Family presence during cardiopulmonary resuscitation and invasive procedures: Practices of critical care and emergency nurses

• Background Increasingly, patients’ families are remaining with them during cardiopulmonary resuscitation and invasive procedures, but this practice remains controversial and little is known about the practices of critical care and emergency nurses related to family presence. • Objective To identify the policies, preferences, and practices of critical care and emergency nurses for having patients’ families present during resuscitation and invasive procedures. • Methods A 30-item survey was mailed to a random sample of 1500 members of the American Association of Critical-Care Nurses and 1500 members of the Emergency Nurses Association. • Results Among the 984 respondents, 5% worked on units with written policies allowing family presence during both resuscitation and invasive procedures and 45% and 51%, respectively, worked on units that allowed it without written policies during resuscitation or during invasive procedures. Some respondents preferred written policies allowing family presence (37% for resuscitation, 35% for invasive procedures), whereas others preferred unwritten policies allowing it (39% for resuscitation, 41% for invasive procedures). Many respondents had taken family members to the bedside (36% for resuscitation, 44% for invasive procedure) or would do so in the future (21% for resuscitation, 18% for invasive procedures), and family members often asked to be present (31% for resuscitation, 61% for invasive procedures). • Conclusions Nearly all respondents have no written policies for family presence yet most have done (or would do) it, prefer it be allowed, and are confronted with requests from family members to be present. Written policies or guidelines for family presence during resuscitation and invasive procedures are recommended.

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Validation of instruments about family presence on invasive procedures and cardiopulmonary resuscitation in pediatrics

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.2368.3046 ◽

2018 ◽

Vol 26 (0) ◽

Author(s):

Cristiana Araújo Guiller Ferreira ◽

Flávia Simphronio Balbino ◽

Maria Magda Ferreira Gomes Balieiro ◽

Myriam Aparecida Mandetta

Keyword(s):

Cardiopulmonary Resuscitation ◽

Professional Practice ◽

Health Professionals ◽

Family Care ◽

University Hospital ◽

Invasive Procedures ◽

Family Presence ◽

The Family ◽

Good Internal Consistency

ABSTRACT Objective: to develop and validate instruments to identify health professionals’ beliefs related to the presence of the child’s family in invasive procedures and in cardiopulmonary resuscitation. Method: study based on Psychometrics to conduct the theoretical, empirical and analytical stages, developed in a neonatal unit of a university hospital. The two instruments were constructed based on the literature and applied to 96 health professionals. Results: the Cronbach’s Alpha of the instrument related to the professionals’ beliefson invasive procedures was 0.863 and the instrument on cardiopulmonary resuscitation was 0.882. In both instruments, the tests performed indicated a correlation between the items. From the factorial analysis, four factors were generated: (1) benefits of the presence of the family; (2) impairment for professional practice; (3) strategies for the inclusion of the family; and (4) limitation of learning and decision making by the professional. Conclusion: the instruments analyzed obtained a good internal consistency and are indicators of the professionals’ beliefs with the potential to evaluate the quality of family care in this context.

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Family presence during cardiopulmonary resuscitation and invasive procedures: a meta-synthesis

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2018001303435 ◽

2019 ◽

Vol 53 ◽

Cited By ~ 2

Author(s):

Mayckel da Silva Barreto ◽

Hellen Emília Peruzzo ◽

Cristina Garcia-Vivar ◽

Sonia Silva Marcon

Keyword(s):

Cardiopulmonary Resuscitation ◽

Qualitative Data ◽

Web Of Science ◽

Data Extraction ◽

Family Members ◽

Limiting Factors ◽

Invasive Procedures ◽

Family Presence ◽

Factors Influencing ◽

Qualitative Evidence

ABSTRACT Objective: To synthesize the best qualitative evidence regarding the perception of family members, patients and health professionals about family presence during cardiopulmonary resuscitation and invasive procedures. Method: Systematic review with meta-synthesis performed in the databases of Web of Science, Scopus, CINAHL, PsycINFO, LILACS, MEDLINE, Embase and VHL. Articles published between 2010 and 2017 were included and evaluated with use of the Qualitative Data Extraction Instrument. Results: In total, were found 2,391 articles, out of which 26 were selected, and 24 were analyzed. The identified meta-theme was ‘A pendular perspective: different views on family presence during cardiopulmonary resuscitation and invasive procedures’, which is supported by the following themes: Benefits resulting from family presence; Disadvantages and/or limiting factors of family presence; and Context: environmental, sociocultural and care factors influencing the perception of family presence. Conclusion: The perception of family members, patients and professionals about family presence is still controversial. The sensitization of these subjects can potentiate the practice by making it more systematized and qualified.

