Family witnessed resuscitation: The views and preferences of recently resuscitated hospital inpatients, compared to matched controls without the experience of resuscitation survival (original) (raw)

The views and preferences of resuscitated and non-resuscitated patients towards family witnessed resuscitation: A qualitative study (Retraction in: International Journal of Nursing Studies (2009) 46:1 (12))

2009

Background: A number of international studies have explored the views of family members and healthcare professionals on the concept of family witnessed resuscitation. However, the perspective and preferences of patients have been under-researched. Objectives: To explore the views and preferences of resuscitation survivors and those admitted as emergency cases, as to whether family members should be present at their resuscitation. Design: This paper reports the qualitative findings of a wider study, whose aim was to explore patient preferences towards family witnessed resuscitation. Settings: Study sites included four acute university hospitals in two large cities of the SouthWest of England. Participants: A purposive sample of 21 patients who underwent successful resuscitation and 41 patients, who presented to hospital as emergency cases, but without the experience of resuscitation, were recruited to the study. Methods: To generate in-depth understanding about the phenomenon under inquiry, qualitative data were collected from faceto-face interviews. All responses were hand written and analysed using recognised qualitative techniques. Findings: Three main themes emerged and these included: 'being there', 'welfare of others' and 'professionals' management of the event'. While the majority of participants supported the premise of having loved ones present during resuscitation, their motives varied and often related to the needs of families. Participants recognised that healthcare professionals had to exercise discretionary judgements to manage the resuscitation, which could embrace shielding relatives from distressing scenes and dealing with issues of confidentiality. Conclusions: The study provides a unique understanding of patient preferences of family witnessed resuscitation with some of their views contesting arguments in the literature. Patients' perspectives suggest both relatives and they themselves benefit in different ways. Although participants recognised that family members had emotional, informational and proximity needs, these had to be balanced with allowing the resuscitation team to manage the clinical emergency and make decisions. It is also evident that not all patients wish their families to be present. Healthcare professionals should strive to identify the wishes of patients and relatives in respect to family witnessed resuscitation and facilitate the presence of loved ones as appropriate. Further research into the area is still required.

The views and preferences of resuscitated and non-resuscitated patients towards family witnessed resuscitation: a qualitative study

International journal of nursing studies, 2009

A number of international studies have explored the views of family members and healthcare professionals on the concept of family witnessed resuscitation (FWR). In contrast the perspective and preferences of patients have been under-researched, particularly in relation to those who have survived resuscitation. To explore the views and preferences of resuscitation survivors and those admitted as emergency cases, as to whether family members should be present at their resuscitation. This paper reports the qualitative findings of a study, whose aim was to explore and describe patients' views and preferences towards family witnessed resuscitation. Study sites included four acute hospitals in two large cities of the South-West of England. Based on specific criteria, patients (n=21) who had been successfully resuscitated and individuals presenting to hospital as emergency cases but without the experience of resuscitation (control group n=40) comprised the study population. The groups ...

Presence of patients’ families during cardiopulmonary resuscitation: physicians’ and nurses’ opinions

Journal of Advanced Nursing, 2008

Title. Presence of patients’ families during cardiopulmonary resuscitation: physicians’ and nurses’ opinions.Aim. This paper is a report of a study to determine the opinions of physicians and nurses who work in a university hospital intensive care unit and emergency department about the presence of patients’ families during cardiopulmonary resuscitation in these units.Background. Healthcare professionals have conflicting opinions about the presence of patients’ families during cardiopulmonary resuscitation. Families who are allowed to be present have less fear and worry, feel they have supported their family member and are able to cope more easily.Method. The data for this descriptive questionnaire study were collected between November 2006 and January 2007. The respondents were 62 physicians and 82 nurses who worked in an emergency department or in cardiology or anaesthesia intensive care units in Turkey. The data were collected using a questionnaire and the responses summarized using frequencies and percentages. The chi-squared test was performed to test for differences in the opinion by profession, educational level, or number of years of working experience in the profession.Findings. The response rate was 79%. Of the respondents, 82·6% did not think it was appropriate for patients’ families to be present during cardiopulmonary resuscitation. The most common concerns mentioned were that the family would interfere with the team’s activities (56·3%) and that resuscitation is a very traumatic procedure (43·6%).Conclusion. Policies need to be developed regarding this topic because the absence of policy can cause misunderstanding and differences in practice. Further research is needed to determine what public education is needed to facilitate implementation of such policies.

Family Members’ Attitudes Regarding Family Presence During Resuscitation of Adults: A Systematic Review and Meta Analysis

2016

Context: Family presence during resuscitation (FPDR) is a controversial debate throughout the world. Experts believe that FPDR is a cultural and ethnical issue and that countries have different views regarding this matter. The aim of this study is a systematic review and meta-analysis of all available studies assessing patient families’ views regarding their presence during resuscitation. Evidence Acquisition: Studies reported attitudes of the patients’ relatives toward FPDR were eligible for inclusion. Case reports, letters, opinion pieces, and reviews were excluded from the study. A systematic search was conducted in Medline, Embase, CINAHL, Cochrane library, Web of Science, SCOPUS, PsycInfo, and other related databases based on selected keywords. The qualities of studies were assessed using Critical Appraisal Skills Programme (CASP) and STROBE statement. Comprehensive meta-analysis (version-2) was used for data analysis. Heterogeneity was assessed using the Cochrane Q-statistic a...

Family-Witnessed Resuscitation: Perceptions of Nurses and Doctors Working in an Australian Emergency Department

ISRN Emergency Medicine, 2012

Inconsistencies abound in the literature regarding staff attitudes and perceptions toward family-witnessed resuscitation. Our study builds on previous research by using a validated tool to investigate emergency department staff perceptions of family-witnessed resuscitation. A cross-sectional survey was distributed to 221 emergency department doctors' and nurses' . We found few differences between doctors and nurses perceptions toward family-witnessed resuscitation. Both nurses and doctors who held a specialty certification, who were more highly qualified, who had more experience with family presence during resuscitation, and who had a personal preference for having family members present during their own resuscitation perceived more benefits and fewer risks, as well as more confidence in their ability to manage these events. However, nurses more than doctors want patients to provide advanced directives for family presence. The findings will enable clinicians, educators, and hospital management to provide better support to all stakeholders through these events. of Hindawi Publishing Corporation

Attitudes of Healthcare Providers towards Family Presence During Resuscitation or Other Invasive Procedures Questionnaire

2013

Aims and objectives. To describe healthcare providers' attitudes to family involvement during routine care and family presence during resuscitation or other invasive procedures in adult intensive care units in Saudi Arabia. Background. Previous research has shown that healthcare professionals have revealed a diversity of opinions on family involvement during routine care and family presence during resuscitation or other invasive procedures. Attitude assessment can provide an indication of staff acceptance or rejection of the practice and also help identify key potential barriers that will need to be addressed. It has also been evident that participation in the care has potential benefits for patients and families as well as healthcare providers. Design. A quantitative descriptive design. Methods. A questionnaire was used with a convenience sample of 468 healthcare providers who were recruited from eight intensive care units. Results. The analysis found that healthcare providers had positive attitudes towards family involvement during routine care, but negative attitudes towards family presence during resuscitation or other invasive procedures. Physicians expressed more opposition to the practice than did nurses and respiratory therapists. Staff indicated a need to develop written guidelines and policies, as well as educational programmes, to address this sensitive issue in clinical practice. Conclusion. Family is an important resource in patient care in the context of the critical care environment. Clinical barriers including resources, hospital policies and guidelines, staff and public education should be taken into account to facilitate family integration to the care model. Relevance to clinical practice. The findings can help to develop policies and guidelines for safe implementation of the practice. They can also encourage those who design nursing and other medical curricula to place more emphasis on the role of the family especially in critical care settings.

Part B: A survey of staff attitudes immediately post-resuscitation to Family Presence during resuscitation

Australasian Emergency Nursing Journal, 2008

Background: In March 2007 part of a staff attitudes to Family Presence during resuscitation project were presented as part of a 3-year research project examining the relatives and staff attitudes to family presence during resuscitation (Holzhauser K, Finucane J, De Vries SM. Family presence during resuscitation: a randomised controlled trial of the impact of family presence. Australas Emerg Nurs J 2006;8(4):139-147). This article presents the results of staff attitudes immediately post-resuscitation.

Health professionals’ perceptions regarding family witnessed resuscitation in adult critical care settings

Journal of Clinical Nursing, 2015

Aims and objectives. To deepen our understanding of the perceptions of health professionals regarding family witnessed resuscitation in Jordanian adult critical care settings. Background. The issue of family witnessed resuscitation has developed dramatically in the last three decades. The traditional practice of excluding family members during cardiopulmonary resuscitation had been questioned. Family witnessed resuscitation has been described as good practice by many researchers and health organisations. However, family witnessed resuscitation has been perceived by some practitioners to be unhealthy and harmful to the life-saving process. The literature showed that there are no policies or guidelines to allow or to prevent family witnessed resuscitation in Jordan. Design. An exploratory qualitative design was adopted. Methods. A purposive sample of 31 health professionals from several disciplines was recruited over a period of six months. Individual semi-structured interviews were used. These interviews were transcribed and analysed using thematic analysis. Findings. It was found that most healthcare professionals were against family witnessed resuscitation. They raised several concerns related to being verbally and physically attacked if they allowed family witnessed resuscitation. Almost all of the respondents expressed their fears of patients' family members' interfering in their work. Most of the participants in this study stated that family witnessed resuscitation is traumatic for family members. This was viewed as a barrier to allowing family witnessed resuscitation in Jordanian critical care settings. Conclusion. The study provides a unique understanding of Jordanian health professionals' perceptions regarding family witnessed resuscitation. They raised some views that contest some arguments in the broader literature. Further research with patients, family members, health professionals and policy makers is still required. Relevance to clinical practice. This is the first study about family witnessed resuscitation in Jordan. Considering multidisciplinary healthcare professionals' views would be helpful when starting to implement this practice in Jordanian hospitals.