Thesis (MCur (Nursing Science))--University of Pretoria, 2009. / Summary in English. Includes bibliographical references.

Thesis (M.N.)--Memorial University of Newfoundland, 2004. / Typescript. Bibliography: leaves 92-100.

176 f. / Submitted by Ana Valéria de Jesus Moura (anavaleria_131@hotmail.com) on 2013-08-08T13:06:40Z No. of bitstreams: 1 TACIANA PALMEIRA ANDRADE.pdf: 717253 bytes, checksum: c8857f412a3564ee49e95e9e34112dd5 (MD5) / Approved for entry into archive by Ana Valéria de Jesus Moura(anavaleria_131@hotmail.com) on 2013-08-08T13:12:32Z (GMT) No. of bitstreams: 1 TACIANA PALMEIRA ANDRADE.pdf: 717253 bytes, checksum: c8857f412a3564ee49e95e9e34112dd5 (MD5) / Made available in DSpace on 2013-08-08T13:12:32Z (GMT). No. of bitstreams: 1 TACIANA PALMEIRA ANDRADE.pdf: 717253 bytes, checksum: c8857f412a3564ee49e95e9e34112dd5 (MD5) Previous issue date: 2009 / O presente trabalho tem como objetivo principal demonstrar a possibilidade do ordenamento jurídico brasileiro abarcar a hipótese de escolha pelo doador do destinatário dos seus órgãos na doação de órgãos post mortem. Inicialmente, busca-se enquadrar o direito ao próprio corpo como direito da personalidade, relativizando o caráter de indisponibilidade desses direitos de forma a reconhecer a incidência da autonomia privada em seu campo. Ainda, será analisado o princípio da autonomia na sua concepção bioética e sua influência na determinação da possibilidade da escolha pelo doador de órgãos post mortem. Outrossim, ficará demonstrado que o sistema atual possui falhas e que a compatibilização do modelo atual com a possibilidade de escolha pelo doador é possível,utilizando-se como parâmetro o tratamento dado à doação em vida no direito pátrio, bem como na legislação estrangeira. / Salvador

Thesis (M. A. (Clinical Psychology)) -- University of Limpopo, 2019 / Demographical factors affect the way people perceive, conceptualise and make meaning of their daily living experiences, which in turn influence their decision-making abilities in certain situations. Therefore, perceptions and conceptualisations, together with the associated attitudes to organ donation, were defined and understood in participants’ socio-cultural context. A qualitative study was conducted among the African elderly community members of Madibaneng Village (Sekhukhune District), Limpopo Province (South Africa) to explore perceptions of organ donation. African elderly community members were selected using purposive sampling, after ethical clearance from the University and gate-keepers’ permission from the Tswako-Lekentle traditional council had been obtained. Six (6) males and six (6) females were interviewed. Data was collected using semi-structured interviews and analysed using the thematic analysis method. The following psychological themes and subthemes emerged from the study: African elderly community members’ understanding and knowledge about organ donation (inadequate knowledge and lack of awareness); community members’ feelings about organ donation; African elderly community members attitudes to organ donation (family dynamics relating to organ donation, culture and organ donation and psychological aspects of organ donation), and participants’ perceptions of those living with donated organs. The findings revealed that multiple demographical factors affect and influence people’s perceptions of organ donation. The study revealed that 80% of the elderly community members expressed some positive perceptions about the process of organ donation; however, some of the participants expressed conflicting factors that might affect their ultimate decision about becoming donors, such as associated psychological aspects. Other participants portrayed a negative perception that was more likely to have been affected by cultural factors, their family dynamics, belief systems and other social factors in their context. The findings from the current study emphasise that there is a need for effective awareness campaigns to curb the levels of illiteracy and inadequacy in knowledge concerning the subject of organ donation and to incorporate the demographical factors of particular social contexts in the healthcare system and related policies.

Bibliography : leaves 273-293. / iv, 293 leaves ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / A study, from a Foucauldian perspective, of the discourses that surround organ donation and transplantation. / Thesis (Ph.D.)--University of Adelaide, Dept. of Clinical Nursing, 2000?

