scholarly journals Análisis de los programas para la presencia de familiares en la parada cardiorrespiratoria extrahospitalaria en paciente adulto

2021 ◽  
Vol 20 (4) ◽  
pp. 673-699
Author(s):  
Rosa María Cárdaba García ◽  
Inés Cárdaba García
Keyword(s):  
Health Professionals ◽  
Healthcare Costs ◽  
Patient Autonomy ◽  
Scientific Literature ◽  
Family Members ◽  
Hospital Setting ◽  
Healthcare Team ◽  
Scientific Societies ◽  
Cardiorespiratory Arrest ◽  
The Family

Objetivo: Explorar los programas orientados a la participación de familiares en situaciones de PCR en adultos en el medio extrahospitalario.Método: Revisión narrativa de la literatura científica, en bases de datos primarias (Scielo, PubMed, Cuiden y Cochrane Plus y CINAHL), con empleo de lenguaje estructurado DeCS y MeSH, de 2005 a 2020, en español e inglés. Se obtienen 23 estudios.Resultados: Los estudios muestran que el duelo de los familiares de una parada cardiorrespiratoria en el medio extrahospitalario es menos traumática si se les permite estar presentes. Permanecer junto a la víctima debe asegurarse salvo que el profesional considere que es perjudicial. Las ventajas de la presencia de familiares son tanto para el familiar como para el equipo asistencial. A pesar de existir una necesidad social y ética de acuerdo con el principio de autonomía del paciente para la implementación de estos programas apenas existen y esto suele ser debido a las resistencias generadas por los propios profesionales o los gestores.Conclusiones: Las principales sociedades científicas internacionales recomiendan en caso de PCR en el adulto en el medio extrahospitalario, la implantación de programas para la presencia de familiares, lo que hace que se convierta en una necesidad. La literatura científica demuestra más ventajas que inconvenientes, fundamentalmente en cuanto a un mejor duelo en familiares y mayor satisfacción y menor posibilidad de demandas jurídicas en los sanitarios, promoción de la humanización de los cuidados que se traduciría en un gasto asistencial menor en prevalencia de duelo patológico. Objective: Explore programs aimed at the participation of family members in situations of CRP in adults in the out-of-hospital setting.Method: Narrative review of the scientific literature, in primary databases (Scielo, PubMed, Cuiden and Cochrane Plus and CINAHL), using DeCS and MeSH structured language, from 2005 to 2020, in Spanish and English. 23 studies are obtained.Results: Studies show that mourning for family members of a cardiorespiratory arrest in the out-of-hospital setting is less traumatic if they are allowed to be present. Staying with the victim must be ensured unless the professional considers that it is harmful. The advantages of the presence of family members are as much for the family member as for the healthcare team. Despite the existence of a social and ethical need in accordance with the principle of patient autonomy for the implementation of these programs, they hardly exist and this is usually due to the resistance generated by the professionals or managers themselves.Conclusions: In the case of cardiorespiratory arrest in adults in the out-of-hospital setting, the main international scientific societies recommend the implementation of programs for the presence of family members, which makes it a necessity. The scientific literature demonstrates more advantages than disadvantages, fundamentally in terms of better grief in family members and greater satisfaction and less possibility of legal claims in health professionals, promoting the humanization of care that would translate into lower healthcare costs in the prevalence of grief pathological. Objetivo: explorar programas voltados à participação de familiares em situação de PCR em adultos no ambiente extra-hospitalar.Método: revisão narrativa da literatura científica, em bases de dados primárias (Scielo, PubMed, Cuiden e Cochrane Plus e CINAHL), utilizando a linguagem estruturada DeCS e MeSH, de 2005 a 2020, em espanhol e inglês. 23 estudos foram obtidos.Resultados: estudos mostram que o luto de familiares por parada cardiorrespiratória em ambiente extra-hospitalar é menos traumático se eles puderem estar presentes. A permanência com a vítima deve ser assegurada, a menos que o profissional considere prejudicial. As vantagens da presença de familiares são tanto para o familiar quanto para a equipe de saúde. Apesar da existência de uma necessidade social e ética de acordo com o princípio da autonomia do paciente para a implantação desses programas, eles quase não existem e isso geralmente se deve às resistências geradas pelos próprios profissionais ou pelos gestores.Conclusões: as principais sociedades científicas internacionais recomendam, no caso da PCR em adultos em ambiente extra-hospitalar, a implantação de programas de presença de familiares, o que a torna uma necessidade. A literatura científica mostra mais vantagens do que desvantagens, fundamentalmente em termos de melhor luto nos familiares e maior satisfação e menor possibilidade de demandas judiciais nos trabalhadores da saúde, promovendo a humanização da assistência que se traduziria em menores gastos com saúde nas prevalências do luto patológico.

