Emergency service health care workers’ opinions and experiences on the practice of family-witnessed resuscitation: a cross-sectional study during the COVID-19 pandemic in Türkiye
https://doi.org/10.4081/ecj.2024.12344
Accepted: 11 March 2024
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Despite the evidence and recommendations regarding the benefits of family-witnessed resuscitation, the opinions and attitudes of healthcare professionals vary widely. This descriptive cross-sectional study was conducted on 154 healthcare professionals working at the emergency departments of four hospitals within the borders of Ankara, Türkiye to examine their opinions and experiences on the practice of family-witnessed resuscitation. Data were collected by using the demographic form and the Family Presence Risk-Benefit Scale. Descriptive statistical analyses, t-test for samples, Mann-Whitney U test and Kruskal-Wallis tests were used in the evaluation of the data. Results indicated that majority of emergency department healthcare workers (85.8%) had no previous experience of family witnessed resuscitation, and most of them (96.8%) opposed the practice of resuscitation with family presence. Although nurses tended to favour family witnessed resuscitation more than physicians, most of the participants expressed their concerns about the presence of family during the CPR. It is recommended that institutional policies be developed on family-witnessed resuscitation, and inter-professional education be provided to increase the awareness of families and to change the opinions and attitudes of health care professionals.
Soar J, Böttiger BW, Carli P, et al. European Resuscitation Council Guidelines 2021: Adult advanced life support. Resuscitation 2021; 161:115-51. DOI: https://doi.org/10.1016/j.resuscitation.2021.02.010
Kimblad H, Marklund J, Riva G, et al. Adult cardiac arrest in the emergency department – A Swedish cohort study. Resuscitation 2022;175:105-12. DOI: https://doi.org/10.1016/j.resuscitation.2022.03.015
Mitchell OJL, Edelson DP, Abella BS. Predicting cardiac arrest in the emergency department. J Am Coll Emerg Physicians Open 2020;1:321-26. DOI: https://doi.org/10.1002/emp2.12015
Fernández EM, Martín GM, Herrera MJ. Family-witnessed resuscitation and invasive procedures: Patient and family opinions. Nurs Ethics 2021;28:645-55. DOI: https://doi.org/10.1177/0969733020968171
Doyle CJ, Post H, Burney RE, et al. Family participation during resuscitation: an option. Ann Emerg Med 1987;16:673-5. DOI: https://doi.org/10.1016/S0196-0644(87)80069-0
Emergency Nurses Association. Clinical Practice Guideline: Family presence during invasive procedures and resuscitation. Available from: https://media.emscimprovement.center/documents/familypresencecpg3eaabb7cf0414584ac2291feba3be481.pdf
2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 2. Ethical Issues and Part 12 Paediatric Advanced Life Support. Circulation 2005;112:IV6–11 and IV167–187.
Bossaert LL, Perkins GD, Askitopoulou H, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 11. The ethics of resuscitation and end-of-life decisions. Resuscitation 2015;95:302-11. DOI: https://doi.org/10.1016/j.resuscitation.2015.07.033
Henderson DP, Knapp JF. Report of the national consensus conference on family presence during pediatric cardiopulmonary resuscitation and procedures. J Emerg Nurs 2006;32:23-9. DOI: https://doi.org/10.1016/j.jen.2005.11.009
Porter JE, Cooper SJ, Sellick K. Family presence during resuscitation (FPDR): Perceived benefits, barriers and enablers to implementation and practice. Int Emerg Nurs 2014;22:69-74. DOI: https://doi.org/10.1016/j.ienj.2013.07.001
Carroll DL. The effect of intensive care unit environments on nurse perceptions of family presence during resuscitation and invasive procedures. Dimens Crit Care Nurs 2014;33:34-9. DOI: https://doi.org/10.1097/DCC.0000000000000010
Lederman Z, Wacht O. Family presence during resuscitation: Attitudes of Yale–New Haven Hospital staff. YJBM 2014;87:63-72.
