Acceptance of family member presence during pediatric resuscitations in the emergency department: Effects of personal experience

Sacchetti, Alfred; Carraccio, Carol; Leva, Ernie; Harris, Russell H.; Lichenstein, Richard

doi:10.1097/00006565-200004000-00004

Cited by 98 publications

(69 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…6 Thus, similar to our study, a large discrepancy between the attitudes of nurses and physicians was discovered, and both groups did not support family presence during active resuscitation. 6 Another study found that in environments where parents were regularly invited into pediatric resuscitations, the staff had a much more favorable opinion than in institutions that rarely allowed parental presence, 5 suggesting that a ''try it, you'll like it'' phenomenon may exist.…”

Section: Discussionmentioning

confidence: 99%

“…Previously conducted surveys and observational studies have demonstrated that most parents prefer to stay with their children during procedures occurring in EDs. [1][2][3][4][5] Parents also believe that they should participate in the decision to be present and that the physician should not unilaterally decide it. 4 Health care providers are much less willing to allow parental presence than parents would prefer.…”

mentioning

confidence: 99%

“…4 Health care providers are much less willing to allow parental presence than parents would prefer. 5,6 Reasons stated for the reluctance to allow parental presence include parental anxiety, time required to orient parents, escalating negative behavior of children, performance anxiety by the Survey Content and Administration. The surveys were distributed to the ten site coordinators.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Should Parents Be Present during Emergency Department Procedures on Children, and Who Should Make That Decision? A Survey of Emergency Physician and Nurse Attitudes

Beckman

Sloan

Moore

et al. 2002

Academic Emergency Medicine

View full text Add to dashboard Cite

Abstract. Objective: To survey physician and nurse attitudes regarding parental presence during painful procedures on children performed in the emergency department (ED) and who should make that decision. Methods: The design was an anonymous written survey consisting of six clinical scenarios distributed to all staff and resident physicians and nurses in ten EDs at institutions in the United States routinely caring for children. Participants were asked whether parents should remain with children undergoing intravenous (IV) placement, laceration repair, lumbar puncture, conscious sedation, major resuscitation, and major resuscitation with death. They also were asked who should make the decision. Results: The percentage of physicians who responded that parents should be present was 91.3% for peripheral IV start, 93.3% for laceration repair, 65.7% for lumbar puncture, 83.1% for conscious sedation, 31.9% for major resuscitation, and 35.6% for major resuscitation where death was likely. The percentage of nurses who responded that parents should be present was 86.8% for peripheral IV start, 89.6% for laceration repair, 55.0% for lumbar puncture, 74.9% for conscious sedation, 41.4% for major resuscitation, and 54.3% for major resuscitation where death was likely. In 64.8% of the completed surveys, the physicians indicated that they alone or in conjunction with a parent should make the decision. In 61.5% of the completed surveys, the nurses indicated that they should be involved in the decision. Conclusions: A majority of emergency physicians and nurses indicated parents should be present for some invasive pediatric procedures. However, as the invasiveness of the pediatric procedures increased, fewer physicians and nurses believed that parents should be present.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Should Parents Be Present during Emergency Department Procedures on Children, and Who Should Make That Decision? A Survey of Emergency Physician and Nurse Attitudes

Beckman

Sloan

Moore

et al. 2002

Academic Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…1,3,12 Physicians and nurses reported that they would feel increased anxiety about their performance because they would be critiqued. 6,12,13 Health professionals also reported that if families are present they will feel an added pressure to prolong resuscitation unnecessarily. 1,12 It is evident that many health professionals have strong concerns about family presence.…”

Section: Disadvantages Of Family Presencementioning

confidence: 99%

Understanding Health Care Professionals' Views of Family Presence During Pediatric Resuscitation

