Donación de órganos desde una perspectiva del personal médico

Organ donation and the transplant process allow improving the health status and quality of life of patients with some pathologies. Donor screening is one of the most important points of the entire protocol, it is a procedure that requires not only the good disposition of the general population, but also well-organized health personnel with knowledge of the process. Aim. Determine the factors that hinder the organ donation process in medical personnel. Methodology. A systematic review was conducted to discover the factors that have contributed to the low rates of organ donation, from the perspective of medical personnel. 28 articles from journals indexed in Crossref, PubMed, Elsevier, Medline and Scielo were selected, in addition to the official pages. The search was performed using keywords (donation, transplant, brain death and medical personnel) in spanish and english. Results. 28 indexed articles and official pages were reviewed where the ignorance of medical personnel to identify possible donors and related legislation, the lack of personnel, infrastructure and medical organization, as well as attitude are determining factors in the low donation of Organs Conclusions. it is necessary to implement strategies for a better knowledge of the organ donation process for medical personnel, in addition to organizational training and constant feedback. otherwise the results will continue as non-positive.  La donación de órganos y el proceso de trasplante permiten la mejora del estado de salud y de la calidad de vida de paciente con algunas patologías. La detección de donantes es uno de los puntos más importantes de todo el protocolo, es un procedimiento que necesita no solo de la buena disposición de la población general, sino también de personal de salud bien organizado y con conocimiento del proceso. Objetivo. Determinar los factores que dificultan el proceso de donación de órganos en el personal médico. Métodología. Se realizó una revisión sistemática para conocer los factores que han contribuido a las bajas tasas de donación de órganos, desde una perspectiva del personal médico. Se eligieron 28 artículos de revistas indexadas en Crossref, PubMed, Elsevier, Medline y Scielo, además de páginas oficiales. La búsqueda se realizó mediante palabras clave (Donación, Trasplante, Muerte encefálica y Personal Médico) en español e inglés. Resultados. Se revisaron 28 artículos indexados y paginas oficiales donde el desconocimiento del personal médico para identificar potenciales donadores y la legislación referente al tema, la falta de personal y organización médica, así como la actitud son factores que dificultan el proceso de donación de órganos. Conclusiones. Se requiere implementar estrategias para un mayor conocimiento del proceso de donación de órganos para el personal médico, además de capacitación organizacional y constante retroalimentación, de lo contario los resultados continuaran como no positivos.

Digital Inclusion in Older Adults: A Comparison Between Face-to-Face and Blended Digital Literacy Workshops

As information and services are becoming more and more decentralized and they are often available in the cloud, an increasing number of older adults are expected to use Internet-based services—health, education, finance and others. For this reason, it seems important to plan models and/or strategies to allow the older adult population to acquire and enhance digital competencies more easily. The goal of this research is to show a blended workshop based on a Learning Management System (LMS) as a supporting tool for older adults' digital literacy. This blended workshop was based on the adoption of an instructional model and on prior experiences of the groups of elderly that participated in the face-to-face workshops. This study involved 98 adults aged 60 and above, 72 Females (68.5 ± 6.9) and 26 Males (73.3 ± 7.4). 61 older adults participated in the face-to-face workshop (FFG) on digital literacy and 37 participated in the blended workshop (BLG). Digital literacy increased at the post-evaluation after the workshops but even more for the BLG. Likewise, in the validation of the blended workshop the results were positive regarding ease of use, perceived usefulness, attitude toward using and intention to use, which showed that older adults believe that it is useful to implement this type of supporting systems for developing their digital competencies. Hence, it is possible to conclude that older adults are capable of learning and acquiring digital literacy skills as long as they are strongly motivated or they know the functional benefits related to ICT