Using Systematic Reviews to Guide Decision Making About Family-Witnessed Resuscitation

Salmond, Susan; Paplanus, Lisa M.; Avadhani, Amita

doi:10.1016/j.jopan.2014.07.011

Cited by 12 publications

(10 citation statements)

References 7 publications

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“…In general, medical professionals rarely offer relatives the option and most oppose the practice, with physicians doing so to a larger extent compared to nurses and other staff members. 19,20 However, relatives and patients would like to have the option, and the relatives who have witnessed their kin's resuscitation would opt to do it again. 21 Our study is the first mixed methods study of FPDR in a Singapore hospital.…”

Section: Discussionmentioning

confidence: 99%

“…Again, this concern has been described in previous studies. 19,20,22 Evidence suggests that hospitals with an FPDR policy have no statistically significant differences on outcomes and processes of care compared to those without, 7 and anecdotal evidence suggests that family presence may actually positively affect outcome. 26,31 Only one study to date found that the presence of a loud family had negative effects of emergency medicine residents during CPR simulation.…”

Section: Discussionmentioning

confidence: 99%

“…16,[24][25][26] Importantly, most patients would choose to have their relatives present. 20 Ethically, if the autonomy of patients is to be respected regardless of the direct consequences to them (and in most cases it is), then doctors should respect those wishes and relatives should be given the option. A third major concern about FPDR was potential harm to staff members by exposing them to relatives' agony, and an increased risk of violence, malpractice lawsuits, and performance anxiety.…”

Section: Discussionmentioning

confidence: 99%

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Attitudes of Singapore Emergency Department staff towards family presence during cardiopulmonary resuscitation

et al. 2017

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Background: Family presence during adult cardiopulmonary resuscitation is still not widely implemented. Based on empirical evidence, various national and international professional organizations recommend allowing relatives to be present during resuscitation. However, healthcare providers worldwide are still reluctant to make it standard care. Purpose: This paper is a part of an ongoing cross-cultural study that aims to solicit attitudes of healthcare providers working in emergency departments towards family presence during cardiopulmonary resuscitation. This paper reports the qualitative data from surveying healthcare providers working in an emergency department at a university-affiliated hospital in Singapore. Method: Healthcare workers were asked to fill out an online survey, including both quantitative and qualitative questions. Their attitudes were critically analyzed and compared with existing empirical data. Results: Majority of healthcare workers (71.6%) believed that relatives should not be present during cardiopulmonary resuscitation and 52% thought that relatives would not want to be present. Conclusion: Most emergency department doctors and nurses in Singapore do not support family presence during cardiopulmonary resuscitation. Their concerns included: family's possible interruption of patient care, the relatives' wellbeing, and their own interests, as well as limited physical space and resources. Most of these concerns do not stand in the face of existing empirical data or ethical scrutiny. We therefore recommend in favor of family presence during cardiopulmonary resuscitation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Attitudes of Singapore Emergency Department staff towards family presence during cardiopulmonary resuscitation

et al. 2017

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“…Yet, recent research continues to demonstrate unfavorable or mixed views of FPDR (9) 32 (94) 0 (0) 1 (3) 2 (6) 1 (3) 1 (3) 0 (0) 12 (35) 6 (18) 8 (24) 7 (21) 1 (3) 3 (9) 3 (9) 18 (53) 9 (26) 1 (3) 1 (3) 3 (9) 11 (32) 4 (12) 3 (9) 12 (35) 24 (71) 0 (0) 9 (26) 1 (3) 0 (0) 22 (65) 11 (32) 1 (3) 32 (94) 2 (6) 0 (0) 38 (95) 2 (5) 34 (85) 3 (8) 2 (5) 1 (2) 0 (0) 1 (2) 0 (0) 8 (20) 9 (22) 11 (28) 11 (28) 1 (3) 1 (2) 12 (30) 18 (45) 8 (21) 1 (2) 0 ( www.ajcconline.org among nurses. 2,26 Consequently, the need for creation of policies and programs and an increase in education 1,29,44,45 to facilitate acceptance and implementation of FPDR continues to be emphasized. Yet, among our total sample of critical care nurses who are frequently exposed to resuscitative care, we found that only 29.7% worked in a facility or unit that had an FPDR policy and only 41.9% had received any prior education on FPDR.…”

Section: Discussion and Recommendationsmentioning

confidence: 99%

Family Presence During Resuscitation: Impact of Online Learning on Nurses’ Perception and Self-confidence

