Search

Background Nurses play an important role in interprofessional pharmaceutical care. Curricula related to pharmaceutical care, however, vary a lot. Mapping the presence of pharmaceutical care related domains and competences in nurse educational programs can lead to a better understanding of the extent to which curricula ft expectations of the labour market. The aim of this study was to describe 1) the presence of pharmaceutical care oriented content in nursing curricula at diferent educational levels and 2) nursing students’ perceived readiness to provide nurse pharmaceutical care in practice. Methods A quantitative cross-sectional survey design was used. Nursing schools in 14 European countries ofering educational programs for levels 4–7 students were approached between January and April 2021. Through an online survey fnal year students had to indicate to what extent pharmaceutical care topics were present in their curriculum. Results A total of 1807 students participated, of whom 8% had level 4–5, 80% level 6, 12% level 7. Up to 84% of the students indicated that pharmaceutical care content was insufciently addressed in their curriculum. On average 14% [range 0–30] felt sufciently prepared to achieve the required pharmaceutical care competences in practice. In level 5 curricula more pharmaceutical care domains were absent compared with other levels. Conclusions Although several pharmaceutical care related courses are present in current curricula of level 4–7 nurses, its embedding should be extended. Too many students perceive an insufcient preparation to achieve pharmaceutical care competences required in practice. Existing gaps in pharmaceutical care should be addressed to ofer more thoroughly prepared nurses to the labour market.

Podobno kot na ostalih izobraževalnih področjih se je tudi podiplomski študij zdravstvene nege v zadnjem času delno preselil v spletno okolje. Že pred tem pa se je pojavila ideja o razvoju skupne platforme za učenje na dokazih podprte zdravstvene nege. E-učilnica za učenje na dokazih podprte zdravstvene nege bo omogočala lažji dostop do gradiv, ki ni časovno omejen. Z uporabo interaktivnih elementov v e-učilnici pa bomo udeležence izobraževanja še dodatno motivirali. Zaradi razširjenosti in dostopnosti sistema za upravljanje z učnimi vsebinami je bil za razvoj e-učilnice izbran sistem Moodle. Izbrani sistem s svojimi raznolikimi aktivnostmi že v osnovi ponuja širok nabor interaktivnih elementov, z razširitvama BigBlueButton in H5P pa se ta nabor še razširi. Da bi omogočili izvajalcem izobraževanja s področja zdravstvene nege lažje odločanje o primernosti posameznih načinov prikaza učnih vsebin, smo razvili prototip spletne učilnice. Na osnovi informacij o potrebah po izobraževanju smo identificirali ključne teme, za katere bomo v nadaljevanju razvili interaktivno e-učilnico za učenje na dokazih podprte zdravstvene nege., Similar to other educational sectors, postgraduate nursing studies have also shifted to the online environment to some extent in recent times. The idea of developing a common platform for learning on evidence-based nursing emerged even before this change in education. E-learning on evidence-based nursing will provide easier access to the available material. The integration of interactive elements in the e-classrooms will further motivate students to actively participate in education. Due to its widespread use in education and accessibility, the Moodle learning management system was selected as the development platform. Moodle, with its wide range of activities, offers a variety of interactive elements that can be integrated into the e-Classroom, and the number of elements is even greater with the use of BigBlueButton and H5P plugins. To help healthcare education providers decide how to present content, we developed a prototype e-Classroom. Based on information on educational needs gathered during the project, we identified the main topics for which we will develop an interactive e-Classroom for evidence-based nursing.

Introducción y antecedentes: La demencia es un término general usado para dar nombre al deterioro grave de la capacidad mental que interfiere con la vida cotidiana. La mayoría de la producción científica en este campo está centrada en elaborar y estudiar los efectos de los fármacos que tratan y palían las consecuencias que producen estas enfermedades a nivel neuronal o los efectos que producen en el comportamiento. Sin embargo, existe un número considerablemente menor de literatura científica que aborde la demencia desde un punto de vista individual y personal ofreciendo voz a las personas que viven estas enfermedades y sus familiares. Del mismo modo, existe un vacío en la literatura científica que explora el conocimiento de los factores que pueden influir en la construcción de entornos o situaciones que favorezcan el bienestar de estas personas durante el transcurso de su enfermedad. El objetivo general de esta tesis es conocer la experiencia de las personas que viven con demencia y la de sus cuidadores para diseñar contextos inclusivos adaptados a sus necesidades. Para ello se desarrollaron los siguientes objetivos específicos: 1. Identificar las fortalezas y debilidades del cuidado a través de la experiencia de las personas que viven con demencia y sus cuidadores en Europa. 2. Explorar la transición cultural del cuidado de las personas mayores, del cuidado en el domicilio hacia el cuidado institucionalizado. 3. Estudiar el fenómeno del cuidado de las personas que viven con demencia fuera de su entorno cultural para elaborar estrategias competentes inclusivas para todas las culturas. 4. Explorar en profundidad las metodologías cualitativas que mejor se adaptan al estudio del conocimiento de la experiencia de las personas que viven con demencia. 5. Conocer los potenciales efectos de las terapias no farmacológicas en personas que viven con demencia. 6. Explorar los elementos necesarios en la adaptación de entornos sanitarios a las personas que viven con demencia y s

