Exportação concluída — 

Análise do processo de trabalho dos enfermeiros na central estadual de transplantes no estado do Espírito Santo

Detalhes bibliográficos
Ano de defesa: 2025
Autor(a) principal: Nunes, Sabrina Ferreira
Orientador(a): Sarti, Thiago Dias lattes
Banca de defesa: Almeida, Ana Paula Santana Coelho lattes, Nascimento, Ariana Nogueira lattes
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Federal do Espírito Santo
Mestrado em Saúde Coletiva
Programa de Pós-Graduação: Programa de Pós-Graduação em Saúde Coletiva
Departamento: Centro de Ciências da Saúde
País: BR
Palavras-chave em Português:
Área do conhecimento CNPq:
Link de acesso: http://repositorio.ufes.br/handle/10/20660
Resumo: Introduction: Organ donation for transplants is a relevant topic that has been increasingly gaining attention in the current healthcare landscape. In general, organ transplantation is a field with many specificities, requiring the involvement of various professionals throughout different stages of the donation process. Nurses play a prominent role in this context, as their involvement is evident throughout the entire sequence of events. Objective: The aim of this study was to identify the main problems during the organ donation process that result in the failure to complete the donation. Methodology: This is an exploratory descriptive study with a qualitative approach, using document analysis. The qualitative analysis was conducted by reviewing reports produced by on-duty nurses, with a time frame from January to July 2023. To retain information, a standardized instrument (Appendix A and Appendix B) was used, containing guiding questions that directed the recording of relevant situations for the study. The research was conducted at the State Transplant Center of Espírito Santo, and a reflective thematic analysis was performed. Results: The study identified several problems, which centered around (1) communication between professionals and services—this being the main issue, especially regarding the speed at which necessary responses were provided to close the stages of the donation process, (2) logistics for organ retrieval and transplantation execution, (3) the various conflicts that can arise between professionals and between them and the families, and (4) the clinical evolution of the donor and the quality of the organs to be donated. These issues were not prohibitive but significantly interfered with the donation process. Final Considerations: To overcome the identified challenges, an action plan is proposed, focusing on improving communication, optimizing logistics, updating protocols and procedures, managing conflicts, ensuring the quality of the organs to be donated, and providing regular training for all teams involved.
id UFES_befc2ca49c77a009b21ec5ac91f6cb33
oai_identifier_str oai:repositorio.ufes.br:10/20660
network_acronym_str UFES
network_name_str Repositório Institucional da Universidade Federal do Espírito Santo (riUfes)
repository_id_str
spelling Sarti, Thiago Diashttps://orcid.org/0000-0002-1545-6276http://lattes.cnpq.br/7489127535403969Nunes, Sabrina Ferreirahttps://orcid.org/0009-0005-4804-9633http://lattes.cnpq.br/4247284294506845Almeida, Ana Paula Santana Coelhohttps://orcid.org/0000-0001-5808-5818http://lattes.cnpq.br/2570855705420190Nascimento, Ariana Nogueirahttps://orcid.org/http://lattes.cnpq.br/52863537742797632025-12-02T18:39:32Z2025-12-02T18:39:32Z2025-03-21Introduction: Organ donation for transplants is a relevant topic that has been increasingly gaining attention in the current healthcare landscape. In general, organ transplantation is a field with many specificities, requiring the involvement of various professionals throughout different stages of the donation process. Nurses play a prominent role in this context, as their involvement is evident throughout the entire sequence of events. Objective: The aim of this study was to identify the main problems during the organ donation process that result in the failure to complete the donation. Methodology: This is an exploratory descriptive study with a qualitative approach, using document analysis. The qualitative analysis was conducted by reviewing reports produced by on-duty nurses, with a time frame from January to July 2023. To retain information, a standardized instrument (Appendix A and Appendix B) was used, containing guiding questions that directed the recording of relevant situations for the study. The research was conducted at the State Transplant Center of Espírito Santo, and a reflective thematic analysis was performed. Results: The study identified several problems, which centered around (1) communication between professionals and services—this being the main issue, especially regarding the speed at which necessary responses were provided to close the stages