVID-19 pandemic, in addition to empowering registered nurses in this scenario. Quality and bio-surveillance through the donation stages have been discussed extensively in recent times, to improve donation and transplantations by valuing care, safety, and quality of life of recipients.Conclusion: The care assumptions presented in this study support and subsidize the daily practice of registered nurses who work in assessing and validating potential organ and tissue donors, enabling these professionals to make decisions based on secure information.

Objetivo: Identificar la información disponible para respaldar las decisiones clínicas de las enfermeras tituladas en la evaluación y validación de los donantes potenciales de órganos y tejidos durante la pandemia de COVID-19.Método:Se trata de una revisión del alcance, desarrollada en seis etapas. La sexta etapa se efectuó con las enfermeras tituladas que trabajan en el Sistema de Donación de Órganos de Brasil. Para consolidar la información y preparar todos los supuestos, el estudio se adaptó a la legislación vigente en Brasil.Resultados: Se analizaron las recomendaciones de 19 artículos identificados en la literatura; además, 52 profesionales que trabajan en el Sistema de Donación de Órganos de Brasil participaron en el estudio. Se formaron cuatro supuestos de cuidados: estudio de la transmisión comunitaria, estudio de las situaciones clínicas, cribado de los signos y síntomas de la COVID-19, y estudio de las alteraciones presentadas en el examen físico. Dichos supuestos están formados por 34 directrices sobre cuidados.Discusión: Se prepararon supuestos sobre cuidados para orientar y respaldar a las enfermeras tituladas durante la evaluación y validación de los donantes potenciales de órganos y tejidos. En esta perspectiva, los supuestos promovieron ciertamente la seguridad, efectividad y calidad del servicio ofrecido durante el proceso de donación de órganos y tejidos en medio de la pandemia de COVID-19, además de empoderar a este grupo de profesionales en este escenario. En los últimos tiempos, se ha debatido ampliamente sobre la calidad y bio-vigilancia a través de las etapas de la donación, a fin de mejorar esta y los trasplantes, valorando los cuidados, la seguridad y la calidad de vida de los receptores.Conclusión: Los supuestos sobre cuidados presentados en este estudio respaldan y subsidian la práctica diaria de las enfermeras tituladas que trabajan en la evaluación y validación de los donantes potenciales de órganos y tejidos,

Validating potential organ and tissue donors in the middle of the COVID-19 pandemic: Scoping review and recommendations construction.

OBJECTIVE: To identify the available information to support registered nurses' clinical decisions in assessing and validating potential organ and tissue donors during the COVID-19 pandemic. METHOD: This is a scoping review developed in six stages. The sixth stage was developed with registered nurses who work in the Brazil Organ Donation System. To consolidate the information and prepare all assumptions, the legislation in force in Brazil was followed. RESULTS: Recommendations from 19 articles identified in the literature were analyzed; additionally, 52 professionals who work at Brazil Organ Donation System participated in the research. Four care assumptions were formed: investigation of community transmission, investigation of clinical situations, screening for COVID-19 signs and symptoms, and investigation of alterations presented in the physical examination. Such assumptions are formed by 34 care guidelines. DISCUSSION: Care assumptions were prepared to guide and support registered nurses during assessment and validation of potential organ and tissue donors. From this perspective, assumptions certainly promote safety, effectiveness and quality in the service offered during the organ and tissue donation process in the midst of the COVID-19 pandemic, in addition to empowering registered nurses in this scenario. Quality and bio-surveillance through the donation stages have been discussed extensively in recent times, to improve donation and transplantations by valuing care, safety, and quality of life of recipients. CONCLUSION: The care assumptions presented in this study support and subsidize the daily practice of registered nurses who work in assessing and validating potential organ and tissue donors, enabling these professionals to make decisions based on secure information.

Health Needs of Patients Undergoing Liver Transplant From the Context of Hospital Discharge.

OBJECTIVE: To identify the health needs of the patient and family facing the perspectives of discharge, health care, and adaptation to the new reality at home. METHODS: This was a quantitative and qualitative, exploratory, descriptive study conducted at a reference hospital for liver transplantation. The participants were patients undergoing liver transplant in this hospital unit from 2011 to June 2019. A semistructured interview script was used for data collection, and data were analyzed according to guidelines proposed for content analysis. RESULTS: Twenty patients participated, with a mean age of 40.2 years; 76% were men. The interview data enabled the development of 3 categories: daily health care, warning signs, and adaptation to the new health care routine. The data obtained from the categories showed that the main health needs include difficulties in blood glucose management, insulin administration, the importance of awareness of the warning signs, and obtaining support from the health care team to deal with food restrictions and high doses of medication. CONCLUSION: The health needs are focused on identifying strategies to develop daily care, in addition to seeking better strategies to adapt to the new reality. The study showed the need for individualized discharge planning by the health care team, based on the health needs of each patient.