Family presence during resuscitation in emergency departments: professionals’ attitudes in Brazil

Abstract

Aim The study explored the views and attitudes of nurses and physicians on family presence during resuscitation in emergency departments in Brazil. Background International emergency associations endorse family presence during resuscitation; however, the extent to which it is practiced remains unclear, particularly in the Brazilian context. Research of emergency staff views and attitudes towards this practice is desirable so that actions can be identified to support families at the bedside. Methods A qualitative research was conducted. Thirty‐two health professionals (11 physicians and 21 nurses) working in two emergency departments in southern Brazil were purposefully recruited in January 2015. In‐depth interviews were conducted, and data were analysed using content analysis. Findings Nurses and physicians found family presence during resuscitation controversial and the general attitude towards this practice was negative. They reported that ‘changes are needed’ to adapt hospital infrastructures for family presence, and to train staff to respond to the information and emotional needs of families. Discussion Translating a family nursing framework into clinical practice involves the need for reassessing educational and management policies in clinical contexts. Conclusion This research brings new understanding about the attitudes of some Brazilian nurses and physicians on the implementation of family presence during resuscitation and identifies the need to develop policies and strategies to improve family presence in emergency departments. Implications for nursing and health policy Hospital‐based policies are required to improve family‐centred care in emergency departments while providing a criterion of legality and safety to professionals to invite families to be present during invasive procedures. Also, family‐focused education in health science degrees, continuing education and in the community is required.

Predicting nurses' intentions in allowing family presence during resuscitation: A cross‐sectional survey

“…While the participants in our study demonstrated a moderate level of positive attitude (3.10) towards FPDR and their negative attitude (2.24) was quite lower compared with the previous reports (Cha, 2018; Lai et al, 2017), a qualitative study on FPDR among 32 physicians and nurses in two emergency departments in Brazil reported that many participants believed that family‐centred care is difficult to implement in Brazilian healthcare settings (Barreto et al, 2018). A literature review that considered the stances of healthcare providers, as well as patients' families in 62 countries, reported that only 31% of healthcare providers had a positive attitude towards family presence (Robertis et al, 2017).…”

Health Care Providers' Lived Experience Caring for Victims of Youth Violence Separated From Family During Trauma Resuscitation

“…The participants experienced separation of children from their families during trauma resuscitation for injuries sustained from youth violence. In a study conducted by Barreto, Marcon, et al (2018) researchers found that nurses and physicians from two emergency departments tended to ask families to wait outside during emergency care. Twibell et al (2015) found that decisions on family presence during cardiopulmonary resuscitation, near resuscitation, and unplanned cardiac procedures were made on a case-by-case basis based on the perceptions of the health care team; therefore, family presence was not occurring on a consistent basis.…”

Fulfillment of Sleep Needs in Elderly Insomnia in South Sibolga District, Sibolga City

“…bed to the bathroom, room temperature is also very important in increasing the comfort of participants, room ventilation also plays an important role in providing fresh air (Hu et al 2018), Environmental conditions also affect the sleep quality of the elderly where some elderly complain that their roommates are noisy before starting to sleep and changes in room temperature such as in the rainy season cause the elderly to often wake up at night to urinate . A good room temperature accompanied by a clean room will create comfort for the elderly in meeting the quality and quantity of sleep (Barreto 2018).…”