Using an analogue format, the present study evaluated the viability of relationship and interactional concepts that have been applied to the physician-patient interaction to the field of organ donation by examining the donation request process between procurement coordinators and simulated families. Interpersonal processes were assessed using behavioral ratings by independent observers. Procurement coordinators were viewed as being more submissive than dominant and more friendly than hostile. Family members were viewed as being more hostile than friendly, more dominant and hostile than submissive or friendly, disclosing slightly more personal information than medical information, and engaging in slightly more shared decision making than providing medical information. Procurement coordinator gender and ethnicity and family ethnicity influenced interpersonal behavior. Several interpersonal variables were associated with measures of the “decision to donate” obtained from raters and simulated families. Implications for the field of organ donation and the training of procurement coordinators are discussed.

Currently there is a critical shortage of transplantable organs in the UK. The existing evidence base highlights that cultural and religious norms can hinder familial consent and uptake of registration as an organ donor, particularly within ethnic minority groups. There is a dearth of information relating to the Polish community in the UK. Since the expansion of the European Union and the potential and consequent economic migration of Poles to the UK, this community presents a potential significant contribution to the active transplant waiting list, NHS Organ Donor Register and requests made for organs for donation on behalf of a relative. The aim of the study was to examine in depth, the perceptions of the relationship between deceased organ donation, gift exchange and religion. Due to the exploratory nature of the study, grounded theory methodology was used and one to one interviews were carried out with 31 participants who were recruited using a purposive convenience sampling strategy. This approach allowed for the collection of rich and deep data in a hitherto under-researched issue with the Polish community in the UK. To contextualise the key findings of the relationship, an in-depth analysis of settlement patterns, helping behaviour and experiences of and attitudes toward religion was conducted. The relationship between religion and gift-exchange was perceived to interact in different ways with deceased organ donation depending on the context. For the individual making an end-of-life choice, gift exchange impacted on the perception of the organ as a gift and whether reciprocity was expected, religion shaped views of the need for the body after death and social and cultural norms influenced the view of the 'typical' donor and family discussion of donation. For the relatives, social, religious and cultural norms impacted on death rituals and the conceptualisation of the dead body and experiences of a relative's death. This study contributes to an understanding of the social, cultural and religious norms toward deceased organ donation from a Polish perspective and the implications for policy, health promotion and clinical practice.

Esta pesquisa centra-se na formação profissional voltada para o processo de doação/transplante de órgãos humanos, visto tratar-se de assuntos complexos que demandam, entre outros aspectos, o preparo profissional adequado para atuação oportuna. Assim, neste estudo, objetivou-se analisar a formação, o preparo e o enfrentamento dos problemas relativos ao processo de doação de órgãos, identificando esses elementos com os graduandos em Enfermagem, de uma instituição pública, possibilitando, após o levantamento, elaborar, executar e avaliar as ações educativas sobre essa temática, na perspectiva da manutenção da saúde mental do enfermeiro (a). A partir desses achados, concomitantemente objetivou-se realizar um evento científico para dar ênfase no processo de educação e multidisciplinaridade na doação/transplante de órgãos e tecidos humanos.Utilizando- se da investigação qualitativa, humanista, mediatizada pelo método da pesquisa- ação, realizou-se o levantamento temático. O referencial teórico-metodológico adotado delimitou o método em três partes: levantamento de temas geradores, codificação/descodificação e desvelamento crítico. O levantamento de dados sócio-demográficos e da percepção temática ocorreu através da aplicação de questionários contendo questões abertas, para identificação dos temas geradores, usando categorização temática. A ação educativa ocorreu a partir do tratamento didático dos temas geradores, transformando-os em conteúdos programáticos, que foram codificados/descodificados e desvelados criticamente pelos participantes, por meio de círculos de cultura. A verificação de aprendizagem, ocorreu através da avaliação diagnóstica, formativa e somativa. A elaboração, o desenvolvimento e a avaliação da ação educativa, foram realizados após aprovação pelo comitê de ética em pesquisa (Processo nº. 292.446) Os resultados, foram trabalhados em três encontros direcionados pelos temas geradores identificados, junto com os participantes. 