Family presence during patient acute deterioration: A survey of nurses' attitudes and reflection on COVID-19 in an African setting

Botes, Meghan; Mabetshe, Lindokuhle

doi:10.1016/j.afjem.2022.04.012

Cited by 5 publications

(3 citation statements)

References 34 publications

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“…A possible explanation in our context would be the rare negative experiences the professionals had had during their careers and the lack of formal training in pediatrics in the case of nursing assistants and pediatric nurses. Similar results are described in studies from Brazil and South Africa, in which parental presence was more widely accepted by professionals with less experience 62 - 63 . However, such differences were not found in a large Asian study concerning professional experience or age and the preference for parental presence.…”

Section: Discussionsupporting

confidence: 87%

Parental presence during invasive pediatric procedures: what does it depend on?

González

Caravaca

García

et al. 2023

Rev. Latino-Am. Enfermagem

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Objective: family-centered care during invasive procedures has been endorsed by many professional health care organizations. The aim of this study was to evaluate the health professionals’ attitudes towards parental presence during their child’s invasive procedure. Method: pediatric healthcare providers (divided in professional categories and range of ages) from one of the Spain’s largest hospitals were asked to complete a questionnaire and write free-text comments. Results: 227 responded the survey. Most (72%) participants, in their answers, reported that parents are sometimes present during interventions, although there were differences between professional categories in this respect. The procedures in which the parents were present were those considered “less invasive” (96% of cases), while only 4% were present in those considered “more invasive”. The older the professional, the less necessary parental presence was considered. Conclusion: the attitudes towards parental presence during pediatric invasive procedure are influenced by the professional category, the age of the healthcare provider and the invasiveness of the procedure.

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Section: Discussionsupporting

confidence: 87%

Parental presence during invasive pediatric procedures: what does it depend on?

González

Caravaca

García

et al. 2023

Rev. Latino-Am. Enfermagem

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“…More experienced nurses in an African study disagreed that FPDR negatively affects patient care compared to less experienced nurses [24]. More experienced physicians tend to rely more on experience and gamble less or take fewer risks [25]. With regards to gender variation in the attitude and practice towards FPDR, male physicians tend to take risks more than female physicians where women were more concerned with litigation/legal issues, affecting the outcome of treatment, and traumatizing the patient.…”

Section: Discussionmentioning

confidence: 97%

The attitudes of Emergency Department consultants toward family presence during resuscitation

Aljohani¹,

Binmuhainy²,

Aljarbou³

et al. 2022

IJASR

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Objectives: We assessed the attitudes of emergency department (ED) consultants toward family presence during resuscitation (FPDR), to elucidate and provide proof of the benefits of allowing FPDR in Kingdom of Saudi Arabia. Methods: A cross-sectional descriptive study using a questionnaire electronically sent to all ED consultants from five major government hospitals in Riyadh, Saudi Arabia. The survey examined the consultants' beliefs and perception of FPDR, legalities, policies and the effects and outcomes of FPDR on the patient, family, and themselves. Results: The survey received 172 responses, 55.0% were 36â€“45 years old and 144 (83.7%) were men. Most respondents (91.36%) had experienced FPDR. Less than half (40.1%) believed that FPDR is beneficial to the patient, and 58.7% believed that FPDR could cause difficulties for the resuscitation team. A written policy for FPDR was preferred by 42% of respondents. Significantly more respondents 36-45 years old recommend allowing FPDR compared to other age groups, and significantly more male consultants in this age group believe there is a positive outcome of FPDR. Conclusion: The attitude and perception of emergency consultants towards the practice of FPDR was less positive than expected. Many consultants did not favor the advantages of FPDR, and were worried about negative outcomes, potential medico-legal repercussions, and the unpleasant experience for the family members, especially female consultants. However, a larger proportion of consultants nevertheless recommend FPDR. The ability of ED doctors to manage FPDR and their understanding of the benefits of FPDR needs to be strengthened.

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“…Uma possível explicação em nosso contexto seriam as raras experiências negativas que os profissionais tiveram durante suas carreiras e a falta de treinamento formal em pediatria, no caso de auxiliares de enfermagem e enfermeiros pediátricos. Resultados semelhantes são descritos em estudos do Brasil e da África do Sul, nos quais a presença dos pais foi mais amplamente aceita por profissionais com menos experiência (62)(63) .…”

Section: Discussionunclassified

A presença dos pais durante procedimentos pediátricos invasivos: depende de quê?

González

Caravaca

García

et al. 2023

Rev. Latino-Am. Enfermagem

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Resumo Objetivo: o atendimento centrado na família durante procedimentos invasivos tem sido endossado por muitas organizações profissionais de saúde. O objetivo deste estudo foi avaliar as atitudes dos profissionais de saúde em relação à presença dos pais durante o procedimento invasivo realizado em seus filhos. Método: os prestadores de serviços de saúde pediátricos (divididos em categorias profissionais e faixa etária) de um dos maiores hospitais da Espanha foram solicitados a preencher um questionário e escrever comentários de texto livre. Resultados: a pesquisa foi respondida por 227 pessoas. A maioria (72%) dos participantes, em suas respostas, relatou que os pais algumas vezes estão presentes durante as intervenções, embora houvesse diferenças entre as categorias profissionais a esse respeito. Os procedimentos em que os pais estavam presentes eram aqueles considerados “menos invasivos” (96% dos casos), enquanto apenas 4% estavam presentes naqueles considerados “mais invasivos”. Quanto mais velho o profissional, a presença dos pais foi considerada menos necessária. Conclusão: as atitudes em relação à presença dos pais durante o procedimento pediátrico invasivo são influenciadas pela categoria profissional, a idade do prestador de serviço de saúde e a invasividade do procedimento.

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Family presence during patient acute deterioration: A survey of nurses' attitudes and reflection on COVID-19 in an African setting

Cited by 5 publications

References 34 publications

Parental presence during invasive pediatric procedures: what does it depend on?

Parental presence during invasive pediatric procedures: what does it depend on?

The attitudes of Emergency Department consultants toward family presence during resuscitation

A presença dos pais durante procedimentos pediátricos invasivos: depende de quê?

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