Intervenções da equipa de enfermagem no processo de doação de órgãos

Abstract

This internship report falls within the scope of the 13th Master's Degree at the Catholic University of Portugal - Institute of Health Sciences in Nursing with Specialization in Medical-Surgical Nursing, in the area of specialization for People in Critical Situation. This report reflects the experiences, describes the experiences, the acquisition of skills and the most significant knowledge throughout this academic and clinical practice journey. Through the realization of this report, it was possible to give visibility to the solutions developed for the situations identified, to exercise a reflexive practice of the activities developed, combining the investigation and unceasing search for new evidence, which could enhance the dyad of theory - practice and thus obtain gains in Cheers. Nursing care started from the premise of Advanced Nursing, based on scientific evidence, on the management of differentiated care, on critical awareness of the problems of practice, but equally based on the therapeutic relationship and communication processes. So it was essential to combine theoretical references, such as Virginia Henderson's Theory of Fundamental Needs and Afaf Meleis's Theory of Transitions. The report covers two internship periods carried out in different contexts: the Emergency Department and the Intensive Care Unit. The choice of internship locations was due to the objectives outlined by the course and the ambition to understand more deeply and in detail, through observation, experience of the path of the Person in Critical Situation, allied to the chosen theme, about the Nursing Team Interventions in the Organ Donation Process. Together, both internships were of great interest and enriched by the growing body of knowledge, the mobilization of knowledge, skills and competences. The choice of the theme was due to the personal interest in investigating and developing specialized skills in this area, by questioning which interventions the nurse has in his exercise of autonomy and interdisciplinarity. Through a Scoping Review of Literature, it allowed the development of skills in the field of research, as well as the sharing of the analyzed data, through the dissemination of results. The role played by the nursing team during the organ donation process is crucial. It requires a praxis based on technical and scientific knowledge, specific skills and competences for the identification of the potential donor, after confirmation and diagnosis of brain death, physiological maintenance of the potential donor, notification of the transplant office, as well as ability in therapeutic and poor communication. news, being fundamental conducts in ethics and current legislation. The relationship / interaction between the nursing team and family members, are decisive in decision making, trust and security in the entire process.

Date of Award	3 Aug 2021
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Lurdes Martins (Supervisor)