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Care bundle for family interview for pediatric organ donation

Published:February 10, 2022DOI:https://doi.org/10.1016/j.pedn.2022.01.010

      Highlights

      • Communication of death involves planning and an engaged and skilled team.
      • Synchrony between team and family times in the family interview is important.
      • Emotional support involves understanding the grieving process and the beliefs of each family.
      • The talk about organ and tissue donation needs to be separated from the news of death.
      • Knowledge, skill and attitude are required to recognize legal, ethical, moral, cultural, family and organizational parameters.

      Abstract

      Purpose

      to develop a care bundle for best practices in conducting the family interview for organ and tissue donation with the families of children and adolescents.

      Design and methods

      methodological study, with a qualitative approach, developed in Brazil, in three stages: literature review, qualitative study with professionals and family members, and development of the care bundle.

      Results

      Nine studies were selected and 17 health professionals and nine family members were interviewed. With this data, the care bundle was developed in three categories: communication of death, emotional support and information about organ and tissue donation. The recommendations were evaluated by five external professionals and all of them assessed the bundle as having the highest possible quality.

      Conclusions

      the care bundle was built following the stages of integrative literature review and interviews with professionals working in this scenario and family members who have already gone through a family interview for organ and tissue donation of children and adolescents.

      Practice implications

      the use of this material is seen as an important resource to support the professional during the conduction of the family interview in a scenario as sensitive and challenging as the care to family members facing death and the decision of organ and tissue donation of children and adolescents. Furthermore, the care bundle can increase the quality of family interviews and impact the reduction of family refusals.

      Descriptors

      Practice Guideline as Topic. Tissue and Organ Procurement. Patient Care Team. Nursing. Pediatrics. Communication.

      Keywords

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