Made available in DSpace on 2014-08-13T14:50:47Z (GMT). No. of bitstreams: 0 Previous issue date: 2013-02-28Bitstream added on 2014-08-13T18:00:32Z : No. of bitstreams: 1 000758423.pdf: 387299 bytes, checksum: e1e2ab570b813a368d9fbf9b88984285 (MD5) / O transplante de face é um procedimento cirúrgico no qual as estruturas da face de uma pessoa são transplantadas para outra. É uma cirurgia ousada do ponto de vista médico, moral e psicológico, pois, proporciona enorme benefício em termos de melhora da função estética e integração social. Avaliar o conhecimento e a opinião da população sobre o transplante e a doação dos tecidos da face. No período de agosto de 2011 a outubro de 2012 foi aplicado um questionário a 430 pessoas, escolhidas aleatoriamente, na faixa etária acima de vinte e um anos de idade, numa sistemática de coleta seguida em todas as regiões (norte, sul, centro, leste e oeste) da cidade de Botucatu, interior do Estado de São Paulo. O estudo das respostas dos participantes nas diferentes questões objetivas apresentadas foi realizado estabelecendo-se a distribuição frequencial dos dados apresentada por meio de tabelas ou gráficos e analisadas pelo teste do Qui quadrado ( א) para uma amostra. A análise das respostas obtidas foram discutidas ao nível de 5% de significância e consideradas significativas quando o valor de p foi < 0,05, mostrando que a distribuição não é uniforme, mas uma distribuição uniforme das classes. Nas questões dissertativas a análise foi realizada a partir da leitura das mesmas, com elaboração de um resumo das respostas e análise preferencial por região. Dos participantes, 65,8% não possuem conhecimento a respeito da doação dos tecidos da face; 90,1% têm conhecimento que o transplante de face está indicado nos casos de deformidades faciais; 51,7% doariam a face; 67,7% não saberiam como seus familiares reagiriam frente a sua manifestação em vida de doar os tecidos da face; 84% não sabem as implicações sobre as cerimônias fúnebres. Dos participantes, 359 aceitariam conviver com outra face caso fosse necessário e 375 apoiariam se algum familiar manifestasse vontade em ser um doador. A população demonstrou ... / The face transplantation is a surgical procedure in which facial structures are transplanted from one person to another. It's a complex procedure on a medical point of view, moral and psychological, therefore provides many benefits in terms of improving aesthetic function and social integration. To evaluate the knowledge and opinion of the population about the donation and transplantation of facial tissues. From August 2011 to October 2012 a questionnaire was administered to 430 people, randomly selected, with twenty-one years of age or older, systematically collected in all regions (north, south, center , east and west) of the city of Botucatu, state of São Paulo. The study of the objective responses of all participants in the different issues was accomplished by establishing a frequential distribution data presented using tables and graphs and analyzed by chi square (à) for a sample. The analysis of the responses were discussed at the 5% level of significance and considered significant when the p value was <0.05, showing that the distribution is not uniform, but uniformly distributed of the classes. The answers to the descriptive questions were analyzed by reading them and preparation of a summary with analysis by region. Of the participants, 65.8% did not have any knowledge about facial tissue donation, 90.1% knows that face transplantation is indicated in cases of facial deformities, 51.7% are able to donate tissues of the face, 67.7% are not aware how their families would react against its manifestation in life to give tissues of the face, 84% have no knowledge about the implications on the funeral ceremonies. Of all participants, 359 would accept to live with other face if necessary and 375 would support any family members in being a donor. The population showed a limited knowledge about the implications on the donation and transplantation of face tissues, but would accept to live with if necessary and support any family members ...