scholarly journals Family presence in emergency: Attitude and belief among emergency health professionals in a Tertiary Care Hospital of Nepal

2017 ◽  
Vol 13 (3) ◽  
pp. 152-160
Author(s):  
Sonai Chaudhuri ◽  
G Malla ◽  
S Uprety ◽  
S Giri ◽  
AK Yadav ◽  
...  
Keyword(s):  
Emergency Department ◽  
Health Professionals ◽  
Tertiary Care ◽  
Family Members ◽  
Negative Attitude ◽  
Easy Access ◽  
Female Respondent ◽  
Care Hospital ◽  
Family Presence ◽  
The Family

Background: The emergency department of B.P Koirala Institute of Health Sciences, Dharan, a  700 bedded tertiary care centre provides all medical and surgical services, with easy access to patients by their family members during most of the resuscitation procedures. Complete privacy hence is not ideally maintained. Coping with emotional stress among the family members can be a gruesome experience and reactions from them can be unpredictable. Hence, health professionals are usually exposed to various emotions of the family members of these sick patients.Methods: It is a descriptive cross sectional study among the health professionals working in the emergency department. A sample size of 80 is taken over a period of 3 months. A semi-structured questionnaire leaflet was distributed and collected by the researcher. The attitude and belief was evaluated by 12 questions on the 5 point Liker scale and cutoff value being 3. Points less than 36 were given as negative attitude towards the family presence and more being positive.Results: Out of 80samples, 75 completed with a response rate of about 94%. The majority belonged to age group 20-29 years (70.7%) age, among profession Nurses respondents were about 56%. Male and Female respondent were about equal in numbers, qualification with undergraduate level was higher (73.3%), with an experience of less than 1year being 40%. Amongst the responders there is a positive attitude with increasing age, experience and qualification.Conclusion: The health professionals had a negative attitude towards the presence of family members during the resuscitation or invasive procedures. Hence with the ethnicity and cultural aspect of family their presence is well accepted. Health Renaissance 2015;13 (3): 152-160

Conceptions of Family-Centered Medical Decisionmaking and Their Difficulties

2003 ◽  
Vol 12 (2) ◽  
pp. 196-200 ◽  
Author(s):  
INSOO HYUN
Keyword(s):  
Patient Autonomy ◽  
Family Members ◽  
Patient Centered ◽  
Medical Decisions ◽  
Competent Patient ◽  
Legitimate Interest ◽  
The Family ◽  
Related Line ◽  
Family Centered ◽  
Decisional Authority

Over the past decade or so, the predominant patient-centered ethos in American bioethics has come under attack by critics who claim that it is morally deficient in certain respects, particularly when viewed in the context of acute-care decisionmaking. One line of criticism has been that the current ethic of patient autonomy gives an individual competent patient far too much decisional authority over the terms of his own treatment so that the patient is at complete liberty to neglect the ways in which his medical decisions can drastically and negatively affect the lives of other family members. Given that family members must help shoulder the financial, emotional, and rehabilitative burdens involved in the patient's care, it has been argued that they too have a legitimate interest in choosing what sort of medical treatment the patient eventually receives. Another closely related line of criticism is that the prevailing focus on patient autonomy gives short shrift to the moral significance of the family as a genuine community. Echoing a view of the person advanced by most communitarian political theorists, some commentators have argued that the patient comes to the clinic so thoroughly embedded in a complex web of familial relationships and obligations that it does not make sense to identify him as the only person in the family to make decisions about treatment.

