Abstract
Objective: To identify the challenges faced by nursing in the process of organ transplant donation. Methods: Integrative review conducted in the following databases: Medical Literature Analysis and Retrieval System (MEDLINE), Scientific Electronic Library Online (SciELO), Virtual Health Library (VHL) and Latin American and Caribbean Health Sciences Literature (LILACS) from 2014 to 2019. The descriptors associated were: Tissue and Organ Procurement, Transplant and Nursing. Results: The sample consisted of 9 articles that show the need to promote continuing education in the recruitment process and reveal difficulties in health strategies to disseminate information about the importance of the act of donation and promotion of awareness. The challenges faced by the nursing team affect the planning and strategies for stimulating the act of donating, which impacts the difficulties in the process of donating and obtaining an organ for transplantation. Final considerations: The main challenges encountered by nursing during the donation process were: difficulties in the identification and confirmation of brain death and family denial / refusal. And how solutions to the challenges are: prioritizing intra-hospital commissions, clinical assessments and adequate communication between the team and the family.