Care bundle for family interview for pediatric organ donation

Area of Science:

• Pediatric critical care
• Organ and tissue donation
• Healthcare communication

Background:

• Conducting family interviews for pediatric organ and tissue donation is a sensitive and challenging process.
• Existing guidelines may not fully address the complexities of these interviews.
• Improving communication and support during this process is crucial for families facing end-of-life decisions.

Purpose of the Study:

• To develop a comprehensive care bundle outlining best practices for conducting family interviews in pediatric organ and tissue donation.
• To provide healthcare professionals with a structured approach to support families during this critical time.

Main Methods:

• A methodological study employing a qualitative approach was conducted in Brazil.
• The study involved three stages: an integrative literature review, qualitative interviews with healthcare professionals and family members, and the subsequent development of the care bundle.
• Recommendations within the care bundle were evaluated by external professionals for quality.

Main Results:

• Nine studies were reviewed, and 17 healthcare professionals and 9 family members were interviewed.
• The developed care bundle is organized into three key categories: communication of death, emotional support, and information regarding organ and tissue donation.
• External professional review overwhelmingly validated the high quality of the care bundle.

Conclusions:

• The care bundle was systematically developed through an integrative literature review and direct input from professionals and families involved in pediatric organ and tissue donation.
• This evidence-based resource is designed to enhance the quality of family interviews, support healthcare providers, and potentially decrease the rate of family refusals for organ and tissue donation.