Powers

Candela

2016

American Journal of Critical Care

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Background Family presence during resuscitation (FPDR) is supported by patients and their family members. Nurses, however, including critical care nurses who frequently implement resuscitative care, have mixed views. Objectives To determine the impact of online learning on critical care nurses’ perception of and self-confidence with FPDR. Methods A 2-group, random assignment, pretest and posttest quasi-experimental study was conducted with critical care nurses recruited nationally. An online learning module on FPDR was developed and administered to the intervention group. Perceptions and self-confidence for FPDR were measured by using the Family Presence Risk- Benefit Scale (FPR-BS) and the Family Presence Self-confidence Scale (FPS-CS). Two-factor, mixed-model factorial analysis of variance was used to compare mean scores. Results A total of 74 critical care nurses participated in the study. Mean FPR-BS and FPS-CS scores were significantly greater in the intervention group than in the control group. For the intervention group, mean scores on the FPR-BS increased from 3.63 to 4.07 (P < .001) and on the FPS-CS increased from 4.24 to 4.57 (P < .001), signifying improved perception and self-confidence. Scores did not change significantly in the control group: mean FPR-BS score increased from 3.82 to 3.88 (P = .23) and the mean FPS-CS score of 4.40 did not change (P > .99). Conclusions Online learning is a feasible and effective method for educating large numbers of critical care nurses about FPDR. Online learning can improve perceptions and self-confidence related to FPDR, which may promote more widespread adoption of FPDR into practice.

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“…Salmond et al 's25 systematic review identified perceived advantages/disadvantages of FWR for patients, families and providers. FWR is perceived to help families understand the situation's seriousness, maintain their patient connection and demonstrate that staff have done everything possible 11.…”

Section: Introductionmentioning

confidence: 99%

Family-witnessed resuscitation: focus group inquiry into UK student nurse experiences of simulated resuscitation scenarios

et al. 2016

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Family witnessed resuscitation: Focus group inquiry into UK student nurse experiences of simulated resuscitation scenarios. BMJ Simulation & Technology Enhanced Learning, 2 (3). pp. 73-77. ISSN 2056-6697 Available from: http://eprints.uwe.ac.uk/29054We recommend you cite the published version. The publisher's URL is: http://dx.doi.org/10.1136/bmjstel-2016-000115Refereed: Yes (no note) Disclaimer UWE has obtained warranties from all depositors as to their title in the material deposited and as to their right to deposit such material. UWE makes no representation or warranties of commercial utility, title, or fitness for a particular purpose or any other warranty, express or implied in respect of any material deposited. UWE makes no representation that the use of the materials will not infringe any patent, copyright, trademark or other property or proprietary rights. UWE accepts no liability for any infringement of intellectual property rights in any material deposited but will remove such material from public view pending investigation in the event of an allegation of any such infringement. 2 ABSTRACT Aims:To describe the impact of family member presence on student nurse performance in a witnessed resuscitation scenario. To explore student nurses' attitudes to simulated family witnessed resuscitation and their views about its place in clinical practice.Background: Family witnessed resuscitation remains controversial worldwide. Hospital implementation remains inconsistent despite professional organisation support. Systematic reviews of international literature indicate family members wish to be involved and consulted; healthcare professionals express concerns about being observed while resuscitating. Student nurse perspectives have not been addressed. Design: qualitative, focus groupsMethods: Participants: UK university second-year student nurses (n=48) Findings: Overarching theme = students' sense making -making sense of situation (practically/professionally), of themselves (their skills/values), and of others (patients/family members). Students identify as important -team leader allocating tasks, continuity of carer, and number of nurses needed. Three orientations to practice identified and explored -includes rule following, guidance from personal/proto-professional values, and paternalistic protectionism. Discussion:We explore issues of students' fluency of response and skills repertoire to support family witnessed resuscitation; explanatory potential to account for the inconsistent uptake of family witnessed resuscitation. Possible future lines of inquiry include family members' gaze as a motivational trigger, and management of guilt. What this paper addsWhat is already known on this subject? * Family witnessed resuscitation (FWR) remains controversial worldwide and hospital implementation remains inconsistent despite professional organisation support. * Systematic reviews of international literature indicate family members wish to be involved and consulted, while healthcare professionals express concerns a...

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Using Systematic Reviews to Guide Decision Making About Family-Witnessed Resuscitation

Cited by 12 publications

References 7 publications

Attitudes of Singapore Emergency Department staff towards family presence during cardiopulmonary resuscitation

Attitudes of Singapore Emergency Department staff towards family presence during cardiopulmonary resuscitation

Family Presence During Resuscitation: Impact of Online Learning on Nurses’ Perception and Self-confidence

Family-witnessed resuscitation: focus group inquiry into UK student nurse experiences of simulated resuscitation scenarios

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