Organ donation: Professional support in the diagnosis of brain death from the perspective of family members
DOI:
https://doi.org/10.12957/reuerj.2025.85432Keywords:
Brain Death, Tissue and Organ Procurement, Health Personnel, Family, User EmbracementAbstract
Objective: to understand family members’ perceptions of the welcoming provided by health professionals in the approach to organ donation after a diagnosis of brain death. Method: this is a descriptive and qualitative study conducted with family members who experienced the process of determining brain death in a hospital environment. Data collection was performed between September and December 2023 through in-depth face-to-face interviews, guided by a semi-structured questionnaire. The data were analyzed with the ATLAS.ti® software. Approval was obtained from the Research Ethics Committee. Results: ten family members participated in the study, revealing three themes: Determining death: barriers in communication and access to information; Communicating death: professionals involved during the BD protocol and the moment of communicating bad news; and Final outcome: immortalizing life. Final considerations: communication was considered essential to ensure quality and humanization in family reception, although it does not directly influence organ donation. There is a need for training to promote adequate reception.
References
1. Rodrigues SLL, Boin IFSF, Zambelli HJL, Sardinha LAC, Ataíde EC, Fernandes MEN. Factors related to the non-authorization of organ and tissue donation by the families who refused organ donation. bjt. 2021 [cited 2023 Sep 05]; 24(4):10-8. DOI: https://doi.org/10.53855/bjt.v24i4.429.
2. Governo do Paraná. Secretaria de Estado da Saúde do Paraná. Sistema Estadual de Transplantes. Manual para Notificação, Diagnóstico de Morte Encefálica e Manutenção do Potencial Doador de Órgãos e Tecidos. 4ª ed. Curitiba (PR): SESA/DGS/CET; 2023 [cited 2023 Sep 07]. Available from: https://www.aen.pr.gov.br/sites/default/arquivos_restritos/files/documento/2023-05/manual_de_morte_encefalica_cet-pr-2023.pdf.
3. Pereira FQ, Lara MA. The declaration time of death and the legal impact of its identification with brain death. RBDCivil (Belo Horizonte). 2021 [cited 2023 Sep 05]; 30:93-115. DOI: DOI: https://doi.org/10.33242/rbdc.2021.04.005.
4. Bertasi RAO, Bertasi TGO, Reigada CPH, Ricetto E, Bonfim KO, Santos LA, et al. Profile of potential organ donors and factors related to donation and non-donation of organs in an Organ Procurement Service. Rev Col Bras Cir. 2019 [cited 2023 Sep 10]; 46(3):e20192180. DOI: https://doi.org/10.1590/0100-6991e-201922180.
5. Siqueira NL, Fernandes CA. Comunicação da suspeita e abertura do protocolo de morte encefálica: percepções e preferências da família. REAS. 2023 [cited 2023 Sep 10]; 23(4):e12696.2023. DOI: https://doi.org/10.25248/REAS.e12696.2023.
6. Meneses NP, Castelli I, Costa Junior AL. Comunicação de morte encefálica a familiares: levantamento com profissionais de saúde. Rev SBPH. 2018 [cited 2023 Sep 08]; 21(1):192-217. Available from: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1516-08582018000100011.
7. Pontón YD, Narváez VPD, Andrade BM, Terán JJL, Reyes-Reyes A, Calzadilla-Núñez. Working nurses’ empathy with patients in public hospitals. Rev Latino-Am Enfermagem. 2023 [cited 2023 Sep 10]; 31:e3968. DOI: https://doi.org/10.1590/1518-8345.6591.3968.
8. Araújo CM, Souzza MB, Silva VM, Silva WTGS, Ferreira BES. Atuação do enfermeiro intensivista no contexto da morte encefálica. REAS. 2022 [cited 2023 Sep 10]; 15(6):e9956.2022. DOI: https://doi.org/10.25248/REAS.e9956.2022.
9. Nuevo ALG, Rocha TC. O que pode a psicologia hospitalar diante da morte encefálica na UTI: um relato de experiência. Rev Científica Esc Est Saúde Pública Goiás. 2021 [cited 2023 Sep 10]; 7:e7000037. DOI: https://doi.org/10.22491/2447-3405.2021.V7.7000037.
10. Mezzavila VAM, Cardoso LCB, Rodrigues TFCS, Rêgo AS, Salci MA, Knihs NS, et al. A família significando a doação de órgãos: uma análise à luz do interacionismo simbólico. REME - Rev Min Enferm. 2024 [citado 2025 Jun]; 28:e-1537. DOI: https://doi.org/10.35699/2316-9389.2024.38932.
11. Ministério da Saúde (Br). Secretaria-Executiva. Núcleo Técnico da Política Nacional de Humanização. HumanizaSUS: Política Nacional de Humanização. Brasília (DF): Ministério da Saúde; 2004 [cited 2023 Sep 10]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/humanizasus_2004.pdf.
12. Trindade TS, Tavares SS, Almeida CG, Souza LA, Contini ICP. O papel do enfermeiro no processo de doação de órgãos e tecidos: revisão integrativa da literatura. Medicus. 2022 [cited 2023 Sep 07]; 4(2):7-14. DOI: https://doi.org/10.6008/CBPC2674-6484.2022.002.0002.
13. Associação Brasileira de Transplante de Órgãos (ABT0). Registro Brasileiro de Transplantes (RBT) nº 3. São Paulo (SP): ABTO; 2023 [cited 2024 Mar 8]. Available from: https://site.abto.org.br/wp-content/uploads/2023/12/rbt2023-3trim-naoassociados.pdf.
