Family presence during resuscitation attempts and invasive procedures: is there science behind the emotion?

Sacchetti, Alfred; Guzzetta, Cathie E.; Harris, Russell H.

doi:10.1016/s1522-8401(03)00072-7

Cited by 15 publications

(11 citation statements)

References 30 publications

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“…As already reported, greater provider age and experience with parental presence were associated with more favourable opinions toward parental presence,25 26 33 perhaps because it helps release stress and facilitates care 30 35…”

Section: Discussionsupporting

confidence: 54%

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Parental presence during cardiopulmonary resuscitation of children: the experience, opinions and moral positions of emergency teams in France

Tripon

Défossez

Ragot

et al. 2014

Archives of Disease in Childhood

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Section: Discussionsupporting

confidence: 54%

“…The risk of increasing CPR providers’ stress through interference in medical management has already been reported,24 28 30 31 33 35 36 44 but prospective clinical trials do not support these fears. Doyle did not mentioned any interference by parents during critical management of their children 1.…”

Section: Discussionmentioning

confidence: 99%

Parental presence during cardiopulmonary resuscitation of children: the experience, opinions and moral positions of emergency teams in France

Tripon

Défossez

Ragot

et al. 2014

Archives of Disease in Childhood

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show abstract

“…Yet, views among health professionals remain divided – with support for the practice ranging from 3‐98% in attitudinal surveys (Sachetti et al . , McMahon‐Parkes et al . ).…”

Section: Introductionmentioning

confidence: 99%

Factors influencing decision‐making around family presence during resuscitation: a grounded theory study

Giles

Lacey

Muir‐Cochrane

2016

Journal of Advanced Nursing

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Aim The aim of this study was to examine factors impacting family presence during resuscitation practices in the acute care setting. Background Family presence during resuscitation was introduced in the 1980s, so family members/significant others could be with their loved ones during life‐threatening events. Evidence demonstrates important benefits; yet despite growing support from the public and endorsement from professional groups, family presence is practiced inconsistently and rationales for poor uptake are unclear. Design Constructivist grounded theory design. Methods Twenty‐five health professionals, family members and patients informed the study. In‐depth interviews were undertaken between October 2013–November 2014 to interpret and explain their meanings and actions when deciding whether to practice or participate in FPDR. Findings The Social Construction of Conditional Permission explains the social processes at work when deciding to adopt or reject family presence during resuscitation. These processes included claiming ownership, prioritizing preferences and rights, assessing suitability, setting boundaries and protecting others/self. In the absence of formal policies, decision‐making was influenced primarily by peoples’ values, preferences and pre‐existing expectations around societal roles and associated status between health professionals and consumers. As a result, practices were sporadic, inconsistent and often paternalistic rather than collaborative. Conclusion An increased awareness of the important benefits of family presence and the implementation of clinical protocols are recommended as an important starting point to address current variations and inconsistencies in practice. These measures would ensure future practice is guided by evidence and standards for health consumer safety and welfare rather than personal values and preferences of the individuals ‘in charge’ of permissions.

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“…22,29 International research suggests there are multiple benefits for family members who are present during resuscitation of a loved one. Yet health professionals continue to report concerns and anxieties about FPDR and many hospitals do not have written policies to guide this practice.…”

Section: The Study -A Grounded Theory Of Family Presence During Resusmentioning

confidence: 99%

Coding, Constant Comparisons, and Core Categories

Giles

Lacey

Muir‐Cochrane

2016

Advances in Nursing Science

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Grounded theory method (GTM) is a research methodology used to create substantive theories through inductive and abductive data analysis, rather than hypothetical deductions. 3,4 More specifically, GTM is a research/methods package which includes the cyclic application of '…data collection, coding and analysing through memoing, theoretical sampling and sorting to writing, using the constant comparative method.' 5(p12) At its core, GTM aims to understand behaviour and meanings that participants give to their experiences in a particular setting. 6 Further, the aim is to generate conceptual theories that explain a phenomenon from the perspective and in the context of the people who experienced it 7 that can be applied to practical situations. According to Charmaz 3 , researchers construct grounded theories through their past and present interactions with people, their personal perspectives and their research practices. A constructivist approach therefore allows a representation of experience rather than an exact replication of it 3 and sees the researcher as an interpreter during analysis rather than the ultimate authority in defining the data. (p52)A constructivist approach to GTM starts with the lived experience, then asks how participants constructed that experience. 8,11 The researcher can then explore how and why participants constructed meanings and actions in certain situations, while keeping in mind that the resultant theory is itself an interpretation that is dependent on the researcher's view. 8,[11][12][13][14] Using this approach, what researchers see and hear will depend on their past experiences and interests, their prior interpretation of the phenomenon, the research context, the researcher-participant relationship, and the methods of generating and recording the data. 8,10 As such, the researcher should treat the research process itself as a social construction, and scrutinise all research decisions and directions. Charmaz's GTM comprises systematic yet flexible guidelines for collecting and analysing (primarily qualitative) data in order to construct theories that are grounded in the data. 3,4A key feature of this method is the concurrent collection and analysis of data, with each informing and focusing the other; this allows analysis to become progressively more theoretical as the research progresses. 3,4Other core tenets include theoretical sampling, constant comparison of data to theoretical

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Family presence during resuscitation attempts and invasive procedures: is there science behind the emotion?

Cited by 15 publications

References 30 publications

Parental presence during cardiopulmonary resuscitation of children: the experience, opinions and moral positions of emergency teams in France

Parental presence during cardiopulmonary resuscitation of children: the experience, opinions and moral positions of emergency teams in France

Factors influencing decision‐making around family presence during resuscitation: a grounded theory study

Coding, Constant Comparisons, and Core Categories

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