Compreensão dos enfermeiros em setores críticos adulto do Hospital São Paulo quanto à morte encefálica e transplante

• Ano de defesa: 2021
• Autor(a) principal: Quaglio, Willian Henrique [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Nurses; Comprehension; Brain Death; Emergencies; Intensive Care Units; Transplantation; Enfermeiros; Compreensão; Morte Encefálica; Emergências; Unidade De Terapia Intensiva; Transplante
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=11480827; https://repositorio.unifesp.br/handle/11600/68070

Currently, transplantation of solid organs and human tissues is one of the treatment options to improve the quality of life of people of all ages, who have irreversible chronic disease and in its final stage, that is, the brain death protocol and management it becomes an area of great performance for nurses and their team. The nursing team has an extremely relevant role in direct action to improve the quality of life of transplant patients, however the literature points out that nursing students do not feel prepared to act as nurses in this area due to insufficient training in relation to this topic. Thus, this research aims to identify the understanding of nurses in the Adult Emergency Room and Intensive Care Units of Hospital São Paulo about brain death and transplantation. The research was developed through a quantitative methodology inserted in a descriptive and exploratory study. Data collection took place through the construction of a Likert Scale consisting of 04 dimensions covering 23 assertions that sought to answer the research objectives. This scale was subjected to a content validation using the semantic and cultural equivalences, then it was randomized with points assigned in two scales: 1/2/3/4 and 4/3/2/1 generating three intervals interpretative: from 1 point to 1.99, where a bad perception is identified, demanding short-term corrections; from 2 points to 2.99 the perception is reasonable, requiring corrections in the medium term and from 3 points to 4 points, the perception is good indicating assertiveness regarding the researched object. After applying the scale, it was subjected to the statistical validation process with respect to dispersion and reliability. The study population of 70 people was composed of nurses who work in the Adult Emergency Room and in the Intensive Care Units of Hospital São Paulo. As an inclusion criterion, nurses who had more than six months' experience in these sectors were selected and nurses who did not witness or participated in at least one brain death protocol were excluded. Participants received the Free and Informed Consent Term as well as the acceptance to complete the referred scale. It is expected to highlight the set of actions and challenges of the nursing staff during the process of identifying brain death (BD) as the process of developing the interview with family members of the potential donor and assessing the difficulties and management developed by these professionals in order to qualify and enhance nursing care in these important sectors. The data found were positive about the nurses' understanding of care with the potential donor, enriching the discussions, as they favor the increase in the rate of transplants in Brazil, due to the good conservation of the organ for surgical practice. The understanding of nurses working in the critical adult sectors of Hospital São Paulo, such as ICUs and Emergency Care, about brain death and transplantation was reasonable, considering that no dimension had a rating below 1.99, requiring no corrections to be made short term.