1º) discutiu-se o conceito de vida/morte; princípios e valores. 2º) trabalhou-se dois temas geradores, sendo: a) processo de doação/transplante de órgãos; b) formação acadêmica em doação/transplante de órgãos. 3º) focou-se na educação para a doação junto à população. Os temas foram se complementando no decorrer dos encontros. No primeiro, a visão ingênua dos graduandos começou a ser desmistificada ao se aproximarem da complexidade de todo o processo, e se consolidando após o segundo encontro ao se articular as discussões do primeiro dia de atividade, com os esclarecimentos sobre a atuação do profissional enfermeiro no processo de doação. No terceiro encontro, após intensas discussões realizadas nos dias anteriores, pôde-se observar grande preocupação dos estudantes em discutir melhor esse tema durante sua formação acadêmica e, em ampliar as atividades educativas junto à população. As dificuldades que permeiam todo o processo podem ser sanadas, através da conscientização tanto da população quanto dos acadêmicos e profissionais que já atuam nessa área, visando preservar, o bem-estar e saúde mental de todos os envolvidos nesse processo. Emanados por essa realidade, um evento científico foi realizado em parceria Brasil/Espanha, buscando abordar questões do processo de doação e transplantes de órgãos que consideramos frágeis diante desse estudo. Assim, depreendemos que o processo educativo concretizado por esse estudo atendeu as lacunas de saberes e práticas, sobretudo pela problematização do contexto / This research focuses on professional training geared towards the process of human donation/transplant, meanwhile these are complex issues that require, among other things, the professional preparation suited for opportune action. This study aimed to analyze the training, preparation and coping with problems related to organ donation process, identifying those elements with nursing undergraduate students of a public institution, making it possible, after the investigation, developing, implementing and evaluating educational activities about this theme with according to mental health nurses perspective. Based on these findings, simultaneously, aimed to conduct a scientific event to give emphasis on education and multidisciplinary process in the donation / transplant of human organs and tissues. Using humanist and qualitative research mediated by the method Research-Action-Participant, took place the thematic investigation. The theoretical framework adopted is divided into three sections: search generating themes, encryption/decryption and critical unveiling. The data entry of socio-demographic and thematic perception data occurred through the questionnaires use containing open questions to identify the generating themes using thematic categorization. The educational activity occurred from the didactic treatment of generating themes, turning them thematic contents, which were encoded/decoded and, critically, unveiled by participants through crop circles. The verification of learning occurred by diagnostic evaluation, formative and somative evaluation. The preparation, development and evaluation of educational activities were conducted after approval by the Ethics in Research Committee (Process nº. 292.446). The results were worked in three meetings targeted by generating themes identified, along with the participants. 1) Discussion about life\'s concept and death\'s concept; principles and values. 2) Worked up two main themes, namely: a) donation process / organ transplants; b) academic training in donation / organ transplantation. 3) Focus on education for the donation among the population. The themes were complementing during the meetings. At first, the naive students view began to be demystified as they approached the complexity of the process, and consolidating after the second meeting, to articulate the discussions of the first day of activity, with the elucidation of the professional nurse acting in donation process. In the third meeting, after intensive discussions, it was observed major concern of students to discuss this subject during their education and expand educational activities among the population. The difficulties permeating the whole process can be solved through awareness both of the population as of academics and professionals already working in this area, to preserve the well-being and mental health of all involved in this process. Issued by this reality, a scientific event was held in partnership Brazil/Spain, seeking address issues of the donation process and organ transplants that we consider fragile before this study. Thus, we inferred that the educational process implemented by this study healed the gaps of knowledge and practices, especially by problematization of the context