McAlvin, SS, Carew-Lyons A. Family presence during resuscitation and invasive procedures in pediatric critical care: A systematic review. Am J Crit Care 2014;23:477-84. DOI: https://doi.org/10.4037/ajcc2014922
Jabre P, Belpomme V, Azoulay E, et al. Family presence during cardiopulmonary resuscitation. NEJM 2013;368:1008-18. DOI: https://doi.org/10.1056/NEJMoa1203366
Tennyson CD. Family presence during resuscitation: Updated review and clinical pearls. Geriatr Nurs 2019;40:645-47. DOI: https://doi.org/10.1016/j.gerinurse.2019.11.004
Sak-Dankosky N, Andruszkiewicz P, Sherwood PR, Kvist T. Integrative review: Nurses’ and physicians’ experiences and attitudes towards inpatient-witnessed resuscitation of an adult patient. J Adv Nurs 2014;70:957–74. DOI: https://doi.org/10.1111/jan.12276
Waldemar A, Bremer A, Holm A, et al. In-hospital family-witnessed resuscitation with a focus on the prevalence, processes, and outcomes of resuscitation: A retrospective observational cohort study. Resuscitation 2021;165:23-30. DOI: https://doi.org/10.1016/j.resuscitation.2021.05.031
Leske JS, McAndrew NS, Brasel KJ, Feetham S. Family presence during resuscitation after trauma. J Trauma Nurs 2017;24:85-96. DOI: https://doi.org/10.1097/JTN.0000000000000271
Hassankhani H, Zamanzadeh V, Rahmani A, Haririan H, Porter J. Family presence during resuscitation: A double-edged sword. J Nurs Scholarship 2017;49:127-34. DOI: https://doi.org/10.1111/jnu.12273
Fernandes AP, de Souza Carneiro C, Goecze L, et al. Experiences and opinions of health professionals in relation to the presence of the family during in hospital cardiopulmonary resuscitation: An integrative review. J Nurs Educ Pract 2014:4:86–94. DOI: https://doi.org/10.5430/jnep.v4n5p85
Metzger K, Gamp M, Tondorf T, et al. Depression and anxiety in relatives of out-of-hospital cardiac arrest patients: results of a prospective observational study. J Crit Care 2019;51:57–63. DOI: https://doi.org/10.1016/j.jcrc.2019.01.026
Kurtoğlu Çelik G, Keleş A, Demircan A, et al. Evaluation of patients’ families’ attitudes to witnessing invasive procedures in the emergency department. Eurasian J Emerg Med 2013;12:61-5. DOI: https://doi.org/10.5152/jaem.2013.028
Twibell R, Siela D, Riwitis C, et al. Nurses’ perceptions of their self-confidence and the benefits and risks of family presence during resuscitation. Am J Crit Care 2008;17:646–53. DOI: https://doi.org/10.4037/ajcc2008.17.2.101
Öztürk EA. Factors affecting the perceptions and self-confidence of nurses on the risks and benefits of family presence during resuscitation. Master thesis, Ondokuz Mayıs Üniversitesi, Samsun, 2020.
Günes UY, Zaybak A. A study of Turkish critical care nurses’ perspectives regarding family-witnessed resuscitation. J Clin Nurs 2009;18:2907–915. DOI: https://doi.org/10.1111/j.1365-2702.2009.02826.x
Leung NY, Chow SKY. Attitudes of healthcare staff and patients’ family members towards family presence during resuscitation in adult critical care units. J Clin Nurs 2012;21:2083–93. DOI: https://doi.org/10.1111/j.1365-2702.2011.04013.x
Dwyer T, Friel, D. Inviting family to be present during cardiopulmonary resuscitation: Impact of education. Nurse Educ Pract 2016:16:274–9. DOI: https://doi.org/10.1016/j.nepr.2015.10.005
Ferrara G, Ramponi D, Cline TW. Evaluation of physicians’ and nurses’ knowledge, attitudes, and compliance with family presence during resuscitation in an emergency department setting after an educational intervention. Adv Emerg Nurs J 2016;38:32–42. DOI: https://doi.org/10.1097/TME.0000000000000086
Al Bshabshe AA, Al Atif MY, Bahis MA, et al. Physicians' characteristics associated with their attitude to family presence during adult cardiopulmonary resuscitation. Biomed Res Int 2020;4634737. DOI: https://doi.org/10.1155/2020/4634737
Bashayreh I, Saifan A, Batiha AM, et al. Health professionals' perceptions regarding family-witnessed resuscitation in adult critical care settings. J Clin Nurs 2015;24:2611-9. DOI: https://doi.org/10.1111/jocn.12875
Copyright (c) 2024 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Downloads
Citations
