Family presence during resuscitation - The experiences and views of Polish nurses

Health Care Providers' Lived Experience Caring for Victims of Youth Violence Separated From Family During Trauma Resuscitation

BACKGROUND

Family presence during trauma resuscitation is increasingly emphasized; yet it is inconsistently applied and has not been studied in victims of youth violence from the perspective of the health care provider.

OBJECTIVE

The purpose of this study is to explore the lived experience of health care providers involved in the care of children who are separated from their family during trauma resuscitation for injuries sustained from youth violence.

METHODS

A qualitative, transcendental phenomenological study was conducted to examine health care providers' experiences. Data were collected from March 2021 to April 2021 using open-ended, semistructured interviews conducted via Zoom or telephone. Data were transcribed and analyzed following the transcendental phenomenological reduction approach.

RESULTS

Seven health care providers were interviewed. Ages of the participants ranged from 31 to 60 years (mean: 52.1 years). Years of practice ranged from 9.5 to 36 years (mean: 26 years). The participants' professions included surgeon, registered nurse, violence interventionalist, and social worker. From the data collected, 6 major themes emerged: current landscape, decision making, safety and security, law enforcement presence, characteristics of families of victims of youth violence, and staff reflections.

CONCLUSIONS

This study demonstrates the value of incorporating health care providers' experiences to inform the barriers, facilitators, and nuances of implementing family presence during trauma resuscitation for pediatric victims of violence.

Emergency Room Nurses' Attitudes toward Family Presence during Resuscitation: A Cross-Sectional Study

INTRODUCTION

Although there are guidelines that encourage the family presence during cardiopulmonary resuscitation, literature that reported on the healthcare team's attitudes suggested that this practice is often discouraged, and it remains a debatable topic.

AIM

To assess the Emergency Room Nurses' Attitudes toward family presence during cardiopulmonary resuscitation procedures.

RESEARCH DESIGN

A cross-sectional descriptive correlation research design was used for this study.

PARTICIPANTS AND RESEARCH CONTEXT

A non-probability convenience sample for this study comprised 222 registered nurses who have worked in emergency departments. The study used Family Presence During Resuscitation scale to collect the data related to nurses' attitude toward family presence during CPR.

ETHICAL CONSIDERATIONS

This study was approved by the ethics committee at Al-Zaytoonah University of Jordan.

RESULTS

Jordanian nurses had a positive attitude toward the health beliefs with a mean score of (3.71 ± 0.81), followed by cues and triggers (3.60 ± 0.82). The least attitude endorsed by nurses was perceived self-efficacy with a mean score of (2.87 ± 0.80). Point-biserial correlation yielded a positive correlation between marital status and cues or triggers (r = 0.055; p = 0.043). Moreover, person correlation showed a positive relationship between age and health beliefs (r = 00.134; p = 0.040) and a negative correlation between experience and self-efficacy (r=-0.141; p = 0.043).

CONCLUSION

Enhancing nurses' confidence based on evidence-based practice would prepare nurses to handle family presence during resuscitation.

Experiences and Opinions of Patients and Their Relatives to Family Presence During Adult Resuscitation in Poland: Quantitative Research

PURPOSE

Scientific research and public opinion polls indicate that the majority of patients and their families believe that members of the patients' family should be offered the opportunity to be present during CPR, at the moment of their loved one's death, and throughout all aspects of emergency care. The study was designed to analyse the experiences and opinions of patients and family members towards Family Presence During Resuscitation (FPDR) in hospitals in Poland.

PATIENTS AND METHODS

We conducted a survey related to FPDR among patients and their families during 5 months in 2017. That was preceded by a pilot study. We asked the patients and the people accompanying them to complete the questionnaire during admission to the hospital; 1000 questionnaires (500 patient responses and 500 family responses) were included in the analysis.

RESULTS

Patients and their relatives more often wanted to be present during resuscitation of a loved one than they agreed to the presence of the family during their resuscitation. The vast majority of patients did not know the patient's rights regarding FPDR. 24.2% of patients and 29.2% of their relatives participated in the discussions on FPDR. The interest in FPDR indicated 29.0% of patients and 27.6% of family members.

CONCLUSION

In our survey study, both patients and their family members had a negative attitude towards FPDR. Respondents (both patients and family members) had a low level of awareness that their potential to be present during CPR was included in the patient's rights.

Family presence during resuscitation: A narrative review of the practices and views of critical care nurses

BACKGROUND

The option of family presence during resuscitation was first presented in the late 1980s. Discussion and debate about the pros and cons of this practice has led to an abundant body of international research.

AIM

To determine critical care nurses' experiences of, and support for family presence during adult and paediatric resuscitation and their views on the positive and negative effects of this practice.

METHODS

A narrative literature review of primary research published 2005 onwards. The search strategy comprised an electronic search of three bibliographic databases, supplemented by exploration of a web-based search engine and hand-searching.

RESULTS

Twelve studies formed the review. Research primarily originated from Europe. The findings were obtained from a moderately small number of nurses, and their views were mostly based on conjecture. Among the factors influencing family presence during resuscitation were dominant concerns about harmful effects. There was a noticeable absence of compliance with recommended guidelines for practice, and the provision of a unit protocol or policy to assist decision-making.

CONCLUSION

A commitment to family-centred care, educational intervention and the uptake of professional guidance are recommended evidence-informed strategies to enhance nurses' support for this practice in critical care.