Relatives’ Presence During Cardiopulmonary Resuscitation

Enríquez, Diego; Mastandueno, Ricardo; Flichtentrei, Daniel; Szyld, Edgardo

doi:10.1016/j.gheart.2016.01.007

Cited by 11 publications

(18 citation statements)

References 27 publications

(25 reference statements)

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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

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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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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

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“… 3 – 7 Other studies have suggested that a provider’s preference against family member presence is correlated with that provider’s lack of experience having family present and that providers’ views on family presence differ from patients’ views. 8 – 14 In fact, family presence may have beneficial effects on the patient-doctor relationship and patients’ medical outcomes. 15 , 16 …”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Family Presence During Fracture Reduction in the Pediatric Emergency Department

Zhang

Yocum

Repplinger

et al. 2018

WestJEM

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IntroductionAsking family members to leave during invasive procedures has historically been common practice; however, evidence-based recommendations have altered the trend of family presence during pediatric procedures. The aim of this study was to determine factors related to family members’ choice to be present or absent during fracture reductions in a pediatric emergency department (ED), and their satisfaction with that choice.MethodsWe administered role-specific, anonymous surveys to a convenience sample of patients’ family members in the ED of a Level I pediatric trauma center. All family members were given a choice of where to be during the procedure.ResultsTwenty-five family members of 18 patients completed surveys. Seventeen family members chose to stay in the room. Family member satisfaction with their decision to be inside or outside the room during the procedure (median = very satisfied) was almost uniformly high and not associated with any of the following variables: previous presence during a medical procedure; provider-reported procedure difficulty, or anxiety levels. Family member perception of procedure success (median = extremely well) was also high and not associated with other variables. Location during the procedure was associated with a desire to be in the same location in the future (Fisher’s exact test, p=0.001). Common themes found among family members’ reasons for their location decisions and satisfaction levels were a desire to support the patient, high staff competence, and their right as parents to choose their location.ConclusionFamily members self-select their location during their child’s fracture reduction to high levels of satisfaction, and they considered the ability to choose their location as important.

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“…Barriers to parent presence during a child's resuscitation have been identified by many disciplines within healthcare (Bauchner et al, 1991;Curley et al, 2012;Dudley et al, 2009;Enriquez, Mastandueno, Flichtentrei, & Szyld, 2017;Fulbrook et al, 2007;Gold et al, 2006;Hanson & Strawser, 1992;Jarvis, 1998;Kingsnorth et al, 2010;McGahey-Oakland et al, 2007;O'Brien et al, 2002;Perez Blanco, 2017;Sacchetti et al, 2000;Vavarouta et al, 2011). It is important to understand the perspective of providers regarding parents' presence during their child's resuscitation.…”

Section: Provider Perspective; Barriers and Benefits Of Parent Presencementioning

confidence: 99%

“…Many providers state that the long term effects of parents observing the resuscitation of their child are unknown (Bauchner et al, 1991;Fulbrook et al, 2007;Jarvis, 1998;Perez Blanco, 2017;Vavarouta et al, 2011). Some providers, mostly physicians, are concerned that parents will be critical of the skill of the provider, or simply not understand the tasks and procedures that are happening (Bauchner et al, 1991;Enriquez et al, 2017;Fulbrook et al, 2007;Vavarouta et al, 2011). There is concern that the presence of a family member will cause increased anxiety and discomfort for the providers, which may lead to a decline in the quality of technical skills (Bauchner et al, 1991;Fulbrook et al, 2007;Jarvis, 1998;Vavarouta et al, 2011).…”

Section: Provider Perspective; Barriers and Benefits Of Parent Presencementioning

confidence: 99%

“…Pasek and Licata implemented a formal parent advocacy role within their hospital, offering education and simulation training for nurses who fulfill this role (Pasek & Licata, 2016). Despite the strong support of professional organizations and hospitals, parent presence at pediatric resuscitations has been slow to become standard of practice (Enriquez, Mastandueno, Flichtentrei & Szyld, 2017;McAlvin & Carew-Lyons, 2014;Pankop et al, 2013;Perez Blanco, 2017;Power, 2017).…”

Section: Introductionmentioning

confidence: 99%

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The experience of parents during their child’s resuscitation and exploration of parental stress and family functioning after the event

Stewart¹

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University of Iowa. I would like to thank my family for their love, encouragement and understanding. Sincere thanks to the University of Iowa College of Nursing faculty and my colleagues at the University of Iowa Stead Family Children's Hospital who listened along the way and helped to shape this research from its first day forward. Your interest in this project gave me energy and drive to keep moving forward. Special thanks to Dr. Sandra Daack-Hirsch who took a chance and believed in my ideas, yet questioned and challenged me every step of the way and Dr. Lioness Ayres who made me think differentlyabout everything. Thank you to Dr. Lisa Segre, Dr. Pamela Mulder and Dr. Audrey Saftlas who shared their time and knowledge. Finally, thank you to the parents who participated in this study as an advisory board member or as a participant. You opened your heart to share your experiences with me.

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Relatives’ Presence During Cardiopulmonary Resuscitation

Cited by 11 publications

References 27 publications

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

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

Factors Affecting Family Presence During Fracture Reduction in the Pediatric Emergency Department

The experience of parents during their child’s resuscitation and exploration of parental stress and family functioning after the event

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