Do Parents Want to Be Present During Invasive Procedures Performed on Their Children in the Emergency Department? A Survey of 400 Parents

Boie, Eric T.; Moore, Gregory P.; Brummett, Chad M.; Nelson, David R.

doi:10.1016/s0196-0644(99)70274-x

Cited by 198 publications

(138 citation statements)

References 7 publications

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“…4 This survey of 400 parents found that more than 80% would want to be present for IV placement, suture repair, lumbar puncture, intubation, and even resuscitation with death. 4 The current study was a follow-up study in which the attitudes of the care providers were assessed. We found that for simple procedures, most nurses and doctors would welcome parental presence (IV placement, suturing, conscious sedation).…”

Section: Discussionmentioning

confidence: 99%

“…Results from this and other studies reveal that all involved parties want to participate in the decision. 4 We advocate an individualized approach to parental presence with open communication, education, and opportunity, if desired among families and all providers. A situation in which everyone feels ownership and involvement will likely lead to optimal experiences, performance, and patient outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Previously conducted surveys and observational studies have demonstrated that most parents prefer to stay with their children during procedures occurring in EDs. [1][2][3][4][5] Parents also believe that they should participate in the decision to be present and that the physician should not unilaterally decide it. 4 Health care providers are much less willing to allow parental presence than parents would prefer.…”

mentioning

confidence: 99%

“…[1][2][3][4][5] Parents also believe that they should participate in the decision to be present and that the physician should not unilaterally decide it. 4 Health care providers are much less willing to allow parental presence than parents would prefer. 5,6 Reasons stated for the reluctance to allow parental presence include parental anxiety, time required to orient parents, escalating negative behavior of children, performance anxiety by the Survey Content and Administration.…”

mentioning

confidence: 99%

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Should Parents Be Present during Emergency Department Procedures on Children, and Who Should Make That Decision? A Survey of Emergency Physician and Nurse Attitudes

Beckman

Sloan

Moore

et al. 2002

Academic Emergency Medicine

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Abstract. Objective: To survey physician and nurse attitudes regarding parental presence during painful procedures on children performed in the emergency department (ED) and who should make that decision. Methods: The design was an anonymous written survey consisting of six clinical scenarios distributed to all staff and resident physicians and nurses in ten EDs at institutions in the United States routinely caring for children. Participants were asked whether parents should remain with children undergoing intravenous (IV) placement, laceration repair, lumbar puncture, conscious sedation, major resuscitation, and major resuscitation with death. They also were asked who should make the decision. Results: The percentage of physicians who responded that parents should be present was 91.3% for peripheral IV start, 93.3% for laceration repair, 65.7% for lumbar puncture, 83.1% for conscious sedation, 31.9% for major resuscitation, and 35.6% for major resuscitation where death was likely. The percentage of nurses who responded that parents should be present was 86.8% for peripheral IV start, 89.6% for laceration repair, 55.0% for lumbar puncture, 74.9% for conscious sedation, 41.4% for major resuscitation, and 54.3% for major resuscitation where death was likely. In 64.8% of the completed surveys, the physicians indicated that they alone or in conjunction with a parent should make the decision. In 61.5% of the completed surveys, the nurses indicated that they should be involved in the decision. Conclusions: A majority of emergency physicians and nurses indicated parents should be present for some invasive pediatric procedures. However, as the invasiveness of the pediatric procedures increased, fewer physicians and nurses believed that parents should be present.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Should Parents Be Present during Emergency Department Procedures on Children, and Who Should Make That Decision? A Survey of Emergency Physician and Nurse Attitudes

Beckman

Sloan

Moore

et al. 2002

Academic Emergency Medicine

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“…In einigen westlich orientierten Gesellschaften wünscht die Mehrzahl der Eltern, bei der Reanimation ihres Kindes anwesend zu sein [401,402,403,404,405,406,407,408,409,410]. Dabei wird die Anwesenheit der Eltern wird vom medizinischen Personal üblicherweise nicht als störend [403,411,412,413,414,415] oder Stress erhöhend wahrgenommen [401,403,412].…”

Section: Anwesenheit Der Elternunclassified

Lebensrettende Maßnahmen bei Kindern („paediatric life support“)

Biarent

Bingham

Eich

et al. 2010

Notfall Rettungsmed

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Family Presence During Pediatric Tracheal Intubations

Sanders¹,

Nett²,

Davis³

et al. 2016

JAMA Pediatr

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IMPORTANCE Family-centered care, which supports family presence (FP) during procedures, is now a widely accepted standard at health care facilities that care for children. However, there is a paucity of data regarding the practice of FP during tracheal intubation (TI) in pediatric intensive care units (PICUs). Family presence during procedures in PICUs has been advocated.OBJECTIVE To describe the current practice of FP during TI and evaluate the association with procedural and clinician (including physician, respiratory therapist, and nurse practitioner) outcomes across multiple PICUs. DESIGN, SETTING, AND PARTICIPANTS Prospective cohort study in which all TIs from July 2010 to March 2014 in the multicenter TI database (National Emergency Airway Registry for Children [NEAR4KIDS]) were analyzed. Family presence was defined as a family member present during TI. This study included all TIs in patients younger than 18 years in 22 international PICUs.EXPOSURES Family presence and no FP during TI in the PICU. MAIN OUTCOMES AND MEASURESThe percentage of FP during TIs. First attempt success rate, adverse TI-associated events, multiple attempts (Ն3), oxygen desaturation (oxygen saturation as measured by pulse oximetry <80%), and self-reported team stress level.RESULTS A total of 4969 TI encounters were reported. Among those, 81% (n = 4030) of TIs had documented FP status (with/without). The median age of participants with FP was 2 years and 1 year for those without FP. The average percentage of TIs with FP was 19% and varied widely across sites (0%-43%; P < .001). Tracheal intubations with FP (vs without FP) were associated with older patients (median, 2 years vs 1 year; P = .04), lower Paediatric Index of Mortality 2 score, and pediatric resident as the first airway clinician (23%, n = 179 vs 18%, n = 584; odds ratio [OR], 1.4; 95% CI, 1.2-1.7). Tracheal intubations with FP and without FP were no different in the first attempt success rate (OR, 1.00; 95% CI, 0.85-1.18), adverse TI-associated events (any events: OR, 1.06; 95% CI, 0.85-1.30 and severe events: OR, 1.04; 95% CI, 0.75-1.43), multiple attempts (Ն3) (OR, 1.03; 95% CI, 0.82-1.28), oxygen desaturation (oxygen saturation <80%) (OR, 0.97; 95% CI, 0.80-1.18), or self-reported team stress level (OR, 1.09; 95% CI, 0.92-1.31). This result persisted after adjusting for patient and clinician confounders.CONCLUSIONS AND RELEVANCE Wide variability exists in FP during TIs across PICUs. Family presence was not associated with first attempt success, adverse TI-associated events, oxygen desaturation (<80%), or higher team stress level. Our data suggest that FP during TI can safely be implemented as part of a family-centered care model in the PICU.

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Do Parents Want to Be Present During Invasive Procedures Performed on Their Children in the Emergency Department? A Survey of 400 Parents

Cited by 198 publications

References 7 publications

Should Parents Be Present during Emergency Department Procedures on Children, and Who Should Make That Decision? A Survey of Emergency Physician and Nurse Attitudes

Should Parents Be Present during Emergency Department Procedures on Children, and Who Should Make That Decision? A Survey of Emergency Physician and Nurse Attitudes

Lebensrettende Maßnahmen bei Kindern („paediatric life support“)

Family Presence During Pediatric Tracheal Intubations

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