Análise do processo de trabalho dos enfermeiros na central estadual de transplantes no estado do Espírito Santo
| Ano de defesa: | 2025 |
|---|---|
| Autor(a) principal: | |
| Orientador(a): | |
| Banca de defesa: | , |
| 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. |
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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. |
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2025 |
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2025-12-02T18:39:32Z |
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2025-03-21 |
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Universidade Federal do Espírito Santo Mestrado em Saúde Coletiva |
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Programa de Pós-Graduação em Saúde Coletiva |
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Universidade Federal do Espírito Santo Mestrado em Saúde Coletiva |
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