Produção de subjetividade dos sujeitos envolvidos na entrevista para doação de órgãos: olhar da enfermagem / Producción de subjetividad de los sujetos involucrados en la entrevista de la donación de órganos: mirada de la enfermería / Production of subjectivity of persons involved in the interview of organs donation: a view from nursing

Introdução: sabe-se ainda que nos últimos anos houve aumento de pouco mais de 35 por cento em transplantes de órgãos e de mais de 160 por cento em transplantes de tecidos realizados no país. Com o crescimento posto da área, entende-se ser de grande relevância conhecer a produção de subjetividades dos sujeitos envolvidos neste processo, identificando-as para que subsidiem estudos posteriores dadas as lacunas de conhecimento concernentes a este cenário. Objetivos: investigar a produção de subjetividade das pessoas envolvidas no processo de doação de órgãos com base nas ideias de Vygotsky. Métodos: revisão integrativa que coleta dados de MEDLINE, SciELO e LILACS, e também nas bibliotecas virtuais de universidades nas regiões sul e sudeste do Brasil, com destaque nas regiões transplantes. Conclusão: devido à fragilidade do processo de doação e a carga emocional dos profissionais envolvidos neste processo, as grandes demandas subjetivas que devem ser conhecidos para que ele possa promover a saúde mental são gerados(AU)

Introducción: en los últimos años ha aumentado un poco más de 35 por ciento los trasplantes de órganos y más de 160 por ciento los trasplantes de tejidos realizados en el país. Con área de crecimiento conjunto está destinado a ser de gran importancia para conocer la producción de la subjetividad de los sujetos implicados en este proceso, la identificación de ellos para subvencionar estudios adicionales, dadas las lagunas respecto a este escenario. Objetivos: investigar la producción de literatura sobre la subjetividad de las personas involucradas en el proceso de la donación de órganos sobre la base de las ideas de Vygotsky. Métodos: revisión integradora que recoge los datos de MEDLINE, SciELO y LILACS, y también en las bibliotecas virtuales de las universidades en el sur y sureste del Brazil, regiones destacadas en trasplantes. Conclusión: debido a la fragilidad del proceso de donación, y la carga emocional de los profesionales que intervienen en este proceso, se generan grandes demandas subjetivas que deben ser conocidas para que se pueda promover su salud mental(AU)

Introduction: in recent years, organ and tissue transplantations performed in the country have increased respectively by just over 35 percent of more than 160 percent. This area of joint increase is intended to be of great importance to know the production of subjectivity of the subjects involved in this process, identifying them to fund additional studies, given the gaps on this scenario. Objectives: to investigate the literature production about the subjectivity of people involved in the process of organs donation on the base of Vygotsky's ideas. Methods: integrative review that collects data from MEDLINE, SciELO and LILACS, and also in virtual libraries of universities in the south and southeast of Brazil, outstanding regions in the transplantation sphere. Conclusion: due to the fragility of the donation process and the emotional burden of the professionals involved in this process, huge subjective demands are produced which must be known, so that it can promote mental health(AU)

Propuesta de indicadores para la evaluación de la calidad del subprograma de donación de órganos para trasplante / Proposal of indicators for assessment of quality of a subprogram of organ donation for transplantation

Se realizó un estudio que se inscribe como una investigación de desarrollo con la finalidad de diseñar criterios, indicadores y estándares útiles para evaluar la calidad del subprograma de donación de órganos para trasplante, a nivel de las coordinaciones regionales en Cuba. Se utilizaron la revisión bibliográfica y consulta con expertos a través de una técnica grupal de consenso, el grupo Delphi. Se contó con la participación de 23 expertos nacionales seleccionados atendiendo a los criterios de ser profesionales del sector salud capacitados en donación y trasplante de órganos, tener experiencia de tres años o más de trabajo como coordinadores de trasplante a nivel del Centro Coordinador Nacional de Trasplante, las coordinaciones regionales o los servicios hospitalarios de coordinación de trasplantes en una unidad generadora de órganos. Se construyeron 34 criterios de estructura, proceso y resultados con sus correspondientes indicadores y estándares

Authors conducted a developmental study to design criteria, indicators and standards useful to assess the quality of a subprogram of organ donation for transplantation at level of regional coordinations in Cuba. A bibliographic review and consultation with experts through a consensus group technique: the Delphi group. There was the participation of twenty three national experts selected taking into account the criteria to be professionals of health sector trained in organs donation and transplantation at level of the National Coordinator Center of Transplantation, the regional coordinations or hospital services of transplantation coordination in an generator unit of organs. Thirty four structure criteria were constructed, process and results with its corresponding indicators and standards

Reasons for Unwillingness of Libyans to Donate Organs after Death

Introduction: Organ transplantation in Libya depends exclusively on donations from live relatives. This limitation increases mortality and prolongs the patients' suffering and waiting time. Objectives: The aims of this study were to explore willingness to donate organs after death and to identify the reasons for refusal. Methods: A population-based cross-sectional study was conducted from April to July 2008 on a cluster sample of 1652 persons (58males and 42females). The questionnaire included demographic information and mainly enquired about willingness to donate organs after death and the reasons for refusal when applicable. Results: About one-third (29.7) of participants were in favor of donating their organs after death; 60.1refused and 10.2were undecided. Willingness was significantly associated with being male; younger age; having a college or graduate degree; and being single (P 0.05 for all). Lack of adequate knowledge about the importance of deceased organ donation and uncertainty about its religious implications were the most predominant reasons for refusal (43.8and 39.5; respectively). Other reasons included ethical concerns about retrieving organs from dead bodies (37.9); preference for being buried intact (28); and uneasiness about the idea of cadaver manipulation (33). Conclusion: There were a considerable resistance to deceased organ donation; especially among females; those of older age; married people; and those with a low education level. The barriers to cadaveric donations were lack of adequate knowledge; unease about body manipulation; and concerns about religious implications. Public educational campaigns should be coordinated with religious leadership