A Systematic Review of Family Witnessed Resuscitation and Family Witnessed Invasive Procedures in Adults in Hospital Settings Internationally - Part II: Perspectives of Healthcare Providers

Paplanus, Lisa M.; Salmond, Susan; Jadotte, Yuri T.; Viera, Dorice L.

doi:10.11124/01938924-201210330-00001

Cited by 17 publications

(36 citation statements)

References 3 publications

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“…HCPs' attitudes towards for A-FPDR vary greatly, but overall most HCPs oppose A-FPDR 1 4. For example, Köberich et al 12 surveyed German intensive care nurses in 2008 and reported that 99.4% had never provided family members with the option to witness CPR and 89.9% had never been asked by relatives to be present.…”

Section: Status Quo: Empirical Datamentioning

confidence: 99%

“…Many HCPs oppose FPDR for fear it would hurt patient care, families and the HCPs themselves 1 4 15 16. Proponents usually respond by pointing to the lack of empirical evidence to support these fears,5 or by pointing at evidence demonstrating either lack of negative effects or positive effects of FPDR 1 7 15 17 18.…”

Section: Should Fpdr Be Allowed?mentioning

confidence: 99%

“…Interruption by relatives may potentially reduce the chances of the patient's survival, and their presence may increase the anxiety of HCPs. HCPs particularly fear distraction by family members acting as violent obstacles to necessary procedures 4. These concerns may be particularly pertinent to paediatric CPR, where survival rates are much higher and care is less futile.…”

Section: Should Fpdr Be Allowed?mentioning

confidence: 99%

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Family presence during resuscitation: extending ethical norms from paediatrics to adults

Vincent

Lederman

2017

J Med Ethics

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Many families of patients hold the view that it is their right to be present during a loved one's resuscitation, while the majority of patients also express the comfort and support they would feel by having them there. Currently, family presence is more commonly accepted in paediatric cardiopulmonary resuscitation (CPR) than adult CPR. Even though many guidelines are in favour of this practice and recognise potential benefits, healthcare professionals are hesitant to support adult family presence to the extent that paediatric family presence is supported. However, in this paper, we suggest that the ethical case to justify family presence during paediatric resuscitation (P-FPDR) is weaker than the justification of family presence during adult resuscitation (A-FPDR). We go on to support this claim using three main arguments that people use in clinical ethics to justify FPDR. These include scarcity of evidence documenting disruption, psychological benefits to family members following the incident and respect for patient autonomy. We demonstrate that these arguments actually apply more strongly to A-FPDR compared with P-FPDR, thereby questioning the common attitude of healthcare professionals of allowing the latter while mostly opposing A-FPDR. Importantly, we do not wish to suggest that P-FPDR should not be allowed. Rather, we suggest that since P-FPDR is commonly (and should be) allowed, so should A-FPDR. This is because the aforementioned arguments that are used to justify FPDR in general actually make a stronger case for A-FPDR.

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Section: Status Quo: Empirical Datamentioning

confidence: 99%

Section: Should Fpdr Be Allowed?mentioning

confidence: 99%

Section: Should Fpdr Be Allowed?mentioning

confidence: 99%

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Family presence during resuscitation: extending ethical norms from paediatrics to adults

Vincent

Lederman

2017

J Med Ethics

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“…(), the “witnesses” under study were mostly the family members of patients undergoing CPR. This aspect of witnessed CPR has been extensively explored from different perspectives: the relatives’ and patients’ opinions have been investigated and they are overall favourable towards family presence during CPR, as this seems to help relatives to cope with the grieving process and gives patients a sense of support (Albarran, Moule, Benger, McMahon‐Parkes, & Lockyer, ; Bradley, Keithline, Petrocelli, Scanlon, & Parkosewich, ; De Stefano et al., ; Paplanus, Salmond, Jadotte, & Viera, ,b). Healthcare professionals’ attitudes and concerns have also largely been explored.…”