Submitted by Geyciane Santos (geyciane_thamires@hotmail.com) on 2015-05-20T15:14:22Z No. of bitstreams: 1 Dissertação- Maria Gleny Barbosa Soares.pdf: 1473536 bytes, checksum: 3a660cea825ed798b505e943f981a27c (MD5) / Made available in DSpace on 2015-05-20T15:14:22Z (GMT). No. of bitstreams: 1 Dissertação- Maria Gleny Barbosa Soares.pdf: 1473536 bytes, checksum: 3a660cea825ed798b505e943f981a27c (MD5) Previous issue date: 2014-06-06 / CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / In 2011, in Amazonas, the process of organ transplant from deceased patient in a public hospital was began; this is presented as a praxis of great spread in the State. To comprehend this process it is important to understand the historical processes of transplants, its giving practice, the therapeutic possibilities for those who are on the waiting list, and above all, the experience the families undergo specially from the donor’s mother’s perspective. The donation of organs of deceased patients in the city of Manaus is a recent program in its the health system. This program was implanted to make the therapeutics of transplants possible as a treatment for chronic renal failure. Family authorization is required especially because of the suffering they are going through. Given this great loss - usually a son or daughter – the issue is raised because of a sense of how the mother gives new meaning to the death of a child through organ donation. The purpose of this research is to comprehend the meaning attributed to the donation process in the perspective of the mothers during the post-donation phase, through the Phenomenological-Existential Psychology approach. Two articles were written: the first brings a literature revision about the theme: organ donation, family and structures aspects through the view of the Phenomenological-Existential Psychology, in which there is a general view of the process of organ donation as a translation of new signification to death/donation for the continuity of life. The second shows empirical data using the qualitative research according to the phenomenological methods having 5 son/daughter-donors, from 10 to 19 years old that went through the donation process in from 2012 to 2013, monitored by the Transplant Center of Amazonas. Four categories were created from the discourse: Life suffers with sudden transformations: the facticity; Sudden death crosses the world; Donation: the hard decision making moment; Re-signifying organ donation. The loss of a child and the decision making process towards donation is an experience that brings particular references, mixed feelings and new meanings. / No Amazonas, em 2011, iniciou o transplante de órgãos a partir de doador falecido nos Hospitais Públicos, que se apresenta como uma práxis de grande envergadura no Estado. Para a compreensão deste processo é importante o entendimento dos aspectos históricos do transplante, a prática de doar, as possibilidades terapêuticas para quem aguarda na fila de transplantes e, sobretudo, as experiências constituídas na família e na ótica das mães dos doadores. A doação de órgãos, a partir de doadores falecidos na cidade de Manaus, é um programa recente da área da saúde. Foi implantado para viabilizar a terapêutica de transplante como tratamento aos pacientes com Insuficiência Renal Crônica. Esta medida envolve a autorização da família que está em um momento da perda de seu ente para efetivar essa possibilidade. Dada essa grande perda – geralmente de um filho – o questionamento vem no sentido de como essas mães ressignificam a morte de um filho, a partir da doação de seus órgãos. O objetivo desta pesquisa é compreender o sentido e significado atribuídos ao processo da doação de órgãos na perspectiva das mães no pós-doação, à luz da Psicologia Fenomenológico-Existencial. Foram elaborados dois artigos: o primeiro traz uma revisão da Literatura acerca das temáticas: doação de órgãos, aspectos estruturais e familiares envolvidos sob a perspectiva da Psicologia Fenomenológico-Existencial, em que se empreende uma visão geral do processo doação-transplante como tradução de novas ressignificações à morte/doação para a continuidade da vida. O segundo mostra dados empíricos utilizando o viés qualitativo em pesquisa desenvolvida de acordo com os preceitos do método fenomenológico, tendo como participantes 5 mães de filhos-doadores, na faixa-etária entre 10 a 19 anos, que realizaram a doação de órgãos, no período de 2012 a 2013, acompanhadas pela Central de Transplantes do Amazonas. Foram elaboradas quatro categorias a partir dos discursos: E a vida sofre transformações abruptas: a facticidade; A morte perpassa o mundo; A doação: o difícil momento da decisão; Ressignificações da doação de órgãos. Considera-se que as vivências relacionadas à perda do filho e o processo de tomada de decisão para doação significa uma experiência que traz referências particulares, difusos sentimentos, e ressignificações.