Orientador: Alexandre Bakonyi Neto / Banca: Aristides Palhares / Banca: André Ibrahim / Resumo: O transplante de face é um procedimento cirúrgico no qual as estruturas da face de uma pessoa são transplantadas para outra. É uma cirurgia ousada do ponto de vista médico, moral e psicológico, pois, proporciona enorme benefício em termos de melhora da função estética e integração social. Avaliar o conhecimento e a opinião da população sobre o transplante e a doação dos tecidos da face. No período de agosto de 2011 a outubro de 2012 foi aplicado um questionário a 430 pessoas, escolhidas aleatoriamente, na faixa etária acima de vinte e um anos de idade, numa sistemática de coleta seguida em todas as regiões (norte, sul, centro, leste e oeste) da cidade de Botucatu, interior do Estado de São Paulo. O estudo das respostas dos participantes nas diferentes questões objetivas apresentadas foi realizado estabelecendo-se a distribuição frequencial dos dados apresentada por meio de tabelas ou gráficos e analisadas pelo teste do Qui quadrado ( א) para uma amostra. A análise das respostas obtidas foram discutidas ao nível de 5% de significância e consideradas significativas quando o valor de p foi < 0,05, mostrando que a distribuição não é uniforme, mas uma distribuição uniforme das classes. Nas questões dissertativas a análise foi realizada a partir da leitura das mesmas, com elaboração de um resumo das respostas e análise preferencial por região. Dos participantes, 65,8% não possuem conhecimento a respeito da doação dos tecidos da face; 90,1% têm conhecimento que o transplante de face está indicado nos casos de deformidades faciais; 51,7% doariam a face; 67,7% não saberiam como seus familiares reagiriam frente a sua manifestação em vida de doar os tecidos da face; 84% não sabem as implicações sobre as cerimônias fúnebres. Dos participantes, 359 aceitariam conviver com outra face caso fosse necessário e 375 apoiariam se algum familiar manifestasse vontade em ser um doador. A população demonstrou ... / Abstract: The face transplantation is a surgical procedure in which facial structures are transplanted from one person to another. It's a complex procedure on a medical point of view, moral and psychological, therefore provides many benefits in terms of improving aesthetic function and social integration. To evaluate the knowledge and opinion of the population about the donation and transplantation of facial tissues. From August 2011 to October 2012 a questionnaire was administered to 430 people, randomly selected, with twenty-one years of age or older, systematically collected in all regions (north, south, center , east and west) of the city of Botucatu, state of São Paulo. The study of the objective responses of all participants in the different issues was accomplished by establishing a frequential distribution data presented using tables and graphs and analyzed by chi square (à) for a sample. The analysis of the responses were discussed at the 5% level of significance and considered significant when the p value was <0.05, showing that the distribution is not uniform, but uniformly distributed of the classes. The answers to the descriptive questions were analyzed by reading them and preparation of a summary with analysis by region. Of the participants, 65.8% did not have any knowledge about facial tissue donation, 90.1% knows that face transplantation is indicated in cases of facial deformities, 51.7% are able to donate tissues of the face, 67.7% are not aware how their families would react against its manifestation in life to give tissues of the face, 84% have no knowledge about the implications on the funeral ceremonies. Of all participants, 359 would accept to live with other face if necessary and 375 would support any family members in being a donor. The population showed a limited knowledge about the implications on the donation and transplantation of face tissues, but would accept to live with if necessary and support any family members ... / Mestre

M.Cur. / Various factors influence the process of organ donation. As a result there is a shortage of organs for transplant. Poor communication and cooperation between transplant coordinators and intensive care nursing staff can lead to the non-referral of potential organ donors, which is detrimental to the process. The purpose of the research is to ascertain the attitude and knowledge of the transplant coordinators and intensive care nursing staff who work in intensive care units during organ donation and to draw up guidelines for the improvement of communication and cooperation between them. Contextual descriptive research was done by compiling literature based questionnaires, one each for the transplant coordinators and intensive care nursing staff and then analysing responses. The indications are that problem areas exist between the role players in the organ transplant process. This results in the insufficient referrals from intensive care units which are detrimental to the organ donation process. From this research, the following guidelines can be drawn up to promote organ donation: To provide a policy manual regarding organ donation for every intensive care unit. The respective roles of the transplant coordinator and intensive care nursing staff in the organ donation process must be clarified. Awareness campaigns should be held to promote organ donation. Feedback should be given by transplant coordinators and intensive care nursing staff regarding transplant occurrences. Role models in practical situations should be identified. An education programme regarding organ donation should be implemented. Emotional support programmes should be available to health personnel.