Promoting Patient and Family Engagement by Implementing Therapeutic Music during Hospitalization

2020 ◽  
Vol 12 (1) ◽  
pp. 55
Author(s):  
Ruth Kleinpell ◽  
Lynn Westhoff ◽  
Lauren M Ochoa ◽  
Kelly Maguigan ◽  
Angela Larson
Keyword(s):  
Family Engagement ◽  
Family Members ◽  
Hospital Setting ◽  
Daily Practice ◽  
Lessons Learned ◽  
Healthcare Team ◽  
Beneficial Effects ◽  
Centered Care ◽  
Health Studies ◽  
Family Centered

It is well recognized that music can have an impact on health.  Studies targeting oncology, palliative care, hospice, and post cardiac surgery patients have demonstrated beneficial effects of music on heart rate, blood pressure, oxygen saturation, cortisol, pain, and anxiety levels. However, despite the well-known effects, therapeutic music is rarely observed in routine daily practice in the hospital setting. As part of a national collaborative targeting patient and family engagement in the intensive care unit (ICU), 63 teams implemented initiatives including open visitation, integrating families on rounds, establishing a patient and family advisory committee, using patient and family diaries, and music in the ICU, among others. Results from the ICU music initiative demonstrated that family members felt that music in the ICU was helpful, gave them more confidence in the healthcare team, impacted care of patients in the ICU, and helped ease their worry for their family member. Clinicians reported the following findings: that communication with family members improved since having music in the ICU, that patient care had improved, and that music had been beneficial for patients, families and ICU staff.  This article reviews strategies for implementing therapeutic music during hospitalization, highlighting lessons learned from the national collaborative.  Keywords: patient and family engagement, therapeutic music, patient and family centered care, music in the ICUmultilingual abstract | mmd.iammonline.com 

scholarly journals Educational technology to mediate care of the “kangaroo family” in the neonatal unit

2018 ◽  
Vol 71 (suppl 3) ◽  
pp. 1290-1297 ◽  
Author(s):  
Marcia Helena Machado Nascimento ◽  
Elizabeth Teixeira
Keyword(s):  
Educational Technology ◽  
Health Professionals ◽  
Family Members ◽  
Neonatal Unit ◽  
Educational Technologies ◽  
Validation Data ◽  
Methodological Research ◽  
The Family ◽  
Study Population ◽  
Development Evaluation

ABSTRACT Objective: to validate the content of an educational technology in the form of a booklet developed to mediate care of family members of newborns hospitalized in a neonatal unit. Method: Methodological research with content validation. Data collected from October 2011 to February 2012; research developed in three steps: development, evaluation and adaptation. The study population was 15 judges, health professionals and other professionals. The participants answered a Likert-type questionnaire with 3 blocks of evaluative items. Data were analyzed statistically. Results: validation reached the results proposed in most responses (80%); 16 items exceeded the parameter, 4 were equal to the score established and 2 were below the parameter. Conclusion: the content of educational technologies need to be validated. The booklet, after the evaluation, constitutes an adequate device to mediate care of the family members in the NICU.

scholarly journals Psychiatric worker and family members: pathways towards co-operation networks within psychiatric assistance services

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Silvia Carbone
Keyword(s):  
Health Care Workers ◽  
Health Professionals ◽  
Theoretical Orientation ◽  
Psychiatric Patients ◽  
Family Members ◽  
Patient Treatment ◽  
Or Groups ◽  
Care Workers ◽  
The Family ◽  
Mental Health Care Workers

The family’s role in patient care was greatly altered by Law 180. This law, introduced in Italy in 1978, led to a gradual phasing out of custodial treatment for psychiatric patients. This different mindset, which views the family as an alternative to institutionalization, leads to it being seen as an essential entity in the setting up of community service dynamics. We interviewed health professionals in order to understand obstacles of collaboration between family members and mental health care workers. The goal was to uncover actions that promote collaboration and help build alliances between families and psychiatric workers. Results showed that health professionals view the family as a therapeutic resource. Despite this view, family members were rarely included in patient treatment. The reasons is: the structures have a theoretical orientation of collaboration with the family but, for nurses not are organized a few meeting spaces with family members. Services should create moments, such as multi-family groups or groups of information, managed by nurses and not only by doctors. These occasions it might facilitate the knowledge between professionals and family members.

