Family Presence During Invasive Procedures at the Emergency Department

Abstract

The PED staff tend to prefer parents not to be present during IPs as the level of invasiveness increases. Family presence is not common in Spanish PEDs. Older physicians are more likely to support FP than nurses.

Paediatric lumbar punctures: How do paediatric and emergency doctors differ?

“…The literature regarding parental presence during invasive procedures is mixed. Surveys of Spanish emergency physicians and parents have found that both groups were less happy for parental presence with increasing invasiveness of the procedure, and this is supported by a similar survey from the USA . Interestingly, a survey conducted in an Australian ED found that more than 80% of parents would want to be present when an LP was performed on their child …”

Parental Presence during Resuscitation and Invasive Procedures in the Emergency Department: Saudi Parents’ Perspectives

“…Only a few physicians and nurses (mostly senior ones) believe in parental presence [23,37]. This apprehension from health professionals stems from nurses' and clinicians' fears that parental presence will increase the anxiety of the child, parents, and professionals [6,[38][39][40][41][42]. Another common belief among health professionals is that parental presence may have a negative impact on decision making abilities, which have a detrimental effect on the procedures or resuscitation success [27,38,43,44].…”

“…Positive outcomes of parental presence include less anxiety and fear about their children [1,2] remove any confusion about patient's situation and allow them to observe everything possible was being offered [3,4], and maintain family unity [4,5]. Several studies have emphasized the value of parental presence and have recommended setting institutional guidelines [6][7][8][9][10]. Until recently, many institutions had not yet set or effectively implemented any guidelines [11][12][13][14][15].…”

L’éthique dans les services d’accueil des urgences pédiatriques : accès aux soins, communication et confidentialité

“…Il existe des différences selon les pays. Par exemple, en Espagne les soignants préfé-raient l'absence des parents lors des procédures invasives, particulièrement lorsque le caractère invasif était important [32]. Dans toutes ces études, les médecins expérimentés étaient davantage favorables à la présence des parents que les médecins juniors et les infirmières.…”