Transplant coordinator: organ donation process

Antecedentes: España se mantiene a la cabeza del mundo en donaciones, aunque parece que su número no aumenta en la misma proporción que las listas de espera, lo que hace necesario disminuir las situaciones de negativa cifradas en torno al 16%. Objetivo: analizar los informes de los coordinadores de trasplantes, conceptualizarlos y categorizarlos. Material y métodos: estudio retrospectivo y descriptivo de los informes elaborados por los coordinadores de trasplantes archivados en el Hospital La Fe, entre el 1 de mayo de 2004 y el 31 de diciembre de 2007. Resultados: se extrajeron 69 temas desde el punto de vista de la familia y 11 del de los entrevistadores, que se conceptualizaron, codificaron y clasificaron para textualizarlos de manera ordenada. Conclusiones: con el fin de lograr mayor efectividad podrían plantearse determinadas pautas para homogeneizar la acción de los coordinadores de trasplante en la entrevista.Background: Spain is a leader in organ donations although it seems that this number does not increase in the same proportion that the waiting list and it is necessary to decrease the refusal situations, which are ~16%. Method: Analytic study. We review the reports prepared by the coordinators of transplants archived at the hospital La Fe during the period between May 1, 2004 and December 31, 2007, resulting in conceptualization and categorization. Results: Sixty-nine topics were obtained from the point of view of the family and 11 from the point of view of the interviewer. After its conceptualization, codification and classification, we proceeded to create an appropriate text. Conclusions: Certain guidelines may be offered that allow us to standardize the action of transplant coordinators during the interview and to be more effective

Phenomenological Approach to the Meaning and Impact of Organ Donation in the Family

La donación de órganos es un acontecimiento crítico tras la pérdida de un ser querido. España, a pesar de ser el país del mundo con mayor tasa de donantes, todavía mantiene una negativa familiar del 15,56%. Objetivos: conocer y analizar el impacto de la donación de órganos a través de los significados que tiene para la familia en el contexto español. Materiales y método: estudio cualitativo fenomenológico según el marco conceptual y método de Giorgi. Luego de respetar, al menos, tres años de duelo desde la pérdida de un ser querido, se entrevistaron en profundidad a once familias que donaron órganos en el Hospital La Fe en Valencia. Resultados: tras el análisis de los resultados, se describieron veintisiete unidades de significado que fueron clasificadas en relativos a la pérdida y relativos a la donación de órganos y, posteriormente, correlacionadas. Conclusiones: la donación aparece como mecanismo de alivio o compensación del fallecimiento del familiar.Organ donation is a critical event after the loss of a loved one. Spain, despite being the country with the highest donor rate in the world, still maintains a family negative rate of 15.56%. Objective: Know and analyze the impact of organ donation based on its meaning for the family in the Spanish context. Materials and method: This is a phenomenological qualitative study based on Giorgi's conceptual framework and method. Eleven families who had donated organs at the Hospital La Fe in Valencia were interviewed in depth, following at least three years of mourning since the loss of a loved one. Results: After the results were analyzed, twenty-seven units of meaning were described and classified as relative to the loss and relative to the organ donation. They were then correlated. Conclusion: Organ donation appears to be a relief mechanism or a kind of compensation for the death of a family member

Qualitative Research Process Applied to Organ Donation

The family interview for organ donation continues to be one of the main concerns of transplant coordinators. We approach the family because we need to know the opinion of the person who has just died about the donation of his or her organs. The objective of this article is to describe how the application of the qualitative methodology has been followed to perceive what the relatives live in the moment in which they are informed of the death of their relative and they are offered the option of organ donation. Phenomenology is a philosophy that deals with the granting of meanings. It can simply describe or try to interpret them. Our informants were selected from among donor families until the 11 families were obtained. We use the Giorgi method because it allows us to identify the essence of a phenomenon and transform the lived experience into a textual expression of its essence. The unit of analysis was, each of the statements of the discourse that describes and interprets a reality, what we call “essence” or “meaning units.” It must be the minimum expression of an episode and the experience in relation to it. We have detected 24 themes of the meaning units are most important for families in our area. Families agree on talking about donation, mourning, death, consolation from the donation, and the importance of the support received. Phenomenology is adequate to deepen into the feelings and interests of families in the process of donation

Impact of Organ Donation in Spanish Families: Phenomenological Approach Through Relatives' Lived Experiences

Introduction and Purpose. This study explores the family experience when they are told that their recently deceased relative is in a potential position for organ donation, as well as the connotations that develop from that situation and how those nuances have lasted since then for family members. In Spain, and especially in Valencian region (where this study took place), one of the most productive counties for organ donation nationwide, the family interview is considered to be one of the most important tools that transplant coordinators can use to improve and succeed through the process of a potential organ donation. Methodology and Data Analysis. This is a qualitative study based on a phenomenological approach using Giorgi's method for data analysis. Members of 11 families who donated their deceased relatives' organs in La Fe Hospital, Valencia, Spain, from 2009 to 2011, participated through in-depth interviews after signing informed consent agreements. Discussion. Experiences described have shown how the relatives' overview has been affected by the situation in a way that is very different from the professional staff's view of reality. The difference in perspectives creates a barrier which can make the professional team less effective in understanding family interests to create a helpful and successful relationship for organ donation. Understanding the experiences of the families involved can help healthcare providers to conduct a more supportive family interview when the topic is organ donation.Supported by the Society Spanish of Transplant