Esta pesquisa centra-se na formação profissional voltada para o processo de doação/transplante de órgãos humanos, visto tratar-se de assuntos complexos que demandam, entre outros aspectos, o preparo profissional adequado para atuação oportuna. Assim, neste estudo, objetivou-se analisar a formação, o preparo e o enfrentamento dos problemas relativos ao processo de doação de órgãos, identificando esses elementos com os graduandos em Enfermagem, de uma instituição pública, possibilitando, após o levantamento, elaborar, executar e avaliar as ações educativas sobre essa temática, na perspectiva da manutenção da saúde mental do enfermeiro (a). A partir desses achados, concomitantemente objetivou-se realizar um evento científico para dar ênfase no processo de educação e multidisciplinaridade na doação/transplante de órgãos e tecidos humanos.Utilizando- se da investigação qualitativa, humanista, mediatizada pelo método da pesquisa- ação, realizou-se o levantamento temático. O referencial teórico-metodológico adotado delimitou o método em três partes: levantamento de temas geradores, codificação/descodificação e desvelamento crítico. O levantamento de dados sócio-demográficos e da percepção temática ocorreu através da aplicação de questionários contendo questões abertas, para identificação dos temas geradores, usando categorização temática. A ação educativa ocorreu a partir do tratamento didático dos temas geradores, transformando-os em conteúdos programáticos, que foram codificados/descodificados e desvelados criticamente pelos participantes, por meio de círculos de cultura. A verificação de aprendizagem, ocorreu através da avaliação diagnóstica, formativa e somativa. A elaboração, o desenvolvimento e a avaliação da ação educativa, foram realizados após aprovação pelo comitê de ética em pesquisa (Processo nº. 292.446) Os resultados, foram trabalhados em três encontros direcionados pelos temas geradores identificados, junto com os participantes. 1º) discutiu-se o conceito de vida/morte; princípios e valores. 2º) trabalhou-se dois temas geradores, sendo: a) processo de doação/transplante de órgãos; b) formação acadêmica em doação/transplante de órgãos. 3º) focou-se na educação para a doação junto à população. Os temas foram se complementando no decorrer dos encontros. No primeiro, a visão ingênua dos graduandos começou a ser desmistificada ao se aproximarem da complexidade de todo o processo, e se consolidando após o segundo encontro ao se articular as discussões do primeiro dia de atividade, com os esclarecimentos sobre a atuação do profissional enfermeiro no processo de doação. No terceiro encontro, após intensas discussões realizadas nos dias anteriores, pôde-se observar grande preocupação dos estudantes em discutir melhor esse tema durante sua formação acadêmica e, em ampliar as atividades educativas junto à população. As dificuldades que permeiam todo o processo podem ser sanadas, através da conscientização tanto da população quanto dos acadêmicos e profissionais que já atuam nessa área, visando preservar, o bem-estar e saúde mental de todos os envolvidos nesse processo. Emanados por essa realidade, um evento científico foi realizado em parceria Brasil/Espanha, buscando abordar questões do processo de doação e transplantes de órgãos que consideramos frágeis diante desse estudo. Assim, depreendemos que o processo educativo concretizado por esse estudo atendeu as lacunas de saberes e práticas, sobretudo pela problematização do contexto / This research focuses on professional training geared towards the process of human donation/transplant, meanwhile these are complex issues that require, among other things, the professional preparation suited for opportune action. This study aimed to analyze the training, preparation and coping with problems related to organ donation process, identifying those elements with nursing undergraduate students of a public institution, making it possible, after the investigation, developing, implementing and evaluating educational activities about this theme with according to mental health nurses perspective. Based on these findings, simultaneously, aimed to conduct a scientific event to give emphasis on education and multidisciplinary process in the donation / transplant of human organs and tissues. Using humanist and qualitative research mediated by the method Research-Action-Participant, took place the thematic investigation. The theoretical framework adopted is divided into three sections: search generating themes, encryption/decryption and critical unveiling. The data entry of socio-demographic and thematic perception data occurred through the questionnaires use containing open questions to identify the generating themes using thematic categorization. The educational activity occurred from the didactic treatment of generating themes, turning them thematic contents, which were encoded/decoded and, critically, unveiled by participants through crop circles. The verification of learning occurred by diagnostic evaluation, formative and somative evaluation. The preparation, development and evaluation of educational activities were conducted after approval by the Ethics in Research Committee (Process nº. 292.446). The results were worked in three meetings targeted by generating themes identified, along with the participants. 