Family Presence During Trauma Resuscitation: Ready for Primetime?

Pasquale, Mae Ann; Pasquale, Michael D.; Baga, Leslie; Eid, Sherrine; Leske, Jane S.

doi:10.1097/ta.0b013e3181e84222

Cited by 37 publications

(56 citation statements)

References 22 publications

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“…Emotional connectedness between patient and their relatives also emerged in these studies. 8 In addition, from the patient's perspective, Eichorn et al also revealed similar things that of from family members' point of view. 16 In their study, they used the Family Presence Patient Interview Guide (FPPIG) to interview nine purposive samples of patients in the emergency department of a university affiliated, regional, level 1 trauma centre in the USA.…”

Section: Patient-family Connectednessmentioning

confidence: 60%

“…8 Interestingly, family members who were present during resuscitation scored better than those who were not present suggesting that they experienced less anxiety, greater satisfaction and better family wellbeing. 8 Mazer et al also reported from their descriptive study that there were 49.3% of family members which were randomly selected to participate in a telephone survey desired to be present during resuscitation. 9 In…”

Section: Theme 1: Patient and Family Members' Preferencesmentioning

confidence: 99%

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

Pratiwi

2018

Int J Res Med Sci

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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.

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Section: Patient-family Connectednessmentioning

confidence: 60%

Section: Theme 1: Patient and Family Members' Preferencesmentioning

confidence: 99%

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

Pratiwi

2018

Int J Res Med Sci

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“…1,22,26,27,[31][32][33][34][35] Several studies have highlighted the benefits of family presence without interference in patient care. 16,[36][37][38][39] Health care providers working in pediatric trauma resuscitation may gain knowledge from the findings of both parental groups studied. Family members in our study identified the importance of not interfering with the care their child receives.…”

Section: Discussionmentioning

confidence: 99%

Family Presence During Trauma Resuscitation: Family Members’ Attitudes, Behaviors, and Experiences

O’Connell¹,

Fritzeen²,

Guzzetta³

et al. 2017

Am J Crit Care

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BackgroundThe paradigm is shifting from separating family members from their children during resuscitation to one of patient-and family-centered care. However, widespread acceptance is still lacking. Objective To measure attitudes, behaviors, and experiences of family members of pediatric patients during the resuscitation phase of trauma care, including family members who were present and those who were not. Methods An observational mixed-methods study using structured interviews and focus groups was conducted at 3 level 1 pediatric trauma centers. Family members of children who met trauma team activation criteria (N = 126; 99 present, 27 not present) were interviewed; 25 also participated in focus groups. Results Mean attitude scores indicated a positive attitude about being present during the resuscitation phase of trauma care (3.65; SD, 0.37) or wanting to be present (3.2; SD, 0.60). Families present reported providing emotional support (94%) for their child and health care information (92%) to the medical team. Being present allowed them to advocate for their child, understand their child's condition, and provide comfort. Families in both groups felt strongly that the choice was their right but was contingent upon their bedside behavior. Conclusions Study findings demonstrated compelling family benefits for presence during pediatric trauma care. This study is one of the first to report on family members who were not present. The practice of family presence should be made a priority at pediatric trauma centers.

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“…There is ongoing support for a designated family support person with many studies suggesting that it is essential for successful implementation of a family presence during resuscitation program [18,[27][28][29] . However in practice, designating a family support person remains low on the priority list.…”

Section: Discmentioning

confidence: 99%

Emergency Resuscitation team roles: What constitutes a team and who’s looking after the family?

Porter

Cooper

Taylor

2013

JNEP

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Aim of study: This study aimed to investigate the attitudes of personnel working in emergency departments on the constitution of a resuscitation team in particular the perceptions of the family liaison role. Methods:A paper base survey on family presence during resuscitation was distributed to emergency personnel working in 18 public departments in the state of Victoria, Australia.Results: A combination of nurses (n = 282) and doctors (n = 65) working in rural and metropolitan emergency departments, identified seven unique resuscitation team roles. Resuscitation teams were identified as comprising of three doctors, three nurses and one other which could be either. Respondents identified seven unique roles as consisting of a team leader, airway doctor, airway nurse, procedure doctor and procedure nurse, drugs nurse and a scribe. The respondents identified the following components as key to discussions with family members; emergency personnel, reassurance, diagnosis, regular updates, intervention, and prognosis (ER-DRIP). Conclusion:The acronym ER-DRIP can be used as a reminder to emergency staff when speaking with family members during resuscitation events ensuring they receive all the necessary information and support.

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Family Presence During Trauma Resuscitation: Ready for Primetime?

Cited by 37 publications

References 22 publications

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

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

Family Presence During Trauma Resuscitation: Family Members’ Attitudes, Behaviors, and Experiences

Emergency Resuscitation team roles: What constitutes a team and who’s looking after the family?

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