Aproximação fenomenológica ao significado e ao impacto da doação de órgãos na família

Organ donation is a critical event after the loss of a loved one. Spain, despite being the country with the highest donor rate in the world, still maintains a family negative rate of 15.56% . Objective:  Know and analyze the impact of organ donation based on its meaning for the family in the Spanish context. Materials and method:  This is a phenomenological qualitative study based on Giorgi’s conceptual framework and method. Eleven families who had donated organs at the Hospital La Fe in Valencia were interviewed in depth, following at least three years of mourning since the loss of a loved one. Results:  After the results were analyzed, twenty-seven units of meaning were described and classified as relative to the loss and relative to the organ donation. They were then correlated. Conclusion:  Organ donation appears to be a relief mechanism or a kind of compensation for the death of a family member.La donación de órganos es un acontecimiento crítico tras la pérdida de un ser querido. España, a pesar de ser el país del mundo con mayor tasa de donantes, todavía mantiene una negativa familiar del 15,56 % . Objetivos:  conocer y analizar el impacto de la donación de órganos a través de los significados que tiene para la familia en el contexto español. Materiales y método:  estudio cualitativo fenomenológico según el marco conceptual y método de Giorgi. Luego de respetar, al menos, tres años de duelo desde la pérdida de un ser querido, se entrevistaron en profundidad a once familias que donaron órganos en el Hospital La Fe en Valencia. Resultados:  tras el análisis de los resultados, se describieron veintisiete unidades de significado que fueron clasificadas en relativos a la pérdida y relativos a la donación de órganos y, posteriormente, correlacionadas. Conclusiones:  la donación aparece como mecanismo de alivio o compensación del fallecimiento del familiar.doi: 10.5294/aqui.2017.17.1.3A doação de órgãos é um acontecimento crítico após a perda de um ser querido. A Espanha, embora seja o país do mundo com maior taxa de doadores, ainda mantém uma negativa familiar de 15,56 % . Objetivos:  conhecer e analisar o impacto da doação de órgãos por meio dos significados que tem para a família no contexto espanhol. Materiais e método:  estudo qualitativo fenomenológico de acordó com o referencial conceitual e o método de Giorgi. Depois de respeitar, pelo menos, três anos de luto desde a perda de um ser querido, foram entrevistadas em profundidade 11 famílias que doaram órgãos no Hospital La Fe em Valência. Resultados:  após a análise de resultados, descreveram-se 27 unidades de significado que foram classificadas em relativos à perda e relativos à doação de órgãos; em seguida, correlacionadas. Conclusões:  a doação aparece como mecanismo de alívio ou compensação do falecimento do familiar

Aproximación fenomenológica al significado e impacto de la donación de órganos en la familia

Organ donation is a critical event after the loss of a loved one. Spain, despite being the country with the highest donor rate in the world, still maintains a family negative rate of 15.56% . Objective:  Know and analyze the impact of organ donation based on its meaning for the family in the Spanish context. Materials and method:  This is a phenomenological qualitative study based on Giorgi’s conceptual framework and method. Eleven families who had donated organs at the Hospital La Fe in Valencia were interviewed in depth, following at least three years of mourning since the loss of a loved one. Results:  After the results were analyzed, twenty-seven units of meaning were described and classified as relative to the loss and relative to the organ donation. They were then correlated. Conclusion:  Organ donation appears to be a relief mechanism or a kind of compensation for the death of a family member.A doação de órgãos é um acontecimento crítico após a perda de um ser querido. A Espanha, embora seja o país do mundo com maior taxa de doadores, ainda mantém uma negativa familiar de 15,56 % . Objetivos:  conhecer e analisar o impacto da doação de órgãos por meio dos significados que tem para a família no contexto espanhol. Materiais e método:  estudo qualitativo fenomenológico de acordó com o referencial conceitual e o método de Giorgi. Depois de respeitar, pelo menos, três anos de luto desde a perda de um ser querido, foram entrevistadas em profundidade 11 famílias que doaram órgãos no Hospital La Fe em Valência. Resultados:  após a análise de resultados, descreveram-se 27 unidades de significado que foram classificadas em relativos à perda e relativos à doação de órgãos; em seguida, correlacionadas. Conclusões:  a doação aparece como mecanismo de alívio ou compensação do falecimento do familiar.La donación de órganos es un acontecimiento crítico tras la pérdida de un ser querido. España, a pesar de ser el país del mundo con mayor tasa de donantes, todavía mantiene una negativa familiar del 15,56 % . Objetivos:  conocer y analizar el impacto de la donación de órganos a través de los significados que tiene para la familia en el contexto español. Materiales y método:  estudio cualitativo fenomenológico según el marco conceptual y método de Giorgi. Luego de respetar, al menos, tres años de duelo desde la pérdida de un ser querido, se entrevistaron en profundidad a once familias que donaron órganos en el Hospital La Fe en Valencia. Resultados:  tras el análisis de los resultados, se describieron veintisiete unidades de significado que fueron clasificadas en relativos a la pérdida y relativos a la donación de órganos y, posteriormente, correlacionadas. Conclusiones:  la donación aparece como mecanismo de alivio o compensación del fallecimiento del familiar.doi: 10.5294/aqui.2017.17.1.