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BRAIN DEATH: HEALTH TEAM’S EXPERIENCE WITH PARENTS OF CHILDREN AND ADOLESCENTS

MUERTE ENCEFÁLICA: EXPERIENCIA DEL EQUIPO DE SALUD CON LOS PADRES DE NIÑOS Y ADOLESCENTES

ABSTRACT

Objective

to understand the health team’s experience with parents of children and adolescents during the brain death protocol stages.

Method

a qualitative and exploratory research developed in two health institutions of high complexity and reference in the care of children and adolescents with polytrauma. Participants were health professionals from critical patient units. Data collection took place between October and December 2019 through semi-structured interviews. For content analysis, we used the software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires as support.

Results

twenty-one professionals (physicians, nurses and nursing technicians) participated in the study. The general corpus consisted of 21 texts, separated into 123 segments, with the emergence of four classes. The study shows feelings of support and compassion at all brain death protocol stages. In the protocol opening stage, the team’s emotions are focused on the actions of clarifying and revealing information in this process, in addition to pointing out the need for the team to detail the step by step of the exams to be performed. In the communication of death stage, the feeling of being, caring for and welcoming the family relates to other feelings experienced by them.

Conclusion

the study reveals that the health team experiences unique feelings during the brain death protocol in the reality of children and adolescents, revealing the team’s concern with being with the family, paying attention and caring for the pain of loss.

DESCRIPTORS
Brain death; Tissue and organ procurement; Nursing care; Child; Adolescent; Family

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br