Family presence during resuscitation
Background Patients and their relatives often expect to be actively involved in decisions of treatment. Even during resuscitation and acute medical care, patients may want to have their relatives nearby, and relatives may want to be present if offered the possibility. The principle of family presenc...
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Veröffentlicht in: | Cochrane database of systematic reviews 2023-05, Vol.2023 (5), p.CD013619 |
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Zusammenfassung: | Background
