Consent for organ donation: a case study in the light of bioethics.

An Acad Bras Cienc

Pontifícia Universidade Católica do Rio Grande do Sul, Programa de Pós-Graduação em Gerontologia Biomédica, Av. Ipiranga, 6681, Partenon, 90619-900 Porto Alegre, RS, Brazil.

Published: October 2024

AI Article Synopsis

  • Fewer organ donations are occurring in Brazil despite a 53% national consent average, with Paraná hospitals achieving a notable 94.2% consent rate.
  • A qualitative case study was conducted in Toledo, Paraná, using documentary research and semi-structured interviews with hospital professionals and families consenting to donation, focusing on data from 2015 to 2023.
  • The findings indicated that bioethical factors like beneficence and autonomy play a significant role in driving higher family consent rates for organ donation, suggesting a need for future studies to explore effective interview strategies to improve overall donation rates in Brazil.

Article Abstract

Fewer donations are being made in Brazil to meet the growing organ demand. Organ donation in Brazil reached an average of 53% consent. However, hospitals in Paraná have reached a level of 94.2%. What reasons could be given for these levels? Accordingly, this study aimed to understand the causes involved in decision-making to donate organs. The methodology used was qualitative based on a case study. Data was collected at a hospital in Toledo, a city in Paraná, through documentary research and semi-structured interviews with two distinct groups: professionals responsible for the family approach to donation and five families consenting to donation. The search for data was restricted to the period between 2015 and 2023. Data analysis used Bardin's content analysis. The results were organized into four categories in the first group, and two categories in the second group, suggesting that aspects linked to bioethical references present in the interview, such as beneficence and autonomy, contribute to the emergence of high rates of family consent for organ donation in the hospital studied. It is recommended for future research to test successful interview models to reverse the current organ donation rates in Brazil.

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Source
http://dx.doi.org/10.1590/0001-3765202420240126DOI Listing

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