Jones¹,

Parker-Raley²,

Maxson³

et al. 2011

American Journal of Critical Care

View full text Add to dashboard Cite

Objective To examine the conflicting perceptions that health care professionals hold regarding family presence during pediatric resuscitation. Methods In phase 1, 137 health care professionals completed a 23-item questionnaire about their views on family presence and their perceptions of their opponents' views on family presence. In phase 2, 12 phase 1 respondents were interviewed about the effects that family presence may have on patients' families and on trauma teams. Results All respondents indicated that legal concerns and risks were important factors during family presence; however, respondents in favor of family presence believed that legal concerns and risks were minimized when patients' families were present whereas respondents who were opposed believed the opposite. Respondents who were opposed assumed that respondents who were in favor of family presence were less sympathetic and concerned about families, trauma teams, and health care providers; respondents in favor of family presence assumed that respondents who were opposed were overly preoccupied with legal concerns and potential risks involved with family presence during pediatric resuscitations. All respondents believed that patients' families and trauma teams are affected by family presence. Specifically, respondents in favor of family presence believed that families and trauma team members are positively affected whereas opponents believed the opposite. Conclusions These findings provide a deeper understanding of the views of health care professionals and how these views might affect the delivery of family-centered care. (American Journal of Critical Care. 2011;20:199-208

show abstract

“…[11][12][13] Recent reviews and studies promote providing the option of parental presence even for very invasive procedures. [14][15][16][17] Yet, some parents may not be emotionally capable of remaining present for certain procedures and should not be forced to stay. 17 Health care workers must be prepared to initiate discussions regarding parental presence for pediatric procedures.…”

mentioning

confidence: 99%

Ethnic Differences in Parent Preference to Be Present for Painful Medical Procedures

2005

View full text Add to dashboard Cite

ABSTRACT. Objective. To examine ethnic differences between white, black, and Hispanic (Englishspeaking and Spanish-speaking) parents in their desire to remain present during their children's painful medical procedures.Methods. A convenience sample of parents from each of 4 ethnic groups (black, white, and Hispanic [divided into English-speaking Hispanic and Spanish-speaking Hispanic]) was surveyed regarding their preferences for remaining present for 5 hypothetical painful procedures: venipuncture, laceration repair, lumbar puncture, fracture reduction, and critical resuscitation. For each procedure, a short description of the procedure was read to the parent, and a picture of the procedure was shown. The effect of ethnicity on parental desire to stay was examined by using the 2 test and multivariate logistic regression.Results. Complete data on 300 parents, 72 to 79 from each ethnic group, were obtained. There were no significant demographic differences between groups except that English-speaking Hispanic parents were younger, and black parents were relatively well educated, whereas Spanish-speaking Hispanic parents were relatively less well educated. Overall, the percentages of those who would wish to remain with their child during the procedures were 94% (venipuncture), 88% (laceration repair), 81% (lumbar puncture), 81% (fracture reduction), and 81% (critical resuscitation). The only significant ethnic difference was that English-speaking Hispanic parents were less likely to want to remain present during a critical resuscitation (P ‫؍‬ .01). Black parents were less likely, and English-speaking Hispanic parents were more likely, to want physicians to decide for them whether they should remain present. Parents generally preferred to actively participate during the procedure by coaching and soothing their child rather than to just observe.Conclusions. We found few ethnic differences in parents' desire to be present during their child's painful medical procedures. Overall, the vast majority of parents would prefer to remain present even for highly invasive procedures. Pediatrics 2005;116:e191-e197. URL: www. pediatrics.org/cgi

show abstract

Acceptance of family member presence during pediatric resuscitations in the emergency department: Effects of personal experience

Cited by 98 publications

References 14 publications

Should Parents Be Present during Emergency Department Procedures on Children, and Who Should Make That Decision? A Survey of Emergency Physician and Nurse Attitudes

Should Parents Be Present during Emergency Department Procedures on Children, and Who Should Make That Decision? A Survey of Emergency Physician and Nurse Attitudes

Understanding Health Care Professionals' Views of Family Presence During Pediatric Resuscitation

Ethnic Differences in Parent Preference to Be Present for Painful Medical Procedures

Contact Info

Product

Resources

About