( M S I 35 )
organ donation is interpreted by the family as the same as murdering or authorizing the death of the relative. 3) Fear of the family's reaction: the donor's family member ignores his intention to give away for fear of repression by another family member. 4) Non-acceptance of the body manipulation: the family has difficulty accepting the relative body manipulation for the purpose of removal of organs for transplantation, believing that the body is a sacred temple God and, therefore, untouchable 5) Inadequacy of information and absence of confirmation of brain death: the absence of confirmation of the diagnosis of brain death and the mismatch of information provided to the family by the staff raise questions about the patient's chart and are reasons why donation is refused
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6) Distrust of care and fear of organ trade: there is the belief that the death of a relative can be precipitated for the sole purpose of organ donation 7) Inadequacy of the donation process: requesting the donation of the organs by the medical team, when done before confirmation of the death, is cause for revolt and indignation for the relatives. The family, when it feels pressured by the team to authorize the donation of organs, becomes suspicious and refuses to donate, even not respecting the deceased's desire to be a donor. The education of health professionals specifically for organ donation, is a decisive factor both for the technical refinement of the transplant and for the improvement of the organ harvesting rate. Refusal of consent by the family could be more easily circumvented
if the professionals involved in the funding process were able to clarify the family’s doubts. Unfortunately, many professionals are not prepared to answer donation questions. The low level of education and misinformation of the population can lead to misinterpretation regarding the capture and transplantation of organs. According to the principles of bioethics, poorly informed individuals are not able to consciously decide if they wish to donate the organs of their deceased family member. Health professionals have an important role in disseminating information about organ donation, they have access to much of the population and can potentially cause a greater impact than the media in attitudes on this issue. Education campaigns should take place within institutions, with the participation of doctors, nurses, nursing technicians and all other health professionals. Faced with this reality, the health professional must act as an educator, to change the public opinion about erroneous concepts; but unfavorable beliefs can only be modified if educators encourage the population to participate in discussions on organ transplants and legislation. Modifying the existing reality also means developing programs that are planned and evaluated within an ongoing educational process, supported by theoretical frameworks and scientifically recognized models for all segments of the community. References: 1. JACOB, F. et al. Regional awareness campaign concerning organ sharing. Transplantation Proceedings, Houston, v.28,n.1, p. 393, 1996. 2. MARTINEZ, J.M.; MARTI, A.; LOPEZ, J.S. Spanish public opinion concerning organ donation and transplantation. Medicinal Clinic, Barcelona, v. 105, n.11, p.401-406, 1995. 3. MORAES, E.L.; MASSAROLLO, M.C.K.B. Recusa de doação de órgãos e tecidos para transplante relatados por familiares de potenciais doadores. Acta paulista de enfermagem, São Paulo, v.22, n.2, 2009. 4. MORAES, M.W.; GALLANI, M.C.B.J.; MENEGHIN, P. Crenças que influenciam adolescentes na doação de órgãos. Revista da Escola de Enfermagem da USP, São Paulo, v.40, n.4, p. 484-492 dez. 2006.
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