Family Presence During Resuscitation Benefits-Risks Scale (FPDR-BRS): Instrument Development and Psychometric Validation

Parial, Laurence Lloyd; Torres, Gian; Macindo, John Rey B.

doi:10.1016/j.jen.2015.08.018

Cited by 13 publications

(16 citation statements)

References 28 publications

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“…In many studies, this issue has been evaluated from the perspective of the family members and it has been shown that they mostly have positive views on FPDR[11–13]. Many specific studies also have investigated the perceptions of health care professionals toward FPDR and they have presented various involvements of it revealing that the issue is not so clear from their side, and it contains many discussions[12,14]. Although, many associations and councils such as like The Emergency Nurses Association (ENA) (2009), European Federation of Critical Nursing Associations, European Society of Cardiology Council on Cardiovascular Nursing and Allied Professions, American Heart Association[15], and European Resuscitation Council (2010) Guidelines for Resuscitation[16]support and recommend in-hospital FWR; for the most part, no guidance exists around how to support family members best in the pre-hospital settings[17].…”

Section: Introductionmentioning

confidence: 99%

Family Presence and Audience Effects on Cardiopulmonary Resuscitation: Perceptions of Pre-hospital Emergency Caregivers in Turkey

Erbay

2020

Preprint

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Background: There have been many studies regarding family presence during cardiopulmonary resuscitation and most of them are about emergency services or intensive care units. However, the issue has not been studied enough in terms of pre-hospital emergency medicine and the perspective of pre-hospital emergency caregivers. Aim: In this study, it is aimed to present the perceptions and attitudes of a group of pre-hospital emergency care professionals to family presence during cardiopulmonary resuscitation. Method: The data for this descriptive research was collected between March-May 2015. The participants were 63 pre-hospital healthcares from a small city, Afyonkarahisar. The data was collected using a questionnaire and the responses summarized by using frequencies and percentages. Descriptive statistics were used to characterize the sample and each of the survey items. Findings: Of the respondents, for demographic findings of each groups by highest rates; 38 (60.32%) were male, 31 (49.21%) were paramedics and 37 (58.73%) were 1-3 years work experienced. 65.07% were strongly opposed to the family presence during CPR. Among the total sample, 71.41% of participants did not agree with that the presence of press members positively affects their performance. Conclusion: The presence of significant others during CPR affects pre-hospital emergency caregivers negatively. Disturbing effect on caregivers is related not only to the presence of family members or to other significant others but also related to the press and audience. Family presence causes health professionals to experience performance anxiety. Family presence and the audience effect are crucial issues that need more attention in pre-hospital cardiopulmonary resuscitation.

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Section: Introductionmentioning

confidence: 99%

Family Presence and Audience Effects on Cardiopulmonary Resuscitation: Perceptions of Pre-hospital Emergency Caregivers in Turkey

Erbay

2020

Preprint

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“…There are several aspects of FPDR that concern the patient, their relatives, and emergency care providers (Bray et al 2016;Jabre et al 2013). In many studies, this issue has been evaluated from the perspective of the family members, and it has been shown that family members mostly have positive views on FPDR (Albarran et al 2009;Masa'Deh et al 2014;Parial, Torres, and Macindo 2016). Many specific studies also have investigated the perceptions of health care professionals toward FPDR, and they have presented various involvements of it revealing that the issue is not so clear from their side, and it contains many discussions (Moreland 2005;Parial et al 2016).…”

Section: Introductionmentioning

confidence: 99%

“…In many studies, this issue has been evaluated from the perspective of the family members, and it has been shown that family members mostly have positive views on FPDR (Albarran et al 2009;Masa'Deh et al 2014;Parial, Torres, and Macindo 2016). Many specific studies also have investigated the perceptions of health care professionals toward FPDR, and they have presented various involvements of it revealing that the issue is not so clear from their side, and it contains many discussions (Moreland 2005;Parial et al 2016). Although many associations including The Emergency Nurses Association (ENA), European Federation of Critical Nursing Associations (EfCCNa), European Society of Cardiology (ESC), Association of Cardiovascular Nursing & Allied Professions (ACNAP), American Heart Association (AHA) and European Resuscitation Council (ERC) advocate for allowing the option of FPDR and recommend in-hospital family-witnessed resuscitation; for the most part, no guidance exists around how to support family members best especially in the prehospital settings (Brown 2016;Lippert et al 2010;Sak-Dankosky et al 2015).…”

Section: Introductionmentioning

confidence: 99%

Family Presence and the Press Effects on Prehospital Cardiopulmonary Resuscitation: Attitudes of a Group of Emergency Caregivers

Erbay

2020

MALIM

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There have been many studies regarding family presence during cardiopulmonary resuscitation and most of them are about emergency services or intensive care units. However, the issue has not been studied enough in terms of prehospital emergency medicine and the perspective of prehospital emergency caregivers. In this study, it is aimed to present the attitudes of a group of prehospital emergency care professionals to family presence and the press effects during prehospital cardiopulmonary resuscitation. The data for this descriptive research was collected from the participants of 63 prehospital caregivers in Afyonkarahisar. The data was collected using a questionnaire designed by the authors and the responses summarized by using frequencies and percentages. Descriptive statistics were used to characterize the sample and each of the survey items. The local ethics committee approval was obtained. Most participants were strongly opposed to family presence and the press during CPR. The highest mean in the phrases that “I don’t want any press member to be there when I perform CPR on a patient.” There is no significant difference in family presence during CPR between the role and year of the experience. Prehospital emergency caregivers mostly have negative attitude towards family presence and the press during CPR. They mostly think the presence of significant others and being watched adversely affects their CPR performance. Disturbing effect on caregivers is not only related to the presence of family members or to other significant others but also the press. Family presence and the press effect on prehospital cardiopulmonary resuscitation are crucial issues that need more attention.

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“…However, in the past decade, the debate about family presence has spread worldwide, and research evidence is accumulating from global settings. Advocates of family presence from a variety of countries suggest that family presence advances family‐centred care, improves family satisfaction during hospitalisation, strengthens provider–family relationships and enhances family coping with crisis events (Zakaria & Siddique, ; Hung & Pang, ; Parial, Torres, & Macindo, ). Between 50%–96% of family members believe they are entitled to a place beside their loved one during a resuscitation event, and, once they witness a resuscitation, they would choose to be present again in the future (Gordon, Kramer, Couper, & Brysiewicz, ; Leung & Chow, ).…”

Section: Introductionmentioning

confidence: 99%

A qualitative study of factors in nurses' and physicians' decision‐making related to family presence during resuscitation

Twibell

Siela

Riwitis

et al. 2017

Journal of Clinical Nursing

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Aims and objectives To explore the similarities and differences in factors that influence nurses' and physicians' decision‐making related to family presence during resuscitation. Background Despite the growing acceptance of family presence during resuscitation worldwide, healthcare professionals continue to debate the risks and benefits of family presence. As many hospitals lack a policy to guide family presence during resuscitation, decisions are negotiated by resuscitation teams, families and patients in crisis situations. Research has not clarified the factors that influence the decision‐making processes of nurses and physicians related to inviting family presence. This is the first study to elicit written data from healthcare professionals to explicate factors in decision‐making about family presence. Design Qualitative exploratory‐descriptive. Methods Convenience samples of registered nurses (n = 325) and acute care physicians (n = 193) from a Midwestern hospital in the United States of America handwrote responses to open‐ended questions about family presence. Through thematic analysis, decision‐making factors for physicians and nurses were identified and compared. Results Physicians and nurses evaluated three similar factors and four differing factors when deciding to invite family presence during resuscitation. Furthermore, nurses and physicians weighted the factors differently. Physicians weighted most heavily the family's potential to disrupt life‐saving efforts and compromise patient care and then the family's knowledge about resuscitations. Nurses heavily weighted the potential for the family to be traumatised, the potential for the family to disrupt the resuscitation, and possible family benefit. Conclusions Nurses and physicians considered both similar and different factors when deciding to invite family presence. Physicians focused on the patient primarily, while nurses focused on the patient, family and resuscitation team. Relevance to clinical practice Knowledge of factors that influence the decision‐making of interprofessional colleagues can improve collaboration and communication in crisis events of family presence during resuscitation.

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Family Presence During Resuscitation Benefits-Risks Scale (FPDR-BRS): Instrument Development and Psychometric Validation

Cited by 13 publications

References 28 publications

Family Presence and Audience Effects on Cardiopulmonary Resuscitation: Perceptions of Pre-hospital Emergency Caregivers in Turkey

Family Presence and Audience Effects on Cardiopulmonary Resuscitation: Perceptions of Pre-hospital Emergency Caregivers in Turkey

Family Presence and the Press Effects on Prehospital Cardiopulmonary Resuscitation: Attitudes of a Group of Emergency Caregivers

A qualitative study of factors in nurses' and physicians' decision‐making related to family presence during resuscitation

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