Background: Pharmaceutical care has been implemented and regulated differently across Europe with no consensus among countries in relation with professional competencies and especially on nurse prescribing. Demophac Project funded by the European Commission aims to develop a Pan-European Pharmaceutical Care Model with collaboration of 14 partner teams across Europe including Spain where nurse prescribing is starting its implementation at regional level. The aim of the study was to increase understanding of the role of nurses in Pharmaceutical care in Spain after the Nurse Prescribing Regulation approved in 2018 throughout exploring the views and expectations of health professionals involved in the representative settings. Methods and findings: In depth interviews were conducted in a structure previously agreed by the European Demophac partnership around four topics associated with the Nursing ideal role in pharmaceutical care and the ideal interaction with other healthcare professionals. A grounded-theory approach based on Corbin & Strauss was conducted to interpret collected data from the Spanish most representative settings (primary care, specialized care and residential care for older population). Participants were health professionals involved in pharmaceutical care that accepted to participate (nurses (n = 7), physicians (n = 8) and pharmacists (n = 9)). A pharmaceutical care comprehensive model for the Spanish context considering the recently approved Nurse Prescribing role and the interprofessional collaboration and communication was developed towards facilitating the understanding in such context and the contribution to the unified European Demophac Framework. Conclusions: Nurses are primarily responsible for population’s Pharmaceutical Care while other professionals pivot on them to provide quality healthcare on a multidisciplinary level. Nurse prescribing may contribute efficiently to the Spanish Health System though more consensus in terms of nurses’ trai

Background: Safe pharmaceutical care requires competent nurses with specific knowledge, skills and attitudes. It is unclear whether nursing students are adequately prepared to perform pharmaceutical care in practice. Mapping their pharmaceutical care competences can lead to a better understanding of the extent to which curricula fit expectations of the labour market. Objectives: To assess pharmaceutical care competences of final-year nursing students of different educational levels. Design: A cross-sectional survey design. Settings: In 14 European countries, nursing schools who offer curricula for level 4 to 7 students, were approached. Participants: Through convenience sampling 1741 final-year student nurses of level 4 to 7 were included. Sampling strategies were country-specific. Methods: A web-platform was developed with an assessment of the level in which students mastered pharmaceutical care competences. Knowledge questions, case studies (basic/advanced level), self-reported practical skills and attitudes were evaluated. Results: Mean scores for knowledge questions differed significantly (p<0.001) between level 5 (56/100), level 6 (68/100) and level 7 students (72/100). For basic cases level 5 students reached lower scores (64/100) compared with level 6 (71/100) and level 7 (72/100) students (p=0.002 and p=0.005). For more advanced cases no difference between levels was observed (overall mean 61/100). Most students (63-90%) considered themselves skilled to perform pharmaceutical care and had positive attitudes towards their participation in pharmaceutical care (65-97%). Conclusions: Relatively low knowledge scores were calculated for final-year student nurses. In some domains, lower levels of students might be insufficiently prepared to take up responsibilities in pharmaceutical care. Our assessment can be used as a tool for educators to evaluate how prepared nursing students are for pharmaceutical care. Its further implementation for students of different educ

