Family presence during resuscitation: patient and family members’ preferences and attitudes

Abstract

Background: This literature review presents a review of the available studies into family presence during resuscitation (FPDR) in the context of emergency department and critical care unit from the point of view of patients and family members. This literature review provides the background for understanding the debate about FPDR. The paper examines the state of current research on the topic and points out gaps in existing literature.Methods: A comprehensive search of OVID Nursing, Web of Science (Web of Knowledge), Elsevier, ProQuest and Google Scholar electronic search engine. Thematic analysis was used to extract themes from the 25 studies reviewed (quantitative, qualitative and mixed-methods studies), resulted in five major themes and five minor themes.Results: Five major themes from this literature review were: (1) patient and family members’ preferences; (2) perceived benefits of family presence during resuscitation; (3) perceiving family presence as a right; (4) the importance of a family facilitator; and (5) the involvement of decision making.Conclusions: This literature review has established the potentials of family presence during resuscitation to improve patient and family-centred care by helping and providing family members to manage and to adjust during traumatic circumstances.

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

“…In addition, witnessing the attempt can help the family with the grieving process. That being said, the hospital should provide a facilitator to help the family to understand what happened during the resuscitation process (Pae et al, 2015;Pratiwi, 2018).…”

Comparison the effect of trained and untrained family presence on their anxiety during invasive procedures in an emergency department: A randomized controlled trial

“…Although the presence of families with their loved ones is not permitted in most Iranian healthcare centers, but following the growth of family-centered care programs and involvement of families in the healthcare decision-making, rigorous policies on visiting the patient have become weaker,such that the presence of families is allowed even during invasive procedures 3 , 4 . The previous studies also indicated that, most patients and their family members tend to be present during the emergency and invasive procedures 5, 6, 7, 8…”

Knowledge, Attitude, and Practice of Healthcare Professionals Regarding Family Presence During Resuscitation: An Interventional Study in a Tertiary Care Setting, Karachi, Pakistan

“…The effect of FPDR among nurses and physicians is a subject of debate in the literature. Overall, 70% to 80% of the healthcare professionals (HCPs) may acknowledge and endorse the practice of FPDR, and 94% of family members may believe that witnessing resuscitation actively involved them in resuscitative process, comfort the patient and family member, encourage emotional connection to their loved ones, ease family's adjustment to death, and satisfy family with medical teams' intervention (Chapman, Watkins, Bushby, & Combs, 2012;De Stefano et al, 2016;Pratiwi, 2018;Zakaria & Siddique, 2008). However, implementation of FPDR remains low in some countries (Porter, Cooper, & Sellick, 2013).…”

“…However, implementation of FPDR remains low in some countries (Porter, Cooper, & Sellick, 2013). The reported reasons for reluctance among HCPs, particularly in physicians, appear to be concerns that this practice might hinder the performance of the resuscitation team, and cause psychological trauma to the family watching their loved one in need for resuscitation and at high risk for death (Koberich, Kaltwasser, Rothaug, & Albarran, 2011;De Stefano et al, 2016;Leung, & Chow, 2012;Pratiwi, 2018).…”

“…FDPR is gradually gaining recognition in western countries, however very few studies are reported from Asian countries (AlMutair, Plummer, & Copnell, 2012;Badir & Sepit 2007;Ong, Chung, & Mei, 2007). The Emergency Nurses Association in 2003 and The American Heart Association in 2005 were the first organizations to develop guidelines for FPDR, and highlight its importance in order to bring consistency in clinical practice and to support healthcare providers in caring for patients and family members (Holzhauser & Finucane, 2007;Pratiwi, 2018). The Emergency Nurses Association (ENA) position statement clearly states that families' emotional and psychological state should be assessed at first before allowing them to be present during resuscitation (ENA, 2007).…”