Family presence during resuscitation: A descriptive study with Iranian nurses and patients’ family members

Breaking bad news and managing family during an out-of-hospital cardiac arrest

“…The sudden transition of mindset described by this participant shows that clinicians mentally separate the resuscitation attempt from the interaction with family. The current research shows that family want inclusion throughout the resuscitation process (Nevins, 2016;Zali et al, 2017). It would appear that the participant has separated herself into two personas in order to fulfil the demands of an OHCA.…”

“…A systematic review conducted by Nevins (2016) found that relatives want to remain connected to their loved one and be present throughout the resuscitation. This was mirrored by Zali et al (2017) who found that 57.2% of family members felt it was their right to be present during resuscitation; whereas 62.5% of nurses involved in that study disagreed with FPDR. This highlights potential barriers when catering to family wishes in both in-hospital and out-ofhospital cardiac arrests.…”

Healthcare Providers’ Perspectives on Family Presence During Resuscitation in the Emergency Departments of the Kingdom of Bahrain

“…Family presence during resuscitation (FPDR) is a controversial circumstance that is gaining acceptance (3). The term FPDR was first described in the early 1980s (2,(4)(5)(6)(7), and has since been established in North America and the United Kingdom. The concept emerged later in other parts of the world in 2009 (4).…”

Healthcare Providers’ Perspectives on Family Presence During Resuscitation in the Emergency Departments of the Kingdom of Bahrain

“…Finally, nationality and, to a minor extent, gender demonstrated a signi cant effect on healthcare providers' opinions to several survey items measuring HP perceptions of FPDR (see Table 4). The current study outcomes are contrary to the outcomes of Iran, Singapore, and Turkey, where the majority of ED physicians and nurses are against FPDR (6,7,13). But it is important to note that the study outcomes are in support of outcomes measured in Saudi Arabia, as well as a Needs Assessment for FPDR conducted by the American Heart Association, and a systematic review of four randomized controlled trials that looked at the psychological outcomes of FPDR on family relatives (10,20,21).…”

“…Regarding nurses, 62.5% disagreed with implementation of FPDR for adult patients, citing that family members become distressed and may prolong the resuscitation effort. Only nurses with prior education of FPDR were open to implementation (6). In Singapore, a survey was performed amongst healthcare providers in a university-a liated hospital.…”