Does Family Presence in the Trauma Bay Help or Hinder Care?

Joyner, Benny L.

doi:10.1001/journalofethics.2018.20.5.sect1-1805

Cited by 9 publications

(4 citation statements)

References 16 publications

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“…Reviewing the possible geographic or situational placements of family members in the ED setting was a priority area of exploration for the MDT panel, as ED-based medical experts highlighted literature that supported family/caregiver presence at the bedside improved emotional and psychological outcomes for surviving family members when they are observers of the resuscitation of their family member. 12 …”

Section: Resultsmentioning

confidence: 99%

“…Additionally, the panel identified and debunked perceptions by participating MDT members that families would feel unduly emotionally burdened by involvement in the resuscitative process; rather, medical literature suggests otherwise. 12 Investigating agencies had incorrectly perceived that observing the resuscitation or death of an infant would result in negative emotional outcomes and increased trauma for the caregiver/family member. Finally, also explored was confusion around consent for various medical and postmortem interventions (like radiologic imaging or lab testing) and organ donation, with strong recommendation for continued collaborative decision-making across sectors in partnership with involved family members.…”

Section: Discussionmentioning

confidence: 99%

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Management of Sudden Unexpected Infant Deaths in the Emergency Department:

Deutsch¹,

Macaulay²,

Smith³

et al. 2022

Delaware Journal of Public Health

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Objective To establish a standardized, trauma informed and family-centered emergency department (ED) sudden and unexpected infant death (SUID) management protocol at Nemours Children’s Health, Delaware for medical professionals and multidisciplinary team (MDT) collaborators, informed by national clinical practice guidance, and respective of both family and investigative needs. SUID are emotionally distressing for involved family members, often precipitated by profound grief and confusion as the family interacts with many mandated public agencies during the course of a medicolegal death investigation. Although SUID necessitates consideration of child abuse and neglect as a contributory factor, and accurate determination of death cause may have critical implications for other family members and public health, prioritizing family needs in a trauma informed manner is paramount. Collaboration between MDT partners to provide optimal care to families following SUID involves transparent family communication, attending to medical and mental health needs of surviving family (especially siblings), and respecting medicolegal investigative constraints. Many institutions lack standardized approaches to SUID cases, which may precipitate increased family distress and delay initiation of necessary medicolegal death procedures. Methods An MDT expert panel consisting of medical, legal, law enforcement, and child welfare professionals was convened at Nemours Children’s Health, Delaware in 2018 over a 3-month period to analyze and implement an enhanced, family-centered, trauma informed hospital protocol. Results Using exploratory inquiry and dialogue to elicit important protocol goals, a family-centered protocol with revised, coordinated roles for MDT members was developed with enhanced focus on communication, family-, and team-oriented care. Conclusions Implementation of a family-centered, ED-based protocol standardizing the approach to SUID effectively supports medicolegal death investigative procedures while prioritizing trauma informed, supportive, sensitive ED care for grieving families. Policy implications Health care institutions serving children and their families should develop and implement trauma informed, family-centered protocols to ensure sensitivity during medicolegal death investigations.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Management of Sudden Unexpected Infant Deaths in the Emergency Department:

Deutsch¹,

Macaulay²,

Smith³

et al. 2022

Delaware Journal of Public Health

View full text Add to dashboard Cite

show abstract

“…Previous studies recommend family presence during resuscitation (Davidson et al., 2017; Joyner, 2018; Vincent & Lederman, 2017). It is already known that there is a clear need for a member of the healthcare team to provide support when parents are present during pediatric resuscitation (McAlvin & Carew‐Lyons, 2014; Mentzelopoulos et al., 2021; Pemberton & Howarth, 2023; Topjian et al., 2020).…”

Section: Introductionmentioning

confidence: 99%

Parental supporter in pediatric resuscitation: A mixed‐method study with Delphi and analytic hierarchy process