Objectives To understand healthcare professionals’ experiences and perceptions of nurses’ potential or ideal roles in pharmaceutical care (PC). Design Qualitative study conducted through semi-structured in-depth interviews. Setting Between December 2018 and October 2019, interviews were conducted with healthcare professionals of 14 European countries in four healthcare settings: hospitals, community care, mental health and long-term residential care. Participants In each country, pharmacists, physicians and nurses in each of the four settings were interviewed. Participants were selected on the basis that they were key informants with broad knowledge and experience of PC. Data collection and analysis All interviews were conducted face to face. Each country conducted an initial thematic analysis. Consensus was reached through a face-to-face discussion of all 14 national leads. Results 340 interviews were completed. Several tasks were described within four potential nursing responsibilities, that came up as the analysis themes, being: 1) monitoring therapeutic/adverse effects of medicines, 2) monitoring medicines adherence, 3) decision making on medicines, including prescribing 4) providing patient education/information. Nurses’ autonomy varied across Europe, from none to limited to a few tasks and emergencies to a broad range of tasks and responsibilities. Intended level of autonomy depended on medicine types and level of education. Some changes are needed before nursing roles can be optimised and implemented in practice. Lack of time, shortage of nurses, absence of legal frameworks and limited education and knowledge are main threats to European nurses actualising their ideal role in PC. Conclusions European nurses have an active role in PC. Respondents reported positive impacts on care quality and patient outcomes when nurses assumed PC responsibilities. Healthcare professionals expect nurses to report observations and assessments. This key patient information shoul

People with dementia (PwD) occupy around 25% of the hospital beds. Once PwD are admitted to hospitals, their cognitive impairment is not considered in most of the cases. Thus, it causes an impact on the development of the disease becoming a stressful situation as care plans are not adapted to PwD. The aim of this study was to explore the published core elements when designing a dementia care pathway for hospital settings. A scoping review was conducted to provide an overview of the available research evidence and identify the knowledge gaps regarding the topic. This review highlights person-centered care, compassionate care and end-of-life process as some of the key elements that should integrate the framework when designing a dementia care pathway. Architectonical outdoor and indoor hospital elements have also been found to be considered when adapting the healthcare context to PwD. Findings provide information about the key points to focus on to successfully design dementia interventions in hospital environments within available resources, mostly in those contexts in which national dementia plans are in its infancy. Hospitals should transform their patients’ routes and processes considering the increasing demographic changes of people with cognitive impairment.

Clear role descriptions promote the quality of interprofessional collaboration. Currently, it is unclear to what extent healthcare professionals consider pharmaceutical care (PC) activities to be nurses’ responsibility in order to obtain best care quality. This study aimed to create and evaluate a framework describing potential nursing tasks in PC and to investigate nurses’ level of responsibility. A framework of PC tasks and contextual factors was developed based on literature review and previous DeMoPhaC project results. Tasks and context were cross-sectionally evaluated using an online survey in 14 European countries. A total of 923 nurses, 240 physicians and 199 pharmacists responded. The majority would consider nurses responsible for tasks within: medication self-management (86–97%), patient education (85–96%), medication safety (83–95%), monitoring adherence (82–97%), care coordination (82–95%), and drug monitoring (78–96%). The most prevalent level of responsibility was ‘with shared responsibility’. Prescription management tasks were considered to be nurses’ responsibility by 48–81% of the professionals. All contextual factors were indicated as being relevant for nurses’ role in PC by at least 74% of the participants. No task nor contextual factor was removed from the framework after evaluation. This framework can be used to enable healthcare professionals to openly discuss allocation of specific (shared) responsibilities and tasks.

People with dementia occupy 25% of the hospital beds. When they are admitted to hospitals their cognitive impairment is not considered in most of the cases. Some European and North American countries already have experience of implementing national plans about Alzheimer’s disease and dementia. However South European countries such as Spain are in the early stages. The aim of this study is to design an Integrated Care Pathway to adapt the hospital environment and processes to the needs of people with dementia and their caregivers, generating a sense of confidence, increasing their satisfaction and protecting them from potential harmful situations. This study uses King’s Fund Dementia Tool to assess the hospital environment and develop a continous improvement process. People with dementia, families, caregivers and healthcare staff will evaluate the different settings in order to provide guidance based on patient needs. Person-centred care, prudent healthcare and compassionate care are the conceptual framework of this care pathway. The implementation and evaluation of this research protocol will provide information about how to successfully design dementia interventions in a hospital environment within available resources in those contexts where dementia plans are in its infancy, as only around 15% of all states worldwide have currently designed a concise dementia national plan.

