Abstract

FONSECA, Paula Isabella Marujo Nunes da; TAVARES, Cláudia Mara de Melo; SILVA, Thiago Nogueira da  and  NASCIMENTO, Vagner Ferreira do. Difficult situations management in organ donation interview. Revista Portuguesa de Enfermagem de Saúde Mental [online]. 2016, n.spe4, pp.69-76. ISSN 1647-2160.  https://doi.org/10.19131/rpesm.0144.

BACKGROUND: The training in Communication of Difficult News by advanced coordinators in transplantation does not exempt them from dealing with the most varied situations. OBJECTIVE: To identify the factors and/or situations representative of difficult situations experienced by advanced coordinators in transplantations; and to describe the coping methods and/or situations while conducting family interviews. METHODS: Qualitative approach, hermeneutic study. Data were obtained from semi-structured interview containing eight open questions directed to 24 advanced coordinators in transplantations, from January to May 2012. We used subject discourse analysis based on the interpretation proposed in the philosophical hermeneutics of Gadamer for organization and understanding of the reported data, which were recorded and, subsequently, fully transcribed. This study was approved by the Ethics Committee of HUAP/UFF. RESULTS: We have identified the following as difficult factors and/or situations at the time of the interview: environment; professionals who fail to communicate with family members; and assistance provided. Managements described: mode of conduct of the interviewer at work; emotional aspects, which involve the family members of potential donors; to make use of their own instruments to confront the difficulties; and also the “I do not know because I have never thought about that”. CONCLUSION: The estrangement from the situation and dealing with the matter at another time allowed a better understanding of each other, regarding the coping actions in their daily work practice.

Keywords : Manifested emotions; Health personnel; Transplantations; Psychiatric nursing; Interview.

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