1) Discussion about life\'s concept and death\'s concept; principles and values. 2) Worked up two main themes, namely: a) donation process / organ transplants; b) academic training in donation / organ transplantation. 3) Focus on education for the donation among the population. The themes were complementing during the meetings. At first, the naive students view began to be demystified as they approached the complexity of the process, and consolidating after the second meeting, to articulate the discussions of the first day of activity, with the elucidation of the professional nurse acting in donation process. In the third meeting, after intensive discussions, it was observed major concern of students to discuss this subject during their education and expand educational activities among the population. The difficulties permeating the whole process can be solved through awareness both of the population as of academics and professionals already working in this area, to preserve the well-being and mental health of all involved in this process. Issued by this reality, a scientific event was held in partnership Brazil/Spain, seeking address issues of the donation process and organ transplants that we consider fragile before this study. Thus, we inferred that the educational process implemented by this study healed the gaps of knowledge and practices, especially by problematization of the context

One way internet users determine the quality of a website is to look for so called 'credibility factors'. These factors can either be positive: the presence of a date, reference list, independent site certification; or negative: the presence of advertisements or broken links. This thesis investigates what role such factors play in the effectiveness of two e-health interventions. An e-health intervention is a health related website designed to change a person’s behaviour. Until now research into credibility has been largely theoretical. Studies have relied on subjective outcome measures such as Likert scales, website content recall, expressions of preference and self reported behaviour. This thesis describes two studies, the second of which investigates, for the first time, whether surface credibility manipulations change objective behavioural outcomes. Surface credibility is how much a perceiver believes a website on simple inspection. Based on a comprehensive literature review of credibility research, the following credibility factors were explored: presence of advertising, recognisable logos, contact details, physical address, references, third party certification, currency information, privacy statement, HTTPS encryption, top level domain and presence of a broken link. The first study involved the assembly of an exercise promotion website. Participants were randomised to receive the site modified to contain either factors heightening credibility or those lowering credibility. Participants using the high credibility version spent twice as long browsing the site as those using the low credibility version. There was no effect on attitude to exercise or self reported physical activity. The second study used the same methodology but with a website targeting an objectively measurable health behaviour (registration as an organ donor). In this study 889 university students were exposed to a website promoting organ donation. Information on the site was assembled based on theoretical domain interviewing and current research into organ donation interventions. 336 (37.79%) participants registered through the study website. The study detected no significant difference in registration rates between high and low credibility versions of the site. Of the 17 comments left on the low credibility site, only 3 were credibility related criticisms. It is the finding of this thesis that university students are willing to submit personal information and place trust in a website contravening many current credibility guidelines. Future studies into credibility are needed to explore why this is the case. One possibility is that the website was trusted simply because it was part of a research study. Another possibility is that the high quality of the textual content compensated for the lack of credibility of the site itself. It is the recommendation of this thesis that future studies focus on objective behavioural outcome measures and control for other forms of credibility such as participation in a research study.

