Experiencing Organ Donation: Feelings Of Relatives After Consent [vivenciando A Doação De órgãos: Sentimentos De Familiares Pos Consentimento] [experimentando La Donación De órganos: Sentimientos De Pos Consentimiento De Su Familia]

Objective: to identify experiences and feelings on the organ donation process, from the perspective of a relative of an organ donor in a transplant unit. Method: this was exploratory research using a qualitative approach, performed with seven family members of different organ donors, selected by a lottery. Sociodemographic data and the experiences regarding the donation process were collected through semi-structured interviews. The language material was transcribed and submitted to content analysis. Results: poor sensitivity of the medical staff communicating the relative’s brain death – the potential donor - and the lack of socio-emotional support prior to the situation experienced by the family was highlighted by participants. Conclusions: the study identified the need to provide social-emotional support for families facing the experience of the organ donation process. From these findings, other care and management practices in health must be discussed to impact the strengthening of the family ties, post-donation, as well as the organ procurement indexes. © 2015 Revista Latino-Americana de Enfermagem.235895901Fernandes, M.E.N., Soares, M.A., Boin, I.F., Zambelli, H.J., Efficacy of social worker role in cornea donation in two different periods (2010) Transplant Proc, 42 (10), pp. 3927-3928Berntzen, H., Bjørk, I.T., Experiences of donor families after consenting to organ donation: A qualitative study (2014) Intensive Crit Care Nurs. [Internet], pp. 1-6. , http://dx.doi.org/10.1016/j.iccn.2014.03.001, [acesso 31 jun 2014]Matesanz, R., (2014) The Spanish national transplant organization reached a record of 4,279 transplants in 2013, , http://marcaespana.es/en/espana-al-dia/348/the-spanish-national-transplant-organization-reached, [acesso 31 jun 2014] Spain Today, Feb 12Dados numéricos da doação de órgãos e transplantes realizados por estado e instituição no período: Janeiro/setembro 2014 (2014) RBT. Registro Brasileiro de Transplantes [Internet], 20 (3). , http://www.abto.org.br/abtov03/upload/file/RBT/, [acesso 31 jun 2014]Bramstedt, K.A., Family refusals of registered consents: The disruption of organ donation by double-standard surrogate decision-making (2013) Intern Med J, 43, pp. 120-123Kinrade, T., Jackson, A.C., Tomnay, J., Social workers' perspectives on the psychosocial needs of families during critical illness (2011) Soc Work Health Care, 50 (9), pp. 661-681Fernandes, M.E.N., Zambelli, H.J., Boin, I.F.S.F., Oliveira, M.A., Zutin, N., Gasparoni, A.R.F., New challenges for social workers in approaching potential tissue and organ donor families in a public university hospital (2008) Organs, Tissues, and Cells, (1), pp. 11-13Lima, A.A.F., Silva, M.J.P., Pereira, L.L., 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 (2009) Enferm Global. [Internet], 15, pp. 1-17. , http://www.revistas.um.es/eglobal/article/view/49521/47371, [acesso 11 ago 2014]Topbas, M., Türkyilmaz, S., Can, G., Ulusoy, S., Kalyoncu, M., Kaynar, K., Information, attitude, and behavior toward organ transplantation and donation among health workers in the eastern Black Sea region of Turkey (2011) Transplant Proc, 43 (3), pp. 773-777Irving, M.J., Tong, A., Jan, S., Wong, G., Cass, A., Chadban, S., Factors that influence the decision to be an organ donor: A systematic review of the qualitative literature (2012) Nephrol Dial Transplant, (6), pp. 2526-2533Ghorbani, F., Khoddami-Vishteh, H.R., Ghobadi, O., Shafaghi, S., Louyeh, A.R., Najafizadeh, K., Causes of family refusal for organ donation (2011) Transplant Proc, 43 (2), pp. 405-406Marck, C.H., Neate, S.L., Skinner, M., Dwyer, B., Hickey, B., D'Costa, R., Factors relating to consent for organ donation: Prospective data on potential organ donors (2015) Intern Med J, 45 (1), pp. 40-47López Martínez, J.S., Martín López, M.J., Scandroglio, B., Martínez García, J.M., Family perception of the process of organ donation. Qualitative psychosocial analysis of the subjective interpretation of donor and nondonor families (2008) Span J Psychol, 11 (1), pp. 125-136Campos, C.J.G., Turato, E.R., Content analysis in studies using the clinical-qualitative method: Application and perspectives (2009) Rev. Latino-Am. Enfermagem, 17 (2), pp. 259-264Yousefi, H., Roshani, A., Nazari, F., Experiences of the families concerning organ donation of a family member with brain death (2014) Iran J Nurs Midwifery Res, 19 (3), pp. 323-330Manzari, Z.S., Mohammadi, E., Heydari, A., Sharbaf, H.R., Azizi, M.J., Khaleghi, E., Exploring families' experiences of an organ donation request after brain death (2012) Nurs Ethics, 19 (5), pp. 654-665Manuel, A., Solberg, S., MacDonald, S., Organ donation experiences of family members (2010) Nephrol Nurs J, 37 (3), pp. 229-236Tawil, I., Brown, L.H., Comfort, D., Crandall, C.S., West, S.D., Rollstin, A.D., Family presence during brain death evaluation: A randomized controlled trial (2014) Crit Care Med, 42 (4), pp. 934-942Kim, H.S., Yoo, Y.S., Cho, O.H., Satisfaction with the organ donation process of brain dead donors' families in Korea (2014) Transplant Proc, 46 (10), pp. 3253-3256Walker, W., Broderick, A., Sque, M., Factors influencing bereaved families' decisions about organ donation: An integrative literature review (2013) West J Nurs Res, 35, pp. 1339-1359Stouder, D.B., Schmid, A., Ross, S.S., Ross, L.G., Stocks, L., Family, friends, and faith: How organ donor families heal (2009) Prog Transplant, 19 (4), pp. 358-361Neate, S.L., Marck, C.H., Skinner, M., Dwyer, B., McGain, F., Weiland, T.J., Understanding australian families' organ donation decisions (2015) Anaesth Intensive Care, 43 (1), pp. 42-50Jacoby, L., Crosier, V., Pohl, H., Providing support to families considering the option of organ donation: An innovative training method (2006) Prog Transplant, 16 (3), pp. 247-252Anker, A.E., Akey, J.E., Feeley, T.H., Providing social support in a persuasive context: Forms of social support reported by organ procurement coordinators (2013) Health Commun, 28 (8), pp. 835-845Satoh, A., Care and support for organ donor families (2011) Japan Med Assoc J, 54 (6), pp. 392-39