of the donation process, (2) logistics for organ retrieval and transplantation execution, (3) the various conflicts that can arise between professionals and between them and the families, and (4) the clinical evolution of the donor and the quality of the organs to be donated. These issues were not prohibitive but significantly interfered with the donation process. Final Considerations: To overcome the identified challenges, an action plan is proposed, focusing on improving communication, optimizing logistics, updating protocols and procedures, managing conflicts, ensuring the quality of the organs to be donated, and providing regular training for all teams involved.Introdução: A doação de órgãos para transplantes é um assunto relevante e que tem abarcado cada vez mais espaço no panorama atual da saúde. No contexto geral, o transplante de órgãos, é um campo com muitas especificidades e que requer a atuação de vários profissionais nas diversas etapas do processo da doação. O enfermeiro é um profissional com destaque neste cenário, pois sua atuação é notória em toda a sequência dos eventos. Objetivo: O presente estudo teve por objetivo identificar os principais problemas que ocorrem durante o processo de doação de órgãos que resultam na não concretização da doação. Metodologia: Trata-se de um estudo descritivo exploratório, com abordagem qualitativa, com análise documental. A abordagem qualitativa foi efetuada pela análise dos relatórios produzidos pelos enfermeiros plantonistas, com corte temporal de janeiro a julho de 2023. Para a retenção das informações utilizou-se um instrumento padronizado (anexo A e anexo B) contendo questões norteadoras que direcionaram os registros das situações de relevância para o estudo. O local da pesquisa foi a Central Estadual de Transplantes do Espírito Santo, onde foi realizada uma análise temática reflexiva. Resultados: O estudo identificou problemas que ocorrem no trâmite da doação, estes relacionados com: (1) comunicação entre profissionais e serviços, sendo este o principal deles; (2) a logística para a captação e a execução do transplante; (3) os vários conflitos que podem ocorrer entre profissionais e entre estes e familiares; e (4) a evolução clínica do doador e da qualidade dos órgãos a serem doados. Estas questões não foram impeditivas para a doação, mas interferiram significativamente no processo. Considerações finais: Para superar os desafios identificados, propõe-se um plano de ação com foco na melhoria da comunicação, otimização da logística, atualização de protocolos e procedimentos, gestão de conflitos e garantia da qualidade dos órgãos a serem doados, além de treinamentos regulares para todas as equipes envolvidasConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Texthttp://repositorio.ufes.br/handle/10/20660porptUniversidade Federal do Espírito SantoMestrado em Saúde ColetivaPrograma de Pós-Graduação em Saúde ColetivaUFESBRCentro de Ciências da Saúdehttps://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessSaúde ColetivaObtenção de tecidos e órgãosMorte encefálicaTransplantesEnfermeirosTissue and organ procurement.Brain deathTransplants. nursesAnálise do processo de trabalho dos enfermeiros na central estadual de transplantes no estado do Espírito Santoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisreponame:Repositório Institucional da Universidade Federal do Espírito Santo (riUfes)instname:Universidade Federal do Espírito Santo (UFES)instacron:UFESORIGINALSabrinaFerreiraNunes-2025-dissertacao.pdfSabrinaFerreiraNunes-2025-dissertacao.pdfapplication/pdf833469http://repositorio.ufes.br/bitstreams/cf77d4c1-c330-4008-b502-9b5c6e511bc4/downloadc164e35a4644ab334768db22bb26a7bfMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://repositorio.ufes.br/bitstreams/557a41b2-2707-40d0-80df-49bb722a4407/download8a4605be74aa9ea9d79846c1fba20a33MD5210/206602025-12-02 16:12:07.222https://creativecommons.org/licenses/by-nc-nd/4.0/open accessoai:repositorio.ufes.br:10/20660http://repositorio.ufes.brRepositório InstitucionalPUBhttp://repositorio.ufes.br/oai/requestriufes@ufes.bropendoar:21082025-12-02T16:12:07Repositório Institucional da Universidade Federal do Espírito Santo (riUfes) - Universidade Federal do Espírito Santo (UFES)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
dc.title.none.fl_str_mv Análise do processo de trabalho dos enfermeiros na central estadual de transplantes no estado do Espírito Santo
title Análise do processo de trabalho dos enfermeiros na central estadual de transplantes no estado do Espírito Santo
spellingShingle Análise do processo de trabalho dos enfermeiros na central estadual de transplantes no estado do Espírito Santo
Nunes, Sabrina Ferreira
Saúde Coletiva
Obtenção de tecidos e órgãos
Morte encefálica
Transplantes
Enfermeiros
Tissue and organ procurement.