scholarly journals PROFESSIONAL-FAMILY COMMUNICATION IN A CHILDREN’S PSYCHOSOCIAL CARE CENTER: PRACTICALITIES AND DIFFICULTIES

2020 ◽  
Vol 29 ◽  
Author(s):  
Verônica Borges Kappel ◽  
Bethania Ferreira Goulart ◽  
Andrea Ruzzi Pereira ◽  
Lucieli Dias Pedreschi Chaves ◽  
Helena Hemiko Iwamoto ◽  
...  
Keyword(s):  
Family Communication ◽  
Health Professionals ◽  
Care Center ◽  
Family Relationship ◽  
Family Members ◽  
Psychosocial Care ◽  
Descriptive Study ◽  
Facilitating Factors ◽  
The Family ◽  
Management Staff

ABSTRACT Objective: to analyze the perceptions of the family members of users of a children’s psychosocial care center, regarding the facilitating factors and the difficulties in the communication with the health professionals. Method: a qualitative and descriptive study conducted with 25 family members of users of a children’s psychosocial care center in a city of Minas Gerais (Brazil). Data collection took place between April and July 2017 using focus groups and a semi-structured script for the implementation of group sessions. Data was analyzed according to content analysis, thematic category. Results: two categories emerged from the analysis: Professional-Family relationship and Suggestions to enhance communication, which included practicalities and difficulties in communication. The data showed that the professional-family relationship refers to the professionals’ positive actions, which facilitate communication, and to their negative actions, which means offering a distant and dehumanized care and failing to provide guidance. The suggestions to enhance communication were directed to the interventions focused on the family and on the dynamics and management of the service. Conclusion: there is a need for collaboration among management, staff and family members, which can contribute to a better health care and to building more solidary and dialogical relationships.

scholarly journals Healthcare practices for users suffering from violence: from invisibility to comprehensive (un)care

2014 ◽  
Vol 35 (2) ◽  
pp. 100-105 ◽  
Author(s):  
Patrícia Caprini Guzzo ◽  
Marta Cocco da Costa ◽  
Ethel Bastos da Silva ◽  
Alice do Carmo Jahn
Keyword(s):  
Health Professionals ◽  
Treatment Plan ◽  
Family Health ◽  
Healthcare Team ◽  
Structured Interviews ◽  
Descriptive Research ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Care Practices

The aim of this study was to investigate practices of health professionals for users undergoing violence from perspective of comprehensive care. This study was based on a qualitative and descriptive research on graduate-level and technical health professionals who work in the Family Health Strategy programme in a northeastern municipality of Rio Grande do Sul. Data were collected by means of semi-structured interviews and analyzed using thematic mode. Results showed that these professionals do not utilize comprehensiveness to guide their care practices with users undergoing violence. Instead, they still work according to the biomedical model in which intervention is based on referring care to other sectors and the treatment plan. The study highlights the need for more appropriation and further discussion on practices regarding violence guided by the principle of comprehensiveness within the Family Healthcare team.

Meeting the family: Measuring effectiveness of family meetings in a specialist inpatient palliative care unit

2012 ◽  
Vol 10 (1) ◽  
pp. 43-49 ◽  
Author(s):  
Breffni Hannon ◽  
Valerie O'Reilly ◽  
Kathleen Bennett ◽  
Karen Breen ◽  
Peter G. Lawlor
Keyword(s):  
Palliative Care ◽  
Family Member ◽  
Family Members ◽  
Palliative Care Unit ◽  
World Health ◽  
Healthcare Team ◽  
Care Needs ◽  
Family Meeting ◽  
Family Meetings ◽  
The Family