Objective: To analyze the meaning of dementia by those affected by it, and to give them a voice. Material and methods: Descriptive phenomenology through interviews with people of both genders who are over 50 years old and living in Tarragona (Spain), with a diagnosis of mild or moderate dementia, mainly related to Alzheimer’s disease. Results: Three main themes emerged: 1) normalization of memory loss in early stages as part of the natural aging process; 2) self-awareness of progressive memory decline, which is concealed from others, and 3) adaptation processes and strategies to coexist with their condition after diagnosis. Conclusions: The most evident features were the lack of specialized infrastructures within the health system in terms of care, prevention programs, and early detection., Objetivo: analizar el significado que adquiere la enfermedad para las personas afectadas por Demencia, proporcionándoles voz. Material y métodos: aproximación a la fenomenología descriptiva a través de entrevistas a personas de ambos sexos y mayores de 50 años residentes en Tarragona (España) con un diagnóstico de Demencia leve o moderada, principalmente enfermedad tipo Alzheimer. Resultados: surgieron tres grandes temáticas: 1) normalización de la pérdida de memoria en fases incipientes en relación al proceso natural de envejecimiento; 2) autopercepción de que existe un problema de memoria instaurándose que se disimula frente a su entorno y 3) procesos de adaptación y aprendizaje de estrategias para convivir con su condición tras el diagnóstico. Conclusiones: la falta de infraestructuras especializadas dentro del sistema sanitario en materia de cuidados, programas de prevención y detección precoz son los aspectos más evidentes remarcados., Objetivo: Analisar o significado que a doença adquire para as pessoas afetadas pela demência, dando voz a elas. Material e Métodos: Abordagem da fenomenologia descritiva por meio de entrevistas com pessoas residentes em Tarragona (Espanha) com diagnóstico de demência leve ou moderada, principalmente doença do tipo Alzheimer de ambos os sexos e com mais de 50 anos. Resultados: Surgiram três grandes temas: 1) Normalização da perda de memória em fases incipientes relacionadas ao processo natural de envelhecimento; 2) Autopercepção de que existe um problema de memória que se esconde do ambiente; 3) Processo de adaptação e estratégias de aprendizado para conviver com sua condição após o diagnóstico. Conclusões: A falta de infra-estruturas especializadas no sistema de saúde, programas de prevenção e detecção precoce são os aspectos mais evidentes.

Objective: To analyze the meaning of dementia by those affected by it, and to give them a voice. Material and methods: Descriptive phenomenology through interviews with people of both genders who are over 50 years old and living in Tarragona (Spain), with a diagnosis of mild or moderate dementia, mainly related to Alzheimer’s disease. Results: Three main themes emerged: 1) normalization of memory loss in early stages as part of the natural aging process; 2) self-awareness of progressive memory decline, which is concealed from others, and 3) adaptation processes and strategies to coexist with their condition after diagnosis. Conclusions: The most evident features were the lack of specialized infrastructures within the health system in terms of care, prevention programs, and early detection., Objetivo: Analisar o significado que a doença adquire para as pessoas afetadas pela demência, dando voz a elas. Material e Métodos: Abordagem da fenomenologia descritiva por meio de entrevistas com pessoas residentes em Tarragona (Espanha) com diagnóstico de demência leve ou moderada, principalmente doença do tipo Alzheimer de ambos os sexos e com mais de 50 anos. Resultados: Surgiram três grandes temas: 1) Normalização da perda de memória em fases incipientes relacionadas ao processo natural de envelhecimento; 2) Autopercepção de que existe um problema de memória que se esconde do ambiente; 3) Processo de adaptação e estratégias de aprendizado para conviver com sua condição após o diagnóstico. Conclusões: A falta de infra-estruturas especializadas no sistema de saúde, programas de prevenção e detecção precoce são os aspectos mais evidentes., Objetivo: analizar el significado que adquiere la enfermedad para las personas afectadas por Demencia, proporcionándoles voz. Material y métodos: aproximación a la fenomenología descriptiva a través de entrevistas a personas de ambos sexos y mayores de 50 años residentes en Tarragona (España) con un diagnóstico de Demencia leve o moderada, principalmente enfermedad tipo Alzheimer. Resultados: surgieron tres grandes temáticas: 1) normalización de la pérdida de memoria en fases incipientes en relación al proceso natural de envejecimiento; 2) autopercepción de que existe un problema de memoria instaurándose que se disimula frente a su entorno y 3) procesos de adaptación y aprendizaje de estrategias para convivir con su condición tras el diagnóstico. Conclusiones: la falta de infraestructuras especializadas dentro del sistema sanitario en materia de cuidados, programas de prevención y detección precoz son los aspectos más evidentes remarcados.