Section: Introductionmentioning

confidence: 99%

Exploring patients’ and healthcare professionals’ experiences of patient‐witnessed resuscitation: A qualitative study protocol

Fiori

Endacott

Latour

2018

Journal of Advanced Nursing

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“…There is geographic variation; studies from Belgium, Germany, Singapore and Turkey indicate greater concerns about FWR compared with UK, Irish, Australian and US studies 15–22. The reason is unclear and may be contextual—for example, individual predisposition to FWR, cultural differences, educational preparation, rural versus urban location and healthcare delivery structure 23. Healthcare practitioners with FWR experience are more positive than those without it,4 14 24 but regardless of FWR exposure, practitioners want to retain overall final control 12 13…”

Section: Introductionmentioning

confidence: 99%

Family-witnessed resuscitation: focus group inquiry into UK student nurse experiences of simulated resuscitation scenarios

et al. 2016

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Family witnessed resuscitation: Focus group inquiry into UK student nurse experiences of simulated resuscitation scenarios. BMJ Simulation & Technology Enhanced Learning, 2 (3). pp. 73-77. ISSN 2056-6697 Available from: http://eprints.uwe.ac.uk/29054We recommend you cite the published version. The publisher's URL is: http://dx.doi.org/10.1136/bmjstel-2016-000115Refereed: Yes (no note) Disclaimer UWE has obtained warranties from all depositors as to their title in the material deposited and as to their right to deposit such material. UWE makes no representation or warranties of commercial utility, title, or fitness for a particular purpose or any other warranty, express or implied in respect of any material deposited. UWE makes no representation that the use of the materials will not infringe any patent, copyright, trademark or other property or proprietary rights. UWE accepts no liability for any infringement of intellectual property rights in any material deposited but will remove such material from public view pending investigation in the event of an allegation of any such infringement. 2 ABSTRACT Aims:To describe the impact of family member presence on student nurse performance in a witnessed resuscitation scenario. To explore student nurses' attitudes to simulated family witnessed resuscitation and their views about its place in clinical practice.Background: Family witnessed resuscitation remains controversial worldwide. Hospital implementation remains inconsistent despite professional organisation support. Systematic reviews of international literature indicate family members wish to be involved and consulted; healthcare professionals express concerns about being observed while resuscitating. Student nurse perspectives have not been addressed. Design: qualitative, focus groupsMethods: Participants: UK university second-year student nurses (n=48) Findings: Overarching theme = students' sense making -making sense of situation (practically/professionally), of themselves (their skills/values), and of others (patients/family members). Students identify as important -team leader allocating tasks, continuity of carer, and number of nurses needed. Three orientations to practice identified and explored -includes rule following, guidance from personal/proto-professional values, and paternalistic protectionism. Discussion:We explore issues of students' fluency of response and skills repertoire to support family witnessed resuscitation; explanatory potential to account for the inconsistent uptake of family witnessed resuscitation. Possible future lines of inquiry include family members' gaze as a motivational trigger, and management of guilt. What this paper addsWhat is already known on this subject? * Family witnessed resuscitation (FWR) remains controversial worldwide and hospital implementation remains inconsistent despite professional organisation support. * Systematic reviews of international literature indicate family members wish to be involved and consulted, while healthcare professionals express concerns a...

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A Systematic Review of Family Witnessed Resuscitation and Family Witnessed Invasive Procedures in Adults in Hospital Settings Internationally - Part II: Perspectives of Healthcare Providers

Cited by 17 publications

References 3 publications

Family presence during resuscitation: extending ethical norms from paediatrics to adults

Family presence during resuscitation: extending ethical norms from paediatrics to adults

Exploring patients’ and healthcare professionals’ experiences of patient‐witnessed resuscitation: A qualitative study protocol

Family-witnessed resuscitation: focus group inquiry into UK student nurse experiences of simulated resuscitation scenarios

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