Brain death
Transplants. nurses
title_short Análise do processo de trabalho dos enfermeiros na central estadual de transplantes no estado do Espírito Santo
title_full Análise do processo de trabalho dos enfermeiros na central estadual de transplantes no estado do Espírito Santo
title_fullStr Análise do processo de trabalho dos enfermeiros na central estadual de transplantes no estado do Espírito Santo
title_full_unstemmed Análise do processo de trabalho dos enfermeiros na central estadual de transplantes no estado do Espírito Santo
title_sort Análise do processo de trabalho dos enfermeiros na central estadual de transplantes no estado do Espírito Santo
author Nunes, Sabrina Ferreira
author_facet Nunes, Sabrina Ferreira
author_role author
dc.contributor.authorID.none.fl_str_mv https://orcid.org/0009-0005-4804-9633
dc.contributor.authorLattes.none.fl_str_mv http://lattes.cnpq.br/4247284294506845
dc.contributor.advisor1.fl_str_mv Sarti, Thiago Dias
dc.contributor.advisor1ID.fl_str_mv https://orcid.org/0000-0002-1545-6276
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/7489127535403969
dc.contributor.author.fl_str_mv Nunes, Sabrina Ferreira
dc.contributor.referee1.fl_str_mv Almeida, Ana Paula Santana Coelho
dc.contributor.referee1ID.fl_str_mv https://orcid.org/0000-0001-5808-5818
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/2570855705420190
dc.contributor.referee2.fl_str_mv Nascimento, Ariana Nogueira
dc.contributor.referee2ID.fl_str_mv https://orcid.org/
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/5286353774279763
contributor_str_mv Sarti, Thiago Dias
Almeida, Ana Paula Santana Coelho
Nascimento, Ariana Nogueira
dc.subject.cnpq.fl_str_mv Saúde Coletiva
topic Saúde Coletiva
Obtenção de tecidos e órgãos
Morte encefálica
Transplantes
Enfermeiros
Tissue and organ procurement.
Brain death
Transplants. nurses
dc.subject.por.fl_str_mv Obtenção de tecidos e órgãos
Morte encefálica
Transplantes
Enfermeiros
Tissue and organ procurement.
Brain death
Transplants. nurses
description Introduction: Organ donation for transplants is a relevant topic that has been increasingly gaining attention in the current healthcare landscape. In general, organ transplantation is a field with many specificities, requiring the involvement of various professionals throughout different stages of the donation process. Nurses play a prominent role in this context, as their involvement is evident throughout the entire sequence of events. Objective: The aim of this study was to identify the main problems during the organ donation process that result in the failure to complete the donation. Methodology: This is an exploratory descriptive study with a qualitative approach, using document analysis. The qualitative analysis was conducted by reviewing reports produced by on-duty nurses, with a time frame from January to July 2023. To retain information, a standardized instrument (Appendix A and Appendix B) was used, containing guiding questions that directed the recording of relevant situations for the study. The research was conducted at the State Transplant Center of Espírito Santo, and a reflective thematic analysis was performed. Results: The study identified several problems, which centered around (1) communication between professionals and services—this being the main issue, especially regarding the speed at which necessary responses were provided to close the stages of the donation process, (2) logistics for organ retrieval and transplantation execution, (3) the various conflicts that can arise between professionals and between them and the families, and (4) the clinical evolution of the donor and the quality of the organs to be donated. These issues were not prohibitive but significantly interfered with the donation process. Final Considerations: To overcome the identified challenges, an action plan is proposed, focusing on improving communication, optimizing logistics, updating protocols and procedures, managing conflicts, ensuring the quality of the organs to be donated, and providing regular training for all teams involved.
publishDate 2025
dc.date.accessioned.fl_str_mv 2025-12-02T18:39:32Z
dc.date.available.fl_str_mv 2025-12-02T18:39:32Z
dc.date.issued.fl_str_mv 2025-03-21
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufes.br/handle/10/20660
url http://repositorio.ufes.br/handle/10/20660
dc.language.iso.fl_str_mv por
pt
language por
language_invalid_str_mv pt
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv Text
dc.publisher.none.fl_str_mv Universidade Federal do Espírito Santo
Mestrado em Saúde Coletiva
dc.publisher.program.fl_str_mv Programa de Pós-Graduação em Saúde Coletiva
dc.publisher.initials.fl_str_mv UFES
dc.publisher.country.fl_str_mv BR
dc.publisher.department.fl_str_mv Centro de Ciências da Saúde
publisher.none.fl_str_mv Universidade Federal do Espírito Santo
Mestrado em Saúde Coletiva
dc.source.none.fl_str_mv reponame:Repositório Institucional da Universidade Federal do Espírito Santo (riUfes)
instname:Universidade Federal do Espírito Santo (UFES)
instacron:UFES
instname_str Universidade Federal do Espírito Santo (UFES)
instacron_str UFES
institution UFES
reponame_str Repositório Institucional da Universidade Federal do Espírito Santo (riUfes)
collection Repositório Institucional da Universidade Federal do Espírito Santo (riUfes)
bitstream.url.fl_str_mv http://repositorio.ufes.br/bitstreams/cf77d4c1-c330-4008-b502-9b5c6e511bc4/download
http://repositorio.ufes.br/bitstreams/557a41b2-2707-40d0-80df-49bb722a4407/download
bitstream.checksum.fl_str_mv c164e35a4644ab334768db22bb26a7bf
8a4605be74aa9ea9d79846c1fba20a33
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
repository.name.fl_str_mv Repositório Institucional da Universidade Federal do Espírito Santo (riUfes) - Universidade Federal do Espírito Santo (UFES)
repository.mail.fl_str_mv riufes@ufes.br
_version_ 1856037477282742272