Family perception of and experience with family presence during cardiopulmonary resuscitation: An integrative review.
experience
family-centred care
systematic review
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
24
01
2018
revised:
12
07
2018
accepted:
11
08
2018
pubmed:
22
8
2018
medline:
6
2
2019
entrez:
22
8
2018
Statut:
ppublish
Résumé
The objective was to consider family presence during resuscitation (FPDR) from the perspective of the family member. FPDR has been a topic of interest internationally since the first report of this practice more than 25 years ago. Worldwide, many studies have provided insight into the perspective of healthcare professionals (HCPs); however, there is limited research on the perspective and experiences of family members. An integrative review was conducted. An electronic database search was conducted for the years from 1994-2017. The Cumulative Index of Nursing and Allied Health Literature (CINAHL), PyschINFO, Academic Search, SocINDEX, PubMed, ProQuest databases and Google Scholar were searched. Search terms were family perceptions, family presence and resuscitation. Twelve reviews met inclusion criteria. Findings suggest that family members view family presence as a fundamental right. Family members involved in a FPDR experience reported that their presence benefitted the patient and healthcare team. In an international sample of studies, family presence overall was viewed positively by family members and they voiced wanting to be given an option to be present during a loved one's resuscitation. Findings support that family members' desire for FPDR; however, the literature reflects that HCPs do not always embrace the practice of FPDR. Stronger educational preparation of nurses and other HCPs related to FPDR is warranted. Policy initiatives include the formulation of policies that allow family presence during resuscitation of a family member. The findings are relevant for a clinical practice that promotes a more family-centred approach to allowing FPDR. Creating policy and providing FPDR education for HCPs based on evidence provide more consistency in clinical practice and help to eliminate the moral distress experienced by clinical nurses forced to make difficult decisions during a stressful event.
Sections du résumé
OBJECTIVE
OBJECTIVE
The objective was to consider family presence during resuscitation (FPDR) from the perspective of the family member.
BACKGROUND
BACKGROUND
FPDR has been a topic of interest internationally since the first report of this practice more than 25 years ago. Worldwide, many studies have provided insight into the perspective of healthcare professionals (HCPs); however, there is limited research on the perspective and experiences of family members.
DESIGN
METHODS
An integrative review was conducted. An electronic database search was conducted for the years from 1994-2017.
METHODS
METHODS
The Cumulative Index of Nursing and Allied Health Literature (CINAHL), PyschINFO, Academic Search, SocINDEX, PubMed, ProQuest databases and Google Scholar were searched. Search terms were family perceptions, family presence and resuscitation.
RESULTS
RESULTS
Twelve reviews met inclusion criteria. Findings suggest that family members view family presence as a fundamental right. Family members involved in a FPDR experience reported that their presence benefitted the patient and healthcare team. In an international sample of studies, family presence overall was viewed positively by family members and they voiced wanting to be given an option to be present during a loved one's resuscitation.
CONCLUSIONS
CONCLUSIONS
Findings support that family members' desire for FPDR; however, the literature reflects that HCPs do not always embrace the practice of FPDR. Stronger educational preparation of nurses and other HCPs related to FPDR is warranted. Policy initiatives include the formulation of policies that allow family presence during resuscitation of a family member.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
The findings are relevant for a clinical practice that promotes a more family-centred approach to allowing FPDR. Creating policy and providing FPDR education for HCPs based on evidence provide more consistency in clinical practice and help to eliminate the moral distress experienced by clinical nurses forced to make difficult decisions during a stressful event.
Types de publication
Journal Article
Review
Langues
eng
Pagination
32-46Informations de copyright
© 2018 John Wiley & Sons Ltd.