NEGATIVE OF FAMILY MEMBERS IN THE FACE OF ORGAN AND TISSUE DONATION: INTEGRATIVE REVIEW

Abstract

Organ and tissue donation has been practiced for centuries, but there are still many reasons why it is not possible, especially those related to the donor's family refusal. However, these obstacles can be changed with the proper clarification and correct approach by the health team. In this sense, the present study had as a general objective to point out the main reasons linked to the family members' refusal to donate organs and tissues, according to the reasons given by them. Thus, this integrative review - of exploratory nature and qualitative approach - used 27 materials from ABTO, books, government websites and databases, considering those published between 2010 and 2020, either in Portuguese or English. The results found indicate that the most frequently mentioned reasons refer to religious causes, general lack of knowledge about the process, disagreement among family members, respect or lack of knowledge about the potential donor's wishes, lack of information about brain death, and dissatisfaction with the care provided by the health team during hospitalization. Thus, it is understood that nurses are the health professionals who need to expand the discussion about organ and tissue donation in the most diverse means, in order to clarify the process, contributing to the increase in the number of donors and, consequently, in the survival and survival of patients waiting for donation.