Opinions for Family Presence During Cardiopulmonary Resuscitation in Turkey: A Literature Review

Abstract

Amaç: Bu derlemenin amacı, Türkiye'de kardiyopulmoner resüsitasyon sırasında ailenin bulunmasıyla ilgili çalışmaları değerlendirmektir.Gereç ve Yöntemler: Türkiye'de kardiyopulmoner resüsitasyon sırasında ailenin bulunması ile ilgili çalışmalar incelendi. Bu literatür incelemesi bilgisayar ortamında PubMed/ MEDLINE veritabanları kullanılarak yapıldı. Türkiye'de kardiyopulmoner resüsi-tasyon sırasında ailenin bulunması ile ilgili beş makale bulundu. Bu beş çalışma amaç, örneklem, yöntem, sonuç ve çıkarımları içeren bir düzen içerisinde verildi. Bulgular: Bu konu hakkındaki dört çalışma sağlık profesyonellerinin görüşlerini, biri de aile bireylerinin görüşlerini belirlemek amacıyla yapılmıştır. Bu çalışmalarda sağlık profesyonelleri kardiyopulmoner resüsitasyon sırasında ailelerin bulunmasını olumlu düşünmemektedirler. Sağlık profesyonellerinin kardiyopulmoner resüsitasyon sırasın-da ailelerin yanlarında bulunması ile ilgili olumsuz deneyimleri olduğu belirtilmektedir. Objective: The aim of this review was to evaluate the studies on family presence during cardiopulmonary resuscitation in Turkey.Material and Methods: Articles were screened which focused on cardiopulmonary resuscitation family presence in Turkey. The studies were identified by using computerized literature searches of the Pubmed/MEDLINE database. Five articles were found to be related to family presence during cardiopulmonary resuscitation in Turkey. Each of these studies has been described in terms of the following framework used to critique the five studies: summary of their aims, samples, methods, interventions and conclusions.Results: Four researches on this topic have been conducted to determine the health care professionals' and one to determine family members' opinions about the presence of family members during cardiopulmonary resuscitation. Findings of these studies revealed that the health care providers have different opinions about this practice. Health care professionals did not support the presence of families during cardiopulmonary resuscitation, and those who had taken part in family presence during cardiopulmonary resuscitation had negative experiences. Conclusion:Results from these data reveal that prevalent negative attitudes of health care professionals about family presence during cardiopulmonary resuscitation may arise from lack of a formal policy. Further studies are needed on a larger sample, and also studies evaluating the effects of different factors on family members of patients. (Yoğun Bakım Derg 2013; 4: 13-7)

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).…”

“…In Turkey, a literature review was performed for ve articles relating to family presence during cardiopulmonary resuscitation. The study concluded that Healthcare professionals were not in support of family presence, and those who had taken part in family presence during cardiopulmonary resuscitation had negative experiences (7). A study in Saudi Arabia looked at the attitudes of acute care nurses' toward FPDR in the largest hospitals in the ve geographic regions of Riyadh City.…”

Healthcare providers’ perspectives on family presence during resuscitation in the emergency departments of the Kingdom of Bahrain

“…In Turkey, a literature review was performed for five articles relating to family presence during cardiopulmonary resuscitation. The study concluded that Healthcare professionals were not in support of family presence, and those who had taken part in family presence during cardiopulmonary resuscitation had negative experiences [7].…”

“…In general, items [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] receiving a higher score on the Likert scale represented a higher agreement to FPDR by the study participants ("Strongly Agree" = 5, "Agree" = 4, "Neutral" = 3, "Disagree" = 2, Strongly Disagree = 1). Items 9,11,12,15,17,18,19, 20 and 22 were reverse-coded, where selecting "Strongly Agree" represented a more negative perception of FPDR and as such, the typical Likert score of 5 was recoded to be a score of 1 (see Table 3).…”

“…Major concerns involved patient safety, performance anxiety, and emotional impact on families [10]. Studies conducted in ED settings from Iran, Singapore, and Turkey conversely showed that most physicians and nurses are not in favour of FPDR [6,7,10,13].…”