Background: dementia is one of the main causes of disability and dependency among the older population worldwide, producing physical, psychological, social and economic impact in those affected, caregivers, families and societies. However, little is known about dementia protective factors and their potential benefits against disease decline in the diagnosed population. Cognitive stimulating activities seem to be protective factors against dementia, though there is paucity in the scientific evidence confirming this, with most publications focusing on prevention in non-diagnosed people. A scoping review was conducted to explore whether chess practice could mitigate signs, deliver benefits, or improve cognitive capacities of individuals diagnosed with dementia through the available literature, and therefore act as a protective factor. Methods: twenty-one articles were selected after applying inclusion and exclusion criteria. Results: the overall findings stress that chess could lead to prevention in non-diagnosed populations, while little has been shown with respect to individuals already diagnosed. However, some authors suggest its capacity as a protective factor due to its benefits, and the evidence related to the cognitive functions associated with the game. Conclusion: although chess is indirectly assumed to be a protective factor due to its cognitive benefits, more studies are required to demonstrate, with strong evidence, whether chess could be a protective factor against dementia within the diagnosed population.

Background and Aims: It has been the tradition in Spain until recently for families to take care of their own older relatives, but this is now changing, especially in urban areas where caring roles are also shifting. This study aims to examine the Spanish care transitions of older people moving from being traditionally a family-centred and gender-based cultural phenomenon to one that is moving gradually into professional care settings. Method: A phenomenological case study approach was adopted, involving 15 cases exemplifying the care experience in typical primary care settings in one region of Spain, and examined how the transition from home care is happening. In-depth interviews with older people and carers with lived experience regarding the phenomenon took place. Results: Seven themes were identified portraying the current picture of the phenomenon, evidencing that care of older people is still culturally assumed as family-centred care and a gender-based responsibility, care homes have a negative social image, there are differences between rural and urban areas, there is a lack of training for professional and family carers, and family income and dependency level accelerate the transition. Conclusions: This study revealed a lack of care services for older people in Spain, inconsistencies in service provision, as well as a lack of professional and non-professional training.

Background: There is a paucity of robust research concerning the care experiences of people with advanced dementia within Europe. It is essential to understand these experiences if we are to address care inequalities and create impactful dementia policies to improve services that support individuals and enable family caring. Objectives: To identify the strengths and weaknesses in daily life perceived by people with dementia and family caring across Europe by exemplifying experiences and the range of typical care settings for advanced dementia care in seven partner countries. Methods: Twenty two in-depth qualitative case studies were completed in seven European countries across a range of care settings considered typical within that country. Narrative accounts of care illuminated a unique set of experiences and highlighted what was working well (strengths or positive aspects) and not so well (weaknesses or negative aspects) for people with advanced dementia and family caring. A constant comparative method of analysis through thematic synthesis was used to identify the common themes. Results: Eight key themes were identified; Early diagnosis, good coordination between service providers, future planning, support and education for carers, enabling the person with dementia to live the best life possible and education on advanced dementia for professional and family caregivers were all significant and recurring issues considered important for care experiences to be positive. Conclusion: People with advanced dementia may have limited opportunities for self-realization and become increasingly reliant on the support of others to maximize their health and well-being. Careful attention must be given to their psychosocial well-being, living environment and family caring to enable them to live the best life possible. Building on what the case studies tell us about what works well, we discuss the potential for integrating the findings into interprofesional learning solutions for

La donación de órganos es un acontecimiento crítico tras la pérdida de un ser querido. España, a pesar de ser el país del mundo con mayor tasa de donantes, todavía mantiene una negativa familiar del 15,56%. Objetivos: conocer y analizar el impacto de la donación de órganos a través de los significados que tiene para la familia en el contexto español. Materiales y método: estudio cualitativo fenomenológico según el marco conceptual y método de Giorgi. Luego de respetar, al menos, tres años de duelo desde la pérdida de un ser querido, se entrevistaron en profundidad a once familias que donaron órganos en el Hospital La Fe en Valencia. Resultados: tras el análisis de los resultados, se describieron veintisiete unidades de significado que fueron clasificadas en relativos a la pérdida y relativos a la donación de órganos y, posteriormente, correlacionadas. Conclusiones: la donación aparece como mecanismo de alivio o compensación del fallecimiento del familiar., Organ donation is a critical event after the loss of a loved one. Spain, despite being the country with the highest donor rate in the world, still maintains a family negative rate of 15.56%. Objective: Know and analyze the impact of organ donation based on its meaning for the family in the Spanish context. Materials and method: This is a phenomenological qualitative study based on Giorgi's conceptual framework and method. Eleven families who had donated organs at the Hospital La Fe in Valencia were interviewed in depth, following at least three years of mourning since the loss of a loved one. Results: After the results were analyzed, twenty-seven units of meaning were described and classified as relative to the loss and relative to the organ donation. They were then correlated. Conclusion: Organ donation appears to be a relief mechanism or a kind of compensation for the death of a family member.

