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Vol. 33. Issue 1.
Pages 20-32 (January - March 2022)
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Vol. 33. Issue 1.
Pages 20-32 (January - March 2022)
Original article
Validating potential organ and tissue donors in the middle of the COVID-19 pandemic: Scoping review and recommendations construction
Validación de los donantes potenciales de órganos y tejidos en medio de la pandemia de COVID-19: revisión del alcance y construcción de recomendaciones
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Neide da Silva-Knihsa, João Luis Erbs-Pessoab, Aline Lima Pestana-Magalhãesb, Sibele Maria Schuantes-Paimc,
Corresponding author
sibele.schuantes@hotmail.com

Corresponding author.
, Laísa Fischer-Wachholzb, Elza Lima-Silvad, Bartira de Aguiar-Rozac
a Federal University of Santa Catarina, Health Science Center, Nursing Department, Florianópolis, Santa Catarina, Brazil
b Health State Agency of São Paulo, Transplantation Central of São Paulo, São Paulo, São Paulo, Brazil
c Federal University of São Paulo, Nursing School of São Paulo, São Paulo, São Paulo, Brazil
d Federal University of Maranhão, Nursing Department, São Luis, Maranhão, Brazil
Article information
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Tables (3)
Table 1. Recommendations for best practices in obtaining tissues and organs for transplantation.
Table 2. Consolidation of information for assessment and validation of potential donors in the midst of the COVID-19 pandemic, according to professionals.
Table 3. Presentation of the information consolidation obtained in phases 1 to 6 on the community assumption. transmission investigation.
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Abstract
Objective

To identify the available information to support registered nurses’ clinical decisions in assessing and validating potential organ and tissue donors during the COVID-19 pandemic.

Method

This is a scoping review developed in six stages. The sixth stage was developed with registered nurses who work in the Brazil Organ Donation System. To consolidate the information and prepare all assumptions, the legislation in force in Brazil was followed.

Results

Recommendations from 19 articles identified in the literature were analyzed; additionally, 52 professionals who work at Brazil Organ Donation System participated in the research. Four care assumptions were formed: investigation of community transmission, investigation of clinical situations, screening for COVID-19 signs and symptoms, and investigation of alterations presented in the physical examination. Such assumptions are formed by 34 care guidelines.

Discussion

Care assumptions were prepared to guide and support registered nurses during assessment and validation of potential organ and tissue donors. From this perspective, assumptions certainly promote safety, effectiveness and quality in the service offered during the organ and tissue donation process in the midst of the COVID-19 pandemic, in addition to empowering registered nurses in this scenario. Quality and bio-surveillance through the donation stages have been discussed extensively in recent times, to improve donation and transplantations by valuing care, safety, and quality of life of recipients.

Conclusion

The care assumptions presented in this study support and subsidize the daily practice of registered nurses who work in assessing and validating potential organ and tissue donors, enabling these professionals to make decisions based on secure information.

Keywords:
Coronavirus infections
COVID-19
Donor selection
Tissue and organ procurement nursing
Nursing care
Transplantation
Resumen
Objetivo

Identificar la información disponible para respaldar las decisiones clínicas de las enfermeras tituladas en la evaluación y validación de los donantes potenciales de órganos y tejidos durante la pandemia de COVID-19.

Método

Se trata de una revisión del alcance, desarrollada en seis etapas. La sexta etapa se efectuó con las enfermeras tituladas que trabajan en el Sistema de Donación de Órganos de Brasil. Para consolidar la información y preparar todos los supuestos, el estudio se adaptó a la legislación vigente en Brasil.

Resultados

Se analizaron las recomendaciones de 19 artículos identificados en la literatura; además, 52 profesionales que trabajan en el Sistema de Donación de Órganos de Brasil participaron en el estudio. Se formaron cuatro supuestos de cuidados: estudio de la transmisión comunitaria, estudio de las situaciones clínicas, cribado de los signos y síntomas de la COVID-19, y estudio de las alteraciones presentadas en el examen físico. Dichos supuestos están formados por 34 directrices sobre cuidados.

Discusión

Se prepararon supuestos sobre cuidados para orientar y respaldar a las enfermeras tituladas durante la evaluación y validación de los donantes potenciales de órganos y tejidos. En esta perspectiva, los supuestos promovieron ciertamente la seguridad, efectividad y calidad del servicio ofrecido durante el proceso de donación de órganos y tejidos en medio de la pandemia de COVID-19, además de empoderar a este grupo de profesionales en este escenario. En los últimos tiempos, se ha debatido ampliamente sobre la calidad y bio-vigilancia a través de las etapas de la donación, a fin de mejorar esta y los trasplantes, valorando los cuidados, la seguridad y la calidad de vida de los receptores.

Conclusión

Los supuestos sobre cuidados presentados en este estudio respaldan y subsidian la práctica diaria de las enfermeras tituladas que trabajan en la evaluación y validación de los donantes potenciales de órganos y tejidos, lo cual permite la toma de decisiones por parte de este grupo de profesionales, basada en información segura.

Palabras clave:
Infecciones por coronavirus
COVID-19
Selección de donante
Enfermería de obtención de tejidos y órganos
Cuidados enfermeros
Trasplante

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