AbstractObjective:The World Health Organization (WHO) definition of palliative care as “an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness …” recognizes the importance of family members in this setting. In practice, family meetings account for a significant amount of the weekly workload in a specialist inpatient palliative care unit. Despite this, there is little empirical evidence to support the benefits of family meetings from the perspective of family members.Method:A prospective study over 6 months, invited a designated family member to complete a self-report instrument (SRI) and the Family Inventory of Needs (FIN) questionnaire prior to, immediately following, and 48 hours after a planned family meeting attended by several members of the multidisciplinary team.Results:Thirty-one designated family members completed the study. The SRIs completed prior to a family meeting identified particular areas of concern and worry for family members, and also helped to generate an agenda based on the family's particular needs. The pre-meeting FIN identified areas of patient care of greatest importance to each family member, and asked them to rate whether particular care needs were presently met or unmet, in their opinion, by the healthcare team caring for the patient. Following the family meeting, repeat SRIs showed an overall reduction in concerns and increased confidence in dealing with those issues raised. Post-family meeting FIN scores confirmed a greater number of met care needs compared with pre-meeting scores, all of which were sustained over time.Significance of results:This study confirms the value of planned multidisciplinary family meetings for patients in specialist inpatient palliative care units. It identifies the often unmet needs of family members and the sustained benefits associated with formal family meetings.

scholarly journals Experiencing suicide in the family: from mourning to the quest for overcoming

2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2146-2153
Author(s):  
Kassiane Dutra ◽  
Lucas Corrêa Preis ◽  
Jaqueline Caetano ◽  
José Luís Guedes dos Santos ◽  
Greice Lessa
Keyword(s):  
Grounded Theory ◽  
Family Member ◽  
Suicide Prevention ◽  
Health Professionals ◽  
Family Members ◽  
Qualitative Approach ◽  
Constructivist Grounded Theory ◽  
Suicide Method ◽  
The Family

ABSTRACT Objective: to understand the family’s experience of losing a family member by suicide. Method: study with qualitative approach with reference of the Constructivist Grounded Theory. The theoretical sample consisted of 20 participants, among health professionals and family members of people who committed suicide. Data were collected through intensive and coded interviews from initial and focused coding. Results: three categories were obtained: Being in a “state of shock”; Living with the suffering and effects of the loss of the family member; and, Rebuilding life. From the articulation of these categories emerged the phenomenon: “Experiencing the loss of a family member by suicide: from mourning to the quest for overcoming”. Final considerations: each category represents a stage in the family’s experience of losing a family member by suicide. The results provide support for suicide prevention and postvention actions developed by health professionals.

scholarly journals PRESENCE OF THE FAMILY DURING EMERGENCY CARE: PATIENT AND FAMILY LIVING

2019 ◽  
Vol 28 ◽  
Author(s):  
Mayckel da Silva Barreto ◽  
Cristina Garcia-Vivar ◽  
Laura Misue Matsuda ◽  
Margareth Angelo ◽  
Magda Lúcia Felix de Oliveira ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Emergency Care ◽  
Health Professionals ◽  
Reference Data ◽  
Family Members ◽  
Care Patient ◽  
Patient Relationship ◽  
Southern Brazil ◽  
Emergency Rooms ◽  
The Family

ABSTRACT Objective: to understand how family members and adult patients perceive the family's presence in emergency care. Method: qualitative study that used Symbolic Interactionism as a theoretical reference and the Data Grounded Theory as a methodological reference. Data collection took place in two emergency rooms, located in southern Brazil, between October 2016 and February 2017, through open interviews with four patients and eight relatives. Results: the relative presence in the emergency care was signified/perceived as positive, due to the benefits identified for patients, family members and health professionals. However, the experience was also marked by mishaps for the family-patient relationship, such as fear, doubts, anguish about the forced separation of family members and the experience of feelings of regret. Conclusion: due to the fact that the presence of the family in the emergency room is perceived as positive and beneficial, it is suggested that the health services, to the extent of their possibilities, implement this practice. However, such units need to be better prepared to mitigate the pitfalls faced by patients and their families.

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