Ghavi,

Hassankhani,

Meert

2023

J of Nursing Scholarship

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IntroductionProviding support to parents is an evidence‐based practice and a crucial part of family‐centered nursing care. However, it is not clear who and how to provide the best support to parents during and after their child's resuscitation attempts.PurposeThis study was conducted to explore the characteristics and roles of parental supporters responsible for caring for parents during and after their child's resuscitation.MethodsThis is a mixed‐method study combining the Delphi technique and the Analytic Hierarchy Process. A list of potentially important items describing the characteristics and roles of parental supporters caring for parents during and after pediatric resuscitation was developed through qualitative interviews with parents and members of the resuscitation team, and a thorough literature search. Then, the Delphi round was conducted with key experts. In the final step, the Analytic Hierarchy Process was used for ranking items in the order of their importance.ResultsA list with 69 items describing the characteristics and roles of parental supporters was developed. 15 items (21.74%) were related to the “Characteristics of parental supporter” category; 8 items (11.59%) were related to the “Roles of a parental supporter during resuscitation” category; 13 items (18.84%) were related to the “Roles of a parental supporter after successful resuscitation” category; 23 items (33.34%) were related to the “Roles of a parental supporter after unsuccessful resuscitation” category; and 10 items (14.49%) were related to the “Roles of a parental supporter after unsuccessful resuscitation with help of other staff of the hospital” category.ConclusionThe findings of this study can be used to develop guidelines that include parental supporter characteristics and roles to support parents during and after their child's resuscitation according to family‐centered care practices in pediatric settings.Clinical RelevanceStudy findings indicate the need for the presence of a parental supporter during and after pediatric resuscitation, whether witnessed by the parents or not. Knowledge regarding the characteristics and roles of parental supporters can be used in practice to uphold family‐centered nursing care during critical situations.

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“…Family-witnessed resuscitation refers to the presence of a family member being in the room, or in an area that allows the family to see or get physical contact with the patient, during a lifesaving procedure (Joyner Jr., 2018). Studies have shown that family members and patients support this practice.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with nurses' perceptions and self-confidence in relation to family presence during resuscitation: a cross-sectional study in Indonesia

Rahmawati¹,

Dilaruri²,

Rosmalinda³

et al. 2021

Kontakt

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Background: The presence of family during resuscitation attempts provides moral and religious support for the patient. It also strengthens the relationship between the family and the health care team, as well as the patients. However, the implementation of this practice remains unclear.Purpose: This study aimed to explore the nurses' perception and their self-confidence in relation to family presence during resuscitation in Indonesia, in order to adapt the Indonesian version of the Family Presence Risk-Benefit Scale and Family Presence Self-Confidence Scale tools. Methods: The study was cross-sectional, using the Indonesian version of the Family Presence Risk-Benefit Scale and Family Presence Self-Confidence Scale tools. Results: 174 nurses working in the intensive care/intensive cardiac care unit and emergency room at a tertiary referral hospital in Riau Province of Indonesia completed the questionnaire, including the opinion-based questions. Our respondents had neither positive nor negative perceptions of family presence during resuscitation (mean score 3.37; SD 1.00). The Pearson r correlation test showed that nurses who perceived more benefits of this practice are more confident when it comes to implementing it (r = 0.618; P-value 0.000). We found that the only demographic factor determining the nurses' attitudes toward family-witnessed resuscitation was the number of times they had been involved in a resuscitation scenario. Conclusions: A high self-confidence score in implementing family-witnessed resuscitation was found among our respondents. In fact, most of them had invited family members to witness the resuscitation attempt. However, the nurses had a neutral attitude toward family presence during resuscitation. This study also suggests that nurses will likely support this practice when other doctors also support it.

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Does Family Presence in the Trauma Bay Help or Hinder Care?

Cited by 9 publications

References 16 publications

Management of Sudden Unexpected Infant Deaths in the Emergency Department:

Management of Sudden Unexpected Infant Deaths in the Emergency Department:

Parental supporter in pediatric resuscitation: A mixed‐method study with Delphi and analytic hierarchy process

Factors associated with nurses' perceptions and self-confidence in relation to family presence during resuscitation: a cross-sectional study in Indonesia

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