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

Tripon, Cédric; Défossez, Gautier; Ragot, Stéphanie; Ghazali, Daniel Aiham; Boureau-Voultoury, A.; Scépi, M.; Oriot, D.

doi:10.1136/archdischild-2013-304488

Cited by 36 publications

(34 citation statements)

References 47 publications

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“…Physicians and nurses in this study expressed paternalistic views; they wanted to protect families from the trauma of resuscitations. This finding confirmed the results of five studies conducted in France, the UK and Canada (Fallis et al., ; Walker, ; McClement et al., ; Jabre et al., ; Tripon et al., ). Jabre et al.…”

Section: Discussionsupporting

confidence: 87%

“…Nurses described how they weighed family benefits against the risk of family trauma, with nurses generally favouring benefit over risk from trauma. The family benefits acknowledged by participants in this study were consistent with perceived family benefits reported in other research, including providing relational closure and better coping; seeing everything was done; bringing the patient comfort; providing and receiving information; and making decisions about continuing the resuscitation (Tripon et al., ; Giles et al., ).…”

Section: Discussionsupporting

confidence: 84%

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A qualitative study of factors in nurses' and physicians' decision‐making related to family presence during resuscitation

Twibell

Siela

Riwitis

et al. 2017

Journal of Clinical Nursing

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Aims and objectives To explore the similarities and differences in factors that influence nurses' and physicians' decision‐making related to family presence during resuscitation. Background Despite the growing acceptance of family presence during resuscitation worldwide, healthcare professionals continue to debate the risks and benefits of family presence. As many hospitals lack a policy to guide family presence during resuscitation, decisions are negotiated by resuscitation teams, families and patients in crisis situations. Research has not clarified the factors that influence the decision‐making processes of nurses and physicians related to inviting family presence. This is the first study to elicit written data from healthcare professionals to explicate factors in decision‐making about family presence. Design Qualitative exploratory‐descriptive. Methods Convenience samples of registered nurses (n = 325) and acute care physicians (n = 193) from a Midwestern hospital in the United States of America handwrote responses to open‐ended questions about family presence. Through thematic analysis, decision‐making factors for physicians and nurses were identified and compared. Results Physicians and nurses evaluated three similar factors and four differing factors when deciding to invite family presence during resuscitation. Furthermore, nurses and physicians weighted the factors differently. Physicians weighted most heavily the family's potential to disrupt life‐saving efforts and compromise patient care and then the family's knowledge about resuscitations. Nurses heavily weighted the potential for the family to be traumatised, the potential for the family to disrupt the resuscitation, and possible family benefit. Conclusions Nurses and physicians considered both similar and different factors when deciding to invite family presence. Physicians focused on the patient primarily, while nurses focused on the patient, family and resuscitation team. Relevance to clinical practice Knowledge of factors that influence the decision‐making of interprofessional colleagues can improve collaboration and communication in crisis events of family presence during resuscitation.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 84%

A qualitative study of factors in nurses' and physicians' decision‐making related to family presence during resuscitation

Twibell

Siela

Riwitis

et al. 2017

Journal of Clinical Nursing

View full text Add to dashboard Cite

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“…19 To ensure a quality service that offers the option to family members to stay with the patient in emergency or not, an elaborate policy and continuing education is required with the emergency service professionals. 8,16,21,23,27 In this context, the development of an awareness program to promote family presence in emergency situations and recognizing the benefits that this practice provides to the child is highlighted. Thus, it is possible to promote attitudes, behaviors and values that promote the inclusion of the family in child care in different hospital settings, including emergency rooms.…”

Section: Discussionmentioning

confidence: 99%

Family Perception About Their Presence or Not in a Pediatric Emergency Situation

Buboltz

Silveira

Neves

et al. 2016

Texto contexto - enferm.

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ABSTRACT:The objective was to understand the perception of family members who experienced an emergency situation in relation to their presence or not during the child's treatment in the Pediatric Emergency Department. A qualitative study developed in a Pediatric Emergency Department. The study subjects consisted of ten relatives who had experienced an emergency situation. Data collection was through semi-structured interviews and data were submitted for thematic content analysis. The results showed that among the ten relatives interviewed only one said that they preferred not to remain with the child during the emergency situation. Regarding the clinical condition of the children, five of them had special health care needs. Previous negative situations had influenced the family member's choice of staying during the assistance. Considering the benefits of family presence, it is recommended that nursing teams develop strategies which can facilitate the inclusion of the family in child care in any situation, while respecting the uniqueness of each person. El objetivo fue conocer la percepción de la familia que vivió una situación de emergencia con respecto a su presencia o no en el cuidado de niños en la Sala de Emergencia Pediátrica. Estudio cualitativo desarrollado en la Sala de Emergencia Pediátrica con diez familiares que experimentaron una situación de emergencia. La recolección de datos fue través de entrevistas semiestructurados y ellos fueron sometidos a análisis de contenido temática. Mostraron que de los diez familiares entrevistados, sólo uno dijo que no prefiere permanecer con el niño durante la emergencia. Acerca de la situación clínica de los niños, cinco de ellos tenían necesidades especiales de salud. Situaciones negativas anteriores influenciaron en la elección de permanecer durante la asistencia. Teniendo en cuenta los beneficios de esta permanencia, se recomienda que la enfermería desarrolle estrategias que faciliten la inclusión de la familia, respetando la singularidad de cada persona. DESCRIPTORS: DESCRIPTORES:Niño. Familia. Cuidadores. Servicios médicos de emergencia. Enfermería pediátrica.

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“…Furthermore, previous research found that parental presence can occasionally cause increased stress for staff (Davies et al 2005, Dudley et al 2009). This stress level was increased when resuscitation was not successful (Duran et al 2007) while some staff reported concern over the psychological trauma for parents and the risk of parental interference (Tripon et al 2014). A further potential challenge to parental presence was identified by Lowry (2012) who reported that staff are often concerned that parents may consider their actions as errors resulting in legal action.…”

Section: Discussionmentioning

confidence: 99%

‘Don't put the parent out’: parents' perspectives of being present during an inter‐hospital transfer

Masterson

Brenner

2016

Journal of Clinical Nursing

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

Abstract: A majority of EPs and nurses were reluctant to have parents present during child CPR. Their attitude involved medical paternalism.

Cited by 36 publications

References 47 publications

A qualitative study of factors in nurses' and physicians' decision‐making related to family presence during resuscitation

A qualitative study of factors in nurses' and physicians' decision‐making related to family presence during resuscitation

Family Perception About Their Presence or Not in a Pediatric Emergency Situation

‘Don't put the parent out’: parents' perspectives of being present during an inter‐hospital transfer

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