Factors that influence the cornea donation non-authorization process in the State of Maranhão

• Autor(a) principal: Silva, Nubia Regina Pereira da
• Data de Publicação: 2021
• Outros Autores: Oliveira, Rosane Mara Pontes de, Saidel, Maria Giovana Borges, Leite, Jose Márcio Soares, Pacheco, Marcos Antônio Barbosa, Monteiro, Claudia Barbastefano, Loyola, Cristina Maria Douat
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/14664
• topic: Adquisición de órganos y tejidos; Córnea; Donantes de tejidos.; Procurement of organs and tissues; Cornea; Donors of tissues.; Obtenção de órgãos e tecidos; Córnea; Doadores de tecidos.

Objective: it is to comprehend the factors that influence in the process of not allowing the corneal donation in the Brazilian state of Maranhão. Methodology: it was a qualitative, analytical study, with 14 interviews analyzed through the theory of the thematic analysis, using the theory of social representations. Data were collected from July to August 2019. Results: the results pointed to negative factors that influence family refusal, such as the disagreement among those responsible for the donation, the lack of discussion on the topic, the fear of bureaucracy delaying the release of the body, religious beliefs about the necessity to keep one's eyes intact after death, feelings of despair and responsibility to deliberate about the body delivered by the hospital, the urgency on starting mourning rituals, the lack of humanization in assistance prior to death and the suspect of medical malpractice. Two factors that could positively influence the donation are: identifying the organ receiver’s name for family members and discussing organ donation previously. Conclusion: difficulties in donating the cornea occur less frequently in the period before death (disagreement among family members). The difficulties that occur after death are mainly social and cultural. The urgency of the separation rituals, the sudden responsibility for the body, the non-identification of the recipient and the social representations in the eyes of the dead are barriers to donation. As measures, we suggest the promotion of advertising campaigns about the importance of donation and the implementation of a specialized support team to offer support to the families of potential donors.