Introducción: El proyecto consiste en el desarrollo de un marco de evaluación basado en “Healthcare Improvement Science” (HIS) que se inició hace 2 años con el proyecto Europeo ISTEW “Improvement Science Training for European Healthcare Workers” donde participaron 7 países europeos. Se pretende extrapolar la herramienta desarrollada a diferentes contextos educativos y diferentes culturas más allá de Europa. Material y Métodos: La herramienta está diseñada para recoger información sobre los diferentes aspectos del aprendizaje en materia de salud desde una perspectiva de las mejoras en salud. Tras el pilotaje europeo se ha ampliado al contexto univer-sitario mexicano, a formación específica en HIS y a formación de facilitadores en hábitos saludables contando con todos los agentes implicados: Estudiante, Tutor, Gestor y Profesor y en las 5 fases de aprendizaje. El pilotaje se realizó en cuanto a contenidos y funcionalidad. Resultados: 150 casos se han implementado hasta el momento en diferentes con-textos educativos y sanitarios, de habla hispana e inglesa. Se han incluido técnicas cuantitativas y cualitativas en la herramienta para validar la información, desarrollándola a su vez en formato online, en 2 idiomas, dividida por fases y para diferentes agentes. Se demostrado su utilidad en los contextos nuevos. Conclusiones: El desarrollo, mejora y pilotaje prospectivo de dicho marco permite la monitorización de las mejoras que la formación en salud aporta a los contextos, implicando al alumnado y resto de agentes, conociendo su testimonio y midiendo el aprendizaje. También permite identificar las necesidades formativas y aporta un plus a la gestión de la calidad de los centros educativos relacionados con el área de la salud e instituciones sanitarias.

Organ donation is a critical event after the loss of a loved one. Spain, despite being the country with the highest donor rate in the world, still maintains a family negative rate of 15.56% . Objective: Know and analyze the impact of organ donation based on its meaning for the family in the Spanish context. Materials and method: This is a phenomenological qualitative study based on Giorgi’s conceptual framework and method. Eleven families who had donated organs at the Hospital La Fe in Valencia were interviewed in depth, following at least three years of mourning since the loss of a loved one. Results: After the results were analyzed, twenty-seven units of meaning were described and classified as relative to the loss and relative to the organ donation. They were then correlated. Conclusion: Organ donation appears to be a relief mechanism or a kind of compensation for the death of a family member., A doação de órgãos é um acontecimento crítico após a perda de um ser querido. A Espanha, embora seja o país do mundo com maior taxa de doadores, ainda mantém uma negativa familiar de 15,56 % . Objetivos: conhecer e analisar o impacto da doação de órgãos por meio dos significados que tem para a família no contexto espanhol. Materiais e método: estudo qualitativo fenomenológico de acordó com o referencial conceitual e o método de Giorgi. Depois de respeitar, pelo menos, três anos de luto desde a perda de um ser querido, foram entrevistadas em profundidade 11 famílias que doaram órgãos no Hospital La Fe em Valência. Resultados: após a análise de resultados, descreveram-se 27 unidades de significado que foram classificadas em relativos à perda e relativos à doação de órgãos; em seguida, correlacionadas. Conclusões: a doação aparece como mecanismo de alívio ou compensação do falecimento do familiar., La donación de órganos es un acontecimiento crítico tras la pérdida de un ser querido. España, a pesar de ser el país del mundo con mayor tasa de donantes, todavía mantiene una negativa familiar del 15,56 % . Objetivos: conocer y analizar el impacto de la donación de órganos a través de los significados que tiene para la familia en el contexto español. Materiales y método: estudio cualitativo fenomenológico según el marco conceptual y método de Giorgi. Luego de respetar, al menos, tres años de duelo desde la pérdida de un ser querido, se entrevistaron en profundidad a once familias que donaron órganos en el Hospital La Fe en Valencia. Resultados: tras el análisis de los resultados, se describieron veintisiete unidades de significado que fueron clasificadas en relativos a la pérdida y relativos a la donación de órganos y, posteriormente, correlacionadas. Conclusiones: la donación aparece como mecanismo de alivio o compensación del fallecimiento del familiar.doi: 10.5294/aqui.2017.17.1.3