Witnessed resuscitation: A concept analysis

Meghani, Shaista

doi:10.1016/j.iccn.2020.103003

Cited by 4 publications

(2 citation statements)

References 28 publications

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“…Although many clinicians believe that witnessed resuscitation may harm the patient, there are also opinions argue that it is a part of familycentered health care because of its positive contribution. 11 In the pediatric group, there is an opinion that witnessed resuscitation is less beneficial to the patient's family than in adults. 12 Although there is a view that witnessed resuscitation reduces the negative impact on family members after the patient's death, the importance of selecting an appropriate family member to witness resuscitation is emphasized.…”

Section: Witnessing Resuscitation By Family Members or Nonfamily Membersmentioning

confidence: 99%

A Study on the Ethical Aspects of Witnessed Resuscitation from the Perspective of Prehospital Emergency Caregivers

Köken

Ersoy

2023

Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi Ve Folklorik Tıp Dergisi

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Aim: Patients' relatives are routinely removed from the emergency department resuscitation room. One can attribute this practice primarily to reasons such as safeguarding patient welfare, protecting medical personnel and patient's relatives from potential risks. In prehospital emergency medicine, it is often not possible to prevent witnessed resuscitation efforts. Prehospital emergency caregivers responding to cardiopulmonary arrest must focus only on the patient. It is aimed to investigate the ethical perspectives of prehospital emergency caregivers on witnessed resuscitation and to make policy recommendations according to the results of the research.Methods: The study was designed as a prospective, descriptive survey. Between February 18, 2022 and March 18, 2022, the survey prepared for EMTs, paramedics, health officers, nurses, and physicians working in the ambulance service of Kırşehir Provincial Health Directorate was applied face-to-face.Results: The majority of the participants were women, associate degree graduates, EMT, and paramedics, and their career duration was between 6-10 years. When comparing paramedic and EMT responses to the questions, a statistically significant difference was only found in the response to question “Does witnessing the resuscitation you perform in the prehospital area cause a situation that may harm the patient?”. Additionally, the ethical aspects of witnessed resuscitation in the prehospital setting were examined under the headings such as the witness of the family and nonfamily individuals, professionalism, patient privacy and confidentiality, the grieving process, medical staff safety, and nonmaleficence.Conclusions: Witnessed resuscitation in the prehospital setting has many controversial ethical aspects and needs regulations and training in this regard.

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Section: Witnessing Resuscitation By Family Members or Nonfamily Membersmentioning

confidence: 99%

A Study on the Ethical Aspects of Witnessed Resuscitation from the Perspective of Prehospital Emergency Caregivers

Köken

Ersoy

2023

Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi Ve Folklorik Tıp Dergisi

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“…In hospital, most sudden SCAs occur in wards in patients admitted to hospital (Perkins et al, 2021; Waldemar et al, 2021), but in contrast to OHCAs, only a small number of IHCAs are witnessed by a family member (Waldemar et al, 2021). When family members (siblings, parents, spouses, children) or close friends of the patient are present during cardiopulmonary resuscitation (CPR), it is commonly defined as family‐witnessed resuscitation (FWR; Meghani, 2021).…”

Section: Introductionmentioning

confidence: 99%

Experiences of family‐witnessed cardiopulmonary resuscitation in hospital and its impact on life: An interview study with cardiac arrest survivors and their family members

Waldemar

Strömberg

Thylén

et al. 2023

Journal of Clinical Nursing

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AimTo explore experiences of cardiac arrest in‐hospital and the impact on life for the patient who suffered the arrest and the family member who witnessed the resuscitation.BackgroundGuidelines advocate that the family should be offered the option to be present during resuscitation, but little is known about family‐witnessed cardiopulmonary resuscitation in hospital and the impact on the patient and their family.DesignA qualitative design consisting of joint in‐depth interviews with patients and family members.MethodsFamily interviews were conducted with seven patients and their eight corresponding family members (aged 19–85 years) 4–10 months after a family‐witnessed in‐hospital cardiac arrest. Data were analysed using interpretative phenomenological analysis. The study followed the guidelines outlined in the consolidated criteria for reporting qualitative research (COREQ) checklist.ResultsThe participants felt insignificant and abandoned following the in‐hospital cardiac arrest. Surviving patients and their close family members felt excluded, alone and abandoned throughout the care process; relationships, emotions and daily life were affected and gave rise to existential distress. Three themes and eight subordinate themes were identified: (1) the intrusion of death—powerless in the face of the fragility of life, highlights what it is like to suffer a cardiac arrest and to cope with an immediate threat to life; (2) being totally exposed—feeling vulnerable in the care relationship, describes how a lack of care from healthcare staff damaged trust; (3) learning to live again—making sense of an existential threat, pertaining to the family's reactions to a difficult event that impacts relationships but also leads to a greater appreciation of life and a positive view of the future.ConclusionSurviving and witnessing a cardiac arrest in‐hospital is a critical event for everyone involved. Patients and family members are vulnerable in this situation and need to be seen and heard, both in the hospital and after hospital discharge. Consequently, healthcare staff need to show compassion and attend to the needs of the family, which involves continually assessing how family members are coping during the process, and providing support and information during and after resuscitation.Relevance to clinical practiceIt is important to provide support to family members who witness the resuscitation of a loved one in‐hospital. Structured follow‐up care is crucial for cardiac arrest survivors and their families. To promote person‐centred care, nurses need interprofessional training on how to support family members during resuscitation, and follow‐up care focusing on providing resources for multiple challenges faced by survivors (emotional, cognitive, physical) and families (emotional) is needed.Patient or public contributionIn‐hospital cardiac arrest patients and family members were involved when designing the study.

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The experiences of parents witnessing their child's resuscitation in hospital

Brunt

Alnababtah

2023

Br J Nurs

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Background: The purpose of this literature review is to explore parents' experiences of witnessing their child being resuscitated in hospital settings. Methods: An integrative literature review using the databases CINAHL, PubMed and PsycInfo to retrieve articles published between 2011 and 2021 on parent-witnessed resuscitation. Results: This review found strong evidence of the benefit of parents being present during their child's resuscitation, with three common themes emerging: need to be present, communication and seeing to believe. Parents and the healthcare team benefit from being present, and parents feel they have more positive experiences when they are allowed to choose their level of presence. Conclusion: The benefits of parental witnessed resuscitation are shown throughout the review, however, this may not always be adopted in practice. Hospital policies or resuscitation training do not cover parent-witnessed resuscitation, therefore implementation of mandatory hospital policy regarding this issue should be introduced to practice to create continuity of high-quality care.

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Witnessed resuscitation: A concept analysis

Cited by 4 publications

References 28 publications

A Study on the Ethical Aspects of Witnessed Resuscitation from the Perspective of Prehospital Emergency Caregivers

A Study on the Ethical Aspects of Witnessed Resuscitation from the Perspective of Prehospital Emergency Caregivers

Experiences of family‐witnessed cardiopulmonary resuscitation in hospital and its impact on life: An interview study with cardiac arrest survivors and their family members

The experiences of parents witnessing their child's resuscitation in hospital

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