Esta pesquisa teve por objetivos conhecer a percepção de enfermeiros sobre conflitos éticos no processo de doação de órgãos e tecidos para transplante, como são tomadas as decisões e o que é levado em consideração para a tomada de decisão frente a conflitos éticos. Foi realizado um estudo exploratório, descritivo e de abordagem qualitativa, sendo utilizada a análise de conteúdo proposta por Bardin. Foram realizadas onze entrevistas com enfermeiros que prestaram assistência a potenciais doadores na prática profissional, há pelo menos um ano, lotados nas seguintes unidades: UTI adulto e pediátrica, Pronto socorro, Centro cirúrgico, Unidades de internação e na Comissão Intra Hospitalar de Doação de Órgãos e Tecidos para Transplante. Após a análise emergiram cinco categorias: 1. Dificuldade em aceitar a morte encefálica; 2. Não aceitação da equipe multiprofissional de desconectar o ventilador mecânico do paciente em morte encefálica não doador de órgãos; 3. Dificuldades da equipe multiprofissional durante o processo de doação de órgãos; 4. Situações que podem interferir no processo de doação de órgãos e 5. Tomada de decisão frente a conflitos éticos no processo de doação de órgãos. Os resultados mostraram que os enfermeiros identificam conflitos éticos no processo de doação de órgãos, gerados por diversos fatores como: a dificuldade em aceitar a morte encefálica como morte do individuo, a resistência em aceitar a suspensão do suporte terapêutico no paciente em morte encefálica, a falta de conhecimento e comprometimento durante o processo de doação, o descaso e assistência inadequada ao potencial doador de órgãos, a dificuldade com a alocação de recursos humanos e materiais incluindo a liberação de leitos de UTI para o potencial doador; as crenças religiosas e as falhas de comunicação. Além disso, para tomar decisão frente aos conflitos éticos, eles levam em conta o princípio da beneficência, o dever legal e, principalmente, o diálogo com os colegas. Assim, ficou evidenciado que o processo de doação de órgãos está permeado por conflitos éticos, demonstrando uma necessidade de reflexão e discussão sobre o tema, incluindo as situações geradoras e as tomadas de decisão frente aos conflitos éticos / This research aimed to know the perception of nurses on ethical conflicts in the process of donating organs and tissue for transplantation, as decisions are made and what is taken into account in decision-making in the face of ethical conflicts. We conducted an exploratory, descriptive and qualitative approach, using the content analysis proposed by Bardin. Eleven interviews were conducted with nurses who provided assistance to potential donors in professional practice for at least one year, allocated in the following units: adult and pediatric ICU, First Aid, surgical center, inpatient units and the Commission Intra Hospital Organ Donation and Tissues for Transplantation. After analyzing five categories: 1. Difficulty accepting brain death, 2. Non-acceptance of the multidisciplinary team to disconnect the ventilator patient\'s brain-dead organ donor is not 3. Difficulties of the multidisciplinary team during the process of organ donation 4. Situations that may affect the process of organ donation and 5. Decision making in the face of ethical conflicts in the process of organ donation. The results showed that nurses identify ethical conflicts in the process of organ donation, generated by several factors: the difficulty in accepting brain death as death of the individual, the resistance to accept the suspension of therapeutic support in brain death, the lack of knowledge and commitment during the donation process, neglect and inadequate care of the potential organ donor, the difficulty with the allocation of human and material resources including the release of ICU beds for the potential donor, religious beliefs and failures communication. Moreover, to make decisions in the ethical conflicts, they take into account the principle of beneficence, the legal duty, and especially the dialogue with colleagues. Thus, it became evident that the process of organ donation is permeated by ethical conflicts, demonstrating a need for reflection and discussion on the topic, including generating situations and decision making in the face of ethical conflicts

The purpose of this study is to identify and explore issues and challenges that impact on transplant coordinators and their practice. Such identification enhances understanding of their role, provides evidence for decision-makers to facilitate the positive aspects of the coordinators' practice, highlights their professional needs and contributions and provides baseline data for future research, education and policy development. The study used both qualitative and quantitative data. Data collection methods involved focus group interviews and Delphi surveys. Participants were coordinators who were employed on a full-time, part-time or relieving basis. Recruitment of participants was done by purposive and snowball sampling. There were 112 coordinators in the study and each was randomly assigned to the focus groups or Delphi survey phases of the research. The analysis of the focus group data together