14. Souza VRS, Marziale MHP, Silva, GTR, Nascimento PL. Translation and validation into Brazilian Portuguese and assessment of the COREQ checklist. Acta Paul Enferm. 2021 [cited 2023 Sep 07]; 24:eAPE02631. DOI: https://doi.org/10.37689/acta-ape/2021AO02631.
15. Ministério da Saúde (Br). Regiões de saúde. Brasília (DF): Ministério da Saúde, 2023. [cited 2023 Sep 10]. Available from: https://www.gov.br/saude/pt-br/composicao/saps/programa-cuida-mais-brasil/regioes-de-saude.
16. Paraná. Conselho de Secretarias Municipais de Saúde do Paraná (COSEMS). 15ª Região de Saúde de Maringá. Curitiba (PR): COSEMS- PR; 2022 [cited 2023 Sep 09]. Available from: https://cosemspr.org.br/15a-regiao-de-saude-de-maringa-pr-gestores-locais-escolhem-nova-diretoria-do-cresems-2/.
17. Paraná. Central Estadual de Transplantes do Paraná (CET/PR). Sistema Estadual de Transplantes do Paraná. O Sistema de Transplante no Paraná. Paraná: Sistema Estadual de Transplantes do Paraná; 2021 [cited 2023 Sep 06]. Available from: https://www.paranatransplantes.pr.gov.br/Pagina/Central-Estadual-de-Transplante-do-Parana-CETPR.
18. Nascimento LCN, Souza TV, Oliveira ICS, Moraes JRMM, Aguiar RCB, Silva LF. Theoretical saturation in qualitative research: an experience report in interview with schoolchildren. Rev Bras Enferm. 2018 [cited 2023 Sep 07]; 71(1):228-33. DOI: https://doi.org/10.1590/0034-7167-2016-0616.
19. Braun V, Clarke V. Toward good practice in thematic analysis: Avoiding common problems and be(com)ing a knowing researcher. Int J Transgend Health. 2023 [cited 2023 Sep 07]; 24(1):1-6. DOI: https://doi.org/10.1080/26895269.2022.2129597.
20. Souza LK. Pesquisa com análise qualitativa de dados: conhecendo a análise temática. Arq Bras Psicol. 2019 [cited 2023 Sep 07]; 71(2):51-67. Available from: https://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1809-52672019000200005.
21. Meyer P, Vosgerau DSR. Contribuições do ATLAS.ti para a qualidade de uma pesquisa qualitativa com o método da grounded theory. Rev Diálogo Educ. 2023 [cited 2023 Sep 09]; 23(77):929-44. DOI: https://doi.org/10.7213/1981-416x.23.077.ao08.
22. Sarti AJ, Sutherland S, Meade M, Hornby L, Wilson LC, Landriault A, et al. Death determination by neurologic criteria—what dofamilies understand? Can J Anaesth. 2023 [cited 2023 Sep 09]; 70(4):637-50. DOI: https://doi.org/10.1007/s12630-023-02416-3.
23. Dicks SG, Northam HL, Haren FMP, Boer DP. The bereavement experiences of families of potential organ donors: a qualitative longitudinal case study illuminating opportunities for family care. Int J Qual Stud Health Well-being. 2023 [cited 2023 Sep 08]; 18(1):2149100. DOI: https://doi.org/10.1080/17482631.2022.2149100.
24. Abbasi P, Lebni JY, Nouri P, Ziapour A, Jalali A. The obstacles to organ donation following brain death in Iran: a qualitative study. BMC Med Ethics. 2020 [cited 2023 Sep 07]; 21(1):83. DOI: https://doi.org/10.1186/s12910-020-00529-8.
25. Saxena D, Trivedi P, Bhavsar P, Memon F, Thaker A, Chaudhary C, et al. Challenges and motivators to organ donation: a qualitative exploratory study in Gujarat, India. Int J Gen Med. 2023 [cited 2023 Sep 08]; 16:151-9. DOI: https://doi.org/10.2147/ijgm.s393240.
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Nathalie Campana de Souza, Endric Passos Matos, Felipe Fabbri, Lorena Franco Buzzerio, Maria do Carmo Fernandez Lourenço Haddad, Rafaely de Cássia Nogueira Sanches, Mayckel Barreto da Silva

This work is licensed under a Creative Commons Attribution 4.0 International License.
When publishing in Revista Enfermagem UERJ, the authors declare that the work is their exclusive authorship and therefore assume full responsibility for its content.
Authors retain copyright to their article and agree to license their work using a Creative Commons Attribution International Public License (CC BY), thereby accepting the terms and conditions of this license (https://creativecommons.org/licenses/by/4.0/legalcode.en), which allows material created by the author to be distributed, copied and displayed by third parties. The original work must be cited and present a link to the article available on the website of the journal in which it was published.
The Copyright of the articles published in Revista Enfermagem UERJ belongs to their respective author(s), with the rights of first publication assigned to Revista Enfermagem UERJ, with the work simultaneously licensed under a Creative Commons License CC BY, which allows sharing of work with recognition of authorship and initial publication in this journal.
The authors grant Revista Enfermagem UERJ the right of first publication, to identify themselves as the original publisher of the work and grant the magazine a license of non-exclusive rights to use the work in the following ways:
- Sell and/or distribute the work in printed copies and/or electronic format;
- Distribute parts and/or the work as a whole with the aim of promoting the magazine through the internet and other digital and printed media;
- Record and playback work in any format, including digital media.
In line with the journal's policies, each published article will be assigned a Creative Commons Attribution (CC BY) license.



