Family presence during resuscitation

Rubin, Monika Afzali; Svensson, Tintin Lg; Herling, Suzanne Forsyth; Klausen, Tobias Wirenfeldt; Jabre, P.; Møller, Ann Merete

doi:10.1002/14651858.cd013619

Cited by 7 publications

(9 citation statements)

References 36 publications

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“…Solely one finding in the main theme “facilitating factors for FPDR” was found to have High GRADE CERQual confidence: “A belief that FPDR is the right thing to do.” We find this especially interesting, as the evidence regarding the effect of FPDR is low 4 . If HCP operate outside of clinical guidelines and policies, the risk of inconsistent and ad hoc practices based on individual and subjective preferences is of concern and an important facilitative factor found in this review was the ethical principle of beneficence 53 .…”

Section: Discussionmentioning

confidence: 86%

“…“Family Presence During Resuscitation” (FDPR) refers to the presence of relatives during resuscitation. The aim of FPDR is to meet the emotional needs of patients and their relatives, to integrate holistic care medical practice 1–4 . The relatives may interact with the patient by holding their hand or speak to them during a resuscitation attempt or they can be physical present in a passive manner.…”

Section: Introductionmentioning

confidence: 99%

“…In turn, the relative can provide emotional support to the patient. 32,33 But since 1987 only two randomized controlled trials (RCT), 4 a qualitative survey-design, 34 and a quasi-randomized trial 29 which reviewed the potential effect on relatives of being present, and on HCP experiences, have been conducted. Conversely, an overview of the literature on FPDR shows that HCP do not unanimously support the practice.…”

mentioning

confidence: 99%

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The healthcare professionals' perspectives and experiences with family presence during resuscitation: A qualitative evidence synthesis

Rubin,

Meulengracht,

Frederiksen

et al. 2023

Acta Anaesthesiol Scand

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IntroductionFamily presence during resuscitation (FPDR) is a growing hospital praxis despite lack of high‐quality evidence. The aim of this qualitative evidence synthesis review was to synthesize current evidence regarding healthcare professionals (HCP) perspectives on barriers and facilitating factors of FPDR and the potential impact of FPDR on HCP performance.MethodsWe conducted a systematic literature search May 17, 2023 including primary studies with qualitative study designs. We applied NVivo for data analysis. Data was coded with line‐by‐line coding and organized into themes and categories following the method for thematic synthesis described by Thomas and Harden to analyse data. The studies underwent quality appraisal by Critical Appraisal Skills Program. We used GRADE CERQual to assess the confidence in the evidence.ResultsWe identified 8241 articles suitable for screening, 141 articles were full text screened, and nine studies included from Australia, UK and USA. In total, 134 HCP participated, between 2005 and 2019. Most studies lacked sufficiently rigorous data analysis and findings were appraised to have moderate GRADE CERQual confidence.We identified three analytical themes (“Facilitating factors for FPDR”, “Barriers for FPDR” and “How staff are affected by FPDR”) with eight descriptive subthemes. One finding was of high GRADE CERQual confidence: a belief that FPDR is “the right thing to do” which was a “Facilitating factor of FPDR.”ConclusionThe evidence on HCP perspectives is of low to moderate confidence. The interviewed consent that FPDR is the “right thing to do”, and an ethical principle of beneficence is dominant, especially regarding children.

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Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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The healthcare professionals' perspectives and experiences with family presence during resuscitation: A qualitative evidence synthesis

Rubin,

Meulengracht,

Frederiksen

et al. 2023

Acta Anaesthesiol Scand

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“…Having relatives present during emergency medical events is a growing healthcare practice 45 . Patients are most often found to prefer having their relatives present, and many relatives also prefer to be present, or at least to be given the opportunity to be present 44,46 .…”

Section: Discussionmentioning

confidence: 99%

“…Having relatives present during emergency medical events is a growing healthcare practice. 45 Patients are most often found to prefer having their relatives present, and many relatives also prefer to be present, or at least to be given the opportunity to be present. 44,46 A British group investigated both clinicians' and parents' views on providing immediate neonatal care and resuscitation at birth beside the mother and found that 'Families were positive about neonatal care being provided at the bedside, and felt it gave reassurance about their baby's health and care', 47 and 'Overall, most clinicians were positive about providing immediate neonatal care at the maternal bedside, particularly in terms of the clinicians' perception of the parents' experience'.…”

Section: Lowmentioning

confidence: 99%

Presence of the partner in the operating room during emergency caesarean section

Nedergaard

Balaganeshan

Weitling

et al. 2022

European Journal of Anaesthesiology

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BACKGROUNDEmergency caesarean sections are often very urgent, with limited time for informing and guiding parents. Is it preferable to leave the partner outside of the operating room, or let the partner accompany the mother?OBJECTIVEThis review aimed to provide an overview of the available evidence regarding the presence of the partner in the operating room during emergency caesarean sections.DESIGNScoping review.DATA SOURCESA systematic literature search was performed in PubMed, Embase, Cinahl and the Cochrane Library.ELIGIBILITY CRITERIAAll published literature reporting on emergency caesarean sections in regional or general anaesthesia with the partner present in the operating room were eligible, no matter the design.RESULTSTwenty-four titles, published between 1984 and 2020, were included; 15 contained original clinical findings and 9 were letters/debates. Quality of evidence was assessed using the Mixed Methods Appraisal Tool and found to be very low/low (17 studies), moderate (6) or good (1). Studies originated from Europe (16 studies), USA/Canada (4), South America (2), Asia (1) and Africa (1). Content data were thematically summarised and were overall either in favour or against having the partner present. Staff seemed reluctant to let partners be present for caesarean sections under general anaesthesia; mothers and partners preferred the partners’ presence. Under regional anaesthesia, parents also wished for the partners’ presence and described the caesarean section under regional anaesthesia as a predominantly positive experience. Most staff had a favourable attitude towards letting the partner be present for caesarean sections under regional anaesthesia.CONCLUSIONLimited evidence exists regarding the presence of the partner during emergency caesarean sections, but is of low quality. Most parents prefer having their partner present. Staff can be reluctant, especially when general anaesthesia is used.

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