with the literature, informed the development of the first Delphi survey. The second Delphi survey was developed using the data from the focus groups, literature and the first survey. Four categories emerged from the data. The first involved 'knowledge and experience', which explored the education needs of coordinators and the issue of nursing qualification requirements. The work environment, demands and conditions, together with role attributes were discussed in the next category - 'the role'. Recipient, donor family and transplant coordinator outcomes were addressed in the 'outcomes’ category. The basic social process – building relationships - explored the relationships that coordinators have with the health team and their client groups. Four types of relationships emerged which were supportive, non-supportive, aggressive and virtual relationships. The emergent theory of the challenges that transplant coordinators face relates to the building of relationships. The theory also discovers how knowledge and experience, the role and outcomes impact on the building of these relationships in an interdependent manner. This study also emphasises that the transplant coordinators' role is complex, demanding and distinctly unique in terms of the context within which coordinators practice. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1311520 / Thesis (Ph.D.) -- University of Adelaide, School of Population Health and Clinical Practice, 2008

The decision to become an organ donor involves considering both self-relevant risks and the needs of others. This study applied prospect theory to examine how message frames that focus on the possible survival or death of a potential organ transplant recipient affect participants' willingness to become organ donors. Perceived personal risk and ambivalence were examined as moderating variables. Results indicate that risk, rather than ambivalence, played an instrumental role in participants' decisions to donate. Although no main effects or interactions related to message frame emerged in initial analyses, a supplemental analysis revealed a modest persuasive advantage for the loss-framed message among low-risk participants. Additional analyses revealed that for low-risk participants, perceived benefits of organ donation were higher for the loss frame than the gain frame, whereas the opposite pattern was found for high-risk participants. Findings suggest that decisions about organ donation may be associated with unique responses to message frames.

Bakgrund: För att kunna bli organdonator måste en patient avlida i total hjärninfarkt medan han/hon vårdas i respirator. Det är få personer som avlider på detta sätt.  När döden har fastställts får medicinska åtgärder inte fortsätta mer än 24 timmar. Sjuksköterskan som bör vara med i hela processen, står inför flera utmaningar; är patienten lämplig som organdonator? vad är patientens önskan? vad är anhörigas önskan? m.m. Syfte: Syftet med studien var att belysa sjuksköterskans upplevelse av att vårda en potentiell organdonator med diagnostiserad total hjärninfarkt. Metod: Litteraturstudie baserad på nio vetenskapliga artiklar. Resultat: Resultatet presenteras i kategorierna; att möta anhöriga, behovet av kunskap och sjuksköterskans yrkesroll. Familjeperspektivet involverar etik, lagar och känslomässiga aspekter. Många sjuksköterskor uttryckte att de hade bristande kunskap och att det fanns ett stort behov av utbildning kring hur information och stöd ska ges till anhöriga samt hur en potentiell organdonator identifieras. Vård av en organdonator kräver extra resurser och mer emotionellt engagemang, i jämförelse med att vårda levande IVA patienter. Slutsats: Mer forskning inom organdonation kan öka kunskapen och medvetenheten hos allmänheten och sjukvårdspersonal, vilket kan leda till att öka antalet organdonationer. / Background: In order to become an organ donor, a patient must die of total cerebral infarct while he/she is placed in a ventilator. There are few people who die like that. When death has been established medical interventions may not continue for more than 24 hours. The nurse, who should be involved in the whole donorprocess, faces several challenges: is the patient suitable as an organ donor? what is the patient's wish? what is the family's wish? Etc. Aim: The aim of this study was to illuminate nurses' experience of caring for a potential organ donor diagnosed with total cerebral infarction. Method: Literature review based on nine scientific articles. Results: The results are presented in categories, to meet relatives, the need for knowledge and the nursing profession. Family perspective involves ethics, laws and emotional aspects. Many nurses expressed that they had a lack of knowledge and that there was a great need for education about how information and support should be given to relatives and how a potential organ donor is identified. Caring for an organ donor requires more resources and more emotional involvement, in comparison to caring for a living ICU patient. Conclusion: More research in organ donation can increase knowledge and awareness among the public and health professionals, which may lead to increasing organ donations.