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Family presence during cardiopulmonary resuscitation and invasive procedures in children

Revista Paulista de Pediatria ◽

10.1590/s0103-05822014000100017 ◽

2014 ◽

Vol 32 (1) ◽

pp. 107-113 ◽

Cited By ~ 10

Author(s):

Cristiana Araujo G. Ferreira ◽

Flavia Simphronio Balbino ◽

Maria Magda F. G. Balieiro ◽

Myriam Aparecida Mandetta

Keyword(s):

Cardiopulmonary Resuscitation ◽

The United States ◽

Health Staff ◽

Healthcare Team ◽

Invasive Procedures ◽

Family Presence ◽

Team Members ◽

Critical Care Units ◽

The Family ◽

Centered Care

Objective: To identify literature evidences related to actions to promote family's presence during cardiopulmonary resuscitation and invasive procedures in children hospitalized in pediatric and neonatal critical care units. Data sources : Integrative literature review in PubMed, SciELO and Lilacs databases, from 2002 to 2012, with the following inclusion criteria: research article in Medicine, or Nursing, published in Portuguese, English or Spanish, using the keywords "family", "invasive procedures", "cardiopulmonary resuscitation", "health staff", and "Pediatrics". Articles that did not refer to the presence of the family in cardiopulmonary resuscitation and invasive procedures were excluded. Therefore, 15 articles were analyzed. Data synthesis : Most articles were published in the United States (80%), in Medicine and Nursing (46%), and were surveys (72%) with healthcare team members (67%) as participants. From the critical analysis, four themes related to the actions to promote family's presence in invasive procedures and cardiopulmonary resuscitation were obtained: a) to develop a sensitizing program for healthcare team; b) to educate the healthcare team to include the family in these circumstances; c) to develop a written institutional policy; d) to ensure the attendance of family's needs. Conclusions: Researches on these issues must be encouraged in order to help healthcare team to modify their practice, implementing the principles of the Patient and Family Centered Care model, especially during critical episodes.

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Family Presence During Resuscitation and Invasive Procedures in Pediatric Critical Care: A Systematic Review

American Journal of Critical Care ◽

10.4037/ajcc2014922 ◽

2014 ◽

Vol 23 (6) ◽

pp. 477-485 ◽

Cited By ~ 38

Author(s):

S. S. McAlvin ◽

A. Carew-Lyons

Keyword(s):

Systematic Review ◽

Critical Care ◽

Invasive Procedures ◽

Family Presence ◽

Pediatric Critical Care

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Family Presence During Cardiopulmonary Resuscitation and Invasive Procedures

Critical Care Nursing Clinics of North America ◽

10.1016/s0899-5885(18)30024-8 ◽

2001 ◽

Vol 13 (4) ◽

pp. 569-575 ◽

Cited By ~ 18

Author(s):

Angela R. Clark ◽

Amy O. Calvin ◽

Theresa A. Meyers ◽

Dezra J. Eichhorn ◽

Cathie E. Guzzetta

Keyword(s):

Cardiopulmonary Resuscitation ◽

Invasive Procedures ◽

Family Presence

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Family witnessed resuscitation and invasive procedures: Patient and family opinions

Nursing Ethics ◽

10.1177/0969733020968171 ◽

2020 ◽

pp. 096973302096817

Author(s):

Eva de Mingo Fernández ◽

Guillermina Medina Martín ◽

María Jiménez Herrera

Keyword(s):

Cardiopulmonary Resuscitation ◽

Clinical Evidence ◽

Invasive Procedures ◽

Structured Interviews ◽

Ethical Considerations ◽

Patient Centered ◽

Family Presence ◽

Divergence Of Opinion ◽

Centered Care ◽

Qualitative Descriptive

Background: Family presence during invasive procedures and cardiopulmonary resuscitation (FPDR) is a highly controversial issue, with divergence of opinion among health professionals, with clinical evidence in favor, and with barriers to its implementation in comprehensive patient care. Many international organizations support health policies for its implementation, but it is not a widespread practice. Little research has been conducted on this subject from the perspective of patients and families. Objective: To learn opinions, perceptions, and desires of family members and patients in terms of family presence during invasive procedures and cardiopulmonary resuscitation. Method: Qualitative descriptive study, using semi-structured interviews with relatives and patients regarding their experiences and perceptions about FPDR (n = 18) from 8 October 2017 to 8 March 2018. The interviews were recorded and transcribed verbatim for later analysis using the method of content analysis. Ethical considerations: This study has the approval of the Clinical Research Ethics Committee of the Fundació Unió Catalana d’Hospitals and ethical considerations were carefully regarded throughout the study. Results: Three significant categories were identified: knowledge, respect for rights, and accompaniment of the patient, relating FPDR to courage, emotional support, and trust in professionals. Conclusion: FPDR is an unusual practice; it is not offered to patients or their families, and it is not considered a patient’s right, although most of the interviewees support it. The desire for accompaniment is conditioned by the courage and knowledge of the accompanying persons, as well as the degree of invasiveness of the procedures. The results of this study provide information for a change of vision in patient-centered care.

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