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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Article info
Publication history
Published online: February 10, 2022
Accepted:
January 18,
2022
Received in revised form:
January 12,
2022
Received:
August 2,
2021
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