General Abstract Objective: In April 2006, the Scottish Liver Transplant Unit (SLTU) became the first NHS transplant unit in the UK to offer the option of Living Donor Liver Transplantation (LDLT). This represented a unique opportunity to evaluate the functional and psychosocial impact of LDLT upon healthy donors and their recipients. Subsequent aims were to investigate the challenge of introducing LDLT in Scotland and to establish the perceived deterrents and attractions of the procedure. An additional aim was to evaluate the impact of Living Donor Kidney Transplantation (LDKT) upon donors and recipients. Design: A series of cross sectional and longitudinal studies were designed for the purpose of this thesis (3 quantitative, 2 qualitative, and 1 mixed methods). Method: Self report questionnaires were used in each of the quantitative studies, with the addition of neuropsychological computerized tests in two studies. Semi-structured interviews were employed in the qualitative studies. Main Findings: •Prior to its introduction general support for the option of LDLT was found, although it was highlighted that the risk involved was not well understood by the general public. •Since becoming available LDLT has not been a readily acceptable treatment option from the perspective of patients due to the perceived risk for the donor, but it may be considered as a “last option”. Family members were motivated to save their loved one’s life but the personal implications of donating resulted in reconsideration of LDLT. • Staff at the SLTU perceived a lack of family commitment in relation to LDLT, which is explained as a cultural factor contributing to the slow uptake of LDLT. In Scotland, a donation from a younger to an older generation is not easily accepted. This, in addition to patients’ optimism that a deceased donation will arrive, and the poor health of potential donors, is thought to have affected the uptake of LDLT. As has the unit’s conservative approach to the promotion of LDLT. This approach is the result of a perceived reduction in the need for LDLT and a preference to avoid the risk to a healthy donor and conduct transplants with deceased donations. • In over 3 years, only one couple completed LDLT. The recipient showed functional and psychosocial improvement from pre to post procedure, whilst the donor showed slight deterioration in aspects of quality of life 6 weeks post donation, which did not always completely return to a baseline level by 6 months. The donor made sacrifices to provide her husband with a fresh start to life and unmet expectations were found to effect quality of life. •Willingness to become a liver donor is not thought to be influenced by the frame of the information provided. •Like the LDLT donor, LDKT donors experience some functional and psychosocial deterioration at 6 weeks post donation, but donors largely recover by 6 months post donation. However, the anticipated benefit to recipients was not evident and may not be quantifiable until after 6 months post operation. Conclusion: This thesis has added to current knowledge on living organ donation and specifically represents the first psychological evaluation of a UK LDLT programme. The slow uptake of LDLT was unexpected and has resulted in informative, novel research.

By path analysis, it was found that only self-efficacy and subjective norm, but not general attitudes, significantly predicted individuals' BID across all samples. Moreover, in contrast to the hypothesis, results showed that after-death anxiety predicted self-efficacy but not attitudes. Low after-death anxiety, accurate knowledge regarding organ donation, and high subjective norm promoted self-efficacy. Altruism was the main determinant of attitudes but its indirect impact on BID was weak. The applicability of the model on all four samples was acceptably high, and the configural invariance of the model was generally supported across three ethnic groups. / Previous studies have shown that the general public exhibits favorable attitudes toward posthumous organ donation, but a low donor card signing rate. Hence, positive attitudes may not be a good predictor of the behavioral commitment to donate organs. This dissertation was a cross-cultural study on the actual behaviors of signing or taking away the donor card (i.e. b&barbelow;ehavioral i&barbelow;ntentions to d&barbelow;onate organs after death (BID). It aimed at proposing an integrative, content-specific but culture-general model for posthumous organ donation. The model was composed of two levels of influences on BID, namely, the proximal level (including self-efficacy toward signing the donor card, general attitudes toward posthumous organ donation, and subjective norm for posthumous organ donation) as well as the distal level (including knowledge regarding posthumous organ donation, altruism, and after-death anxiety). The model was first tested and refined among 517 Chinese college students (Study 1), and was then further validated with 290 Chinese community adults (Study 2) in Hong Kong. The applicability of the model was also examined with a Western control sample of 217 Caucasian American college students (Study 3) and a non-Chinese Asian sample of 670 Japanese college students (Study 4). Psychosocial characteristics of three college samples were then compared, and ethnic differences on predictive values of psychosocial factors on BID were studied (Study 5). / The ANOVA results challenged the old assumption of underlying similarities in psychosocial characteristics across Asian ethnic groups. As expected, Americans were the most likely to show BID, followed by Chinese, while Japanese had the lowest tendency to show BID. (Abstract shortened by UMI.) / Wu Man Sze Anise. / "May 2005." / Adviser: Catherine S. K. Tang. / Source: Dissertation Abstracts International, Volume: 67-01, Section: B, page: 0604. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2005. / Includes bibliographical references (p. 122-136). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstract in English and Chinese. / School code: 1307.