Presencia de familiares durante la reanimación cardiopulmonar: perspectivas de pacientes, familiares y profesionales de la salud en el País Vasco

Tíscar-González, Verónica; Gastaldo, Denise; Moreno-Casbas, Teresa; Peter, Elizabeth; Rodriguez-Molinuevo, Ascensión; Gea-Sánchez, Montserrat

doi:10.1016/j.aprim.2017.12.002

Cited by 11 publications

(10 citation statements)

References 30 publications

(45 reference statements)

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“…Most respondents felt that family presence would be beneficial, but patients being more supportive than family members. Family presence depends on the procedure and on the degree of invasiveness, an aspect that coincides with the Bashayreh and Saifan 29 study, and with the Perez-Alonso 30 study but differs from Tíscar-González et al 31 where the patients and their relatives refer to be afraid and reluctant to presence during a CPR. Another conditioning factor would be the state of the patient, where no point is seen in accompanying patients in a state of unconsciousness.…”

Section: Discussionsupporting

confidence: 58%

Family witnessed resuscitation and invasive procedures: Patient and family opinions

Mingo-Fernández

Martín²,

Herrera

2020

Nurs Ethics

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Background: Family presence during invasive procedures and cardiopulmonary resuscitation (FPDR) is a highly controversial issue, with divergence of opinion among health professionals, with clinical evidence in favor, and with barriers to its implementation in comprehensive patient care. Many international organizations support health policies for its implementation, but it is not a widespread practice. Little research has been conducted on this subject from the perspective of patients and families. Objective: To learn opinions, perceptions, and desires of family members and patients in terms of family presence during invasive procedures and cardiopulmonary resuscitation. Method: Qualitative descriptive study, using semi-structured interviews with relatives and patients regarding their experiences and perceptions about FPDR (n = 18) from 8 October 2017 to 8 March 2018. The interviews were recorded and transcribed verbatim for later analysis using the method of content analysis. Ethical considerations: This study has the approval of the Clinical Research Ethics Committee of the Fundació Unió Catalana d’Hospitals and ethical considerations were carefully regarded throughout the study. Results: Three significant categories were identified: knowledge, respect for rights, and accompaniment of the patient, relating FPDR to courage, emotional support, and trust in professionals. Conclusion: FPDR is an unusual practice; it is not offered to patients or their families, and it is not considered a patient’s right, although most of the interviewees support it. The desire for accompaniment is conditioned by the courage and knowledge of the accompanying persons, as well as the degree of invasiveness of the procedures. The results of this study provide information for a change of vision in patient-centered care.

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Section: Discussionsupporting

confidence: 58%

Family witnessed resuscitation and invasive procedures: Patient and family opinions

Mingo-Fernández

Martín²,

Herrera

2020

Nurs Ethics

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“…Relatives who have witnessed CPR think that it is bene cial for the patient and families, and this opinion is not conditioned by age, education or income, nor by the last will and testament (12) . Other determining factors for the acceptance of FPDR are of cultural and religious nature, varying the percentages of acceptance of FPDR when the studies come from countries with different cultural and religious traditions (13)(14)(15)(16)(17)(18)(19) .…”

Section: Introductionmentioning

confidence: 99%

Family Presence During Resuscitation: Adaptation and Validation into Spanish of the Family Presence Risk-Benefit Scale and the Self-Confidence Scale Instrument

Mingo-Fernández

Eraso

Jiménez-Herrera

2020

Preprint

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Background Since the 1980s, the controversial issue of family presence during cardiopulmonary resuscitation has been studied both to identify the perceptions, opinions and beliefs of health professionals, patients and family members, and to identify benefits and barriers, as well as to design training programs and protocols for its implementation. In 2008, Twibell et al designed a questionnaire that measured nurses’ perceptions of Risks-Benefits and Self-Confidence regarding Family Presence during Resuscitation. There are few studies in Spain on this practice, and therefore, this study is carried out using the same instrument, so that a comparison can be made.Methods The objective is to adapt and validate into Spanish the Family Presence Risk-Benefit scale and Family Presence Self-Confidence scale (FPRB-FPSC) instrument by Twibell et al. and thus, know the opinions of our healthcare professionals. For this purpose, a paper and online questionnaire was used. It was self-administered, semi-structured and translated cross-culturally. Statistical tests were carried out for the validity of the questionnaire. 541 healthcare professionals were invited to respond. The results were analyzed by means of factorial analysis with varimax rotation (maximum likelihood method), in addition to ANOVA and Student’s t-test to observe associations between different variables. The study was approved by the institutional review board of the Consorci Sanitari del Garraf, and by the clinical research Ethic Committee of the Fundació Unió Catalana Hospitals.Results 237 healthcare professionals answered the survey (69% women), of whom 167 were nurses. Healthcare providers who have experienced Cardiopulmonary Resuscitation barely reach 13%, with the majority being men and older people. As for the invitation to the FPDR, it barely reaches 5%, and regarding the willingness to include FP in the advance directives, 66% of the healthcare providers are in favor. Health professionals identify similar barriers to Family Presence and factors in its favor.The correlation between the two measured scales, FPRB-FPSC, is significant and has a moderate intensity of the relationship (r = 0.65 and α <0.001).Conclusions The Family Presence During Resuscitation (FPDR) generates controversy among health professionals, with a trend observed along with generational change, since younger professionals tend to accept the Family Presence better. The psychometric properties of the questionnaire indicate high validity and reliability. Risk-Benefit perception and self-confidence are related to the healthcare professionals who consider the Family Presence to be beneficial.

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“…Some studies suggest that health professionals show some controversy to the presence of relatives during the CPR manoeuvres (Tíscar-González et al, 2018; Colbert & Adler, 2013; Enriquez et al, 2017), even when the literature reflects that it could be positive for the family to improve the grieving process (Oczkowski et al, 2015; Moons & Norekvål, 2008).…”

Section: Introductionmentioning

confidence: 99%

Nursing knowledge of and attitude in cardiopulmonary arrest: cross-sectional survey analysis

Tíscar-González

Blanco-Blanco

Gea-Sánchez

et al. 2019

PeerJ

Self Cite

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BackgroundNurses are often the first to activate the chain of survival when a cardiorespiratory arrest happens. That is why it is crucial that they keep their knowledge and skills up-to-date and their attitudes to resuscitation are very important. The main aim of this study was to analyse whether the level of theoretical and practical understanding affected the attitudes of nursing staff.MethodsA questionnaire was designed using the Delphi technique (three rounds). The questionnaire was adjusted and it was piloted on a test-retest basis with a convenience sample of 30 registered nurses. The psychometric characteristics were evaluated using a sample of 347 nurses using Cronbach’s alpha. Descriptive analysis was performed to describe the sociodemographic variables and Spearman’s correlation coefficient to assess the relationship between two scale variables. Pearson’s chi-squared test has been used to study the relationship between two categorical variables. Wilcoxon Mann Whitney test and the Kruskal–Wallis test were performed to establish relationships between the demographic/work related characteristics and the level of understanding.ResultsThe Knowledge and Attitude of Nurses in the Event of a Cardiorespiratory Arrest (CAEPCR) questionnaire comprised three sections: sociodemographic information, theoretical and practical understanding, and attitudes of ethical issues. Cronbach’s alpha for the internal consistency of the attitudes questionnaire was 0.621. The knowledge that nurses self-reported with regard to cardiopulmonary arrest directly affected their attitudes. Their responses raised a number of bioethical issues.ConclusionsCAEPCR questionnaire is the first one which successfully linked knowledge of cardiopulmonary resuscitation to the attitudes towards ethical issues Health policies should ensure that CPR training is mandatory for nurses and all healthcare workers, and this training should include the ethical aspects.

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Presencia de familiares durante la reanimación cardiopulmonar: perspectivas de pacientes, familiares y profesionales de la salud en el País Vasco

Cited by 11 publications

References 30 publications

Family witnessed resuscitation and invasive procedures: Patient and family opinions

Family witnessed resuscitation and invasive procedures: Patient and family opinions

Family Presence During Resuscitation: Adaptation and Validation into Spanish of the Family Presence Risk-Benefit Scale and the Self-Confidence Scale Instrument

Nursing knowledge of and attitude in cardiopulmonary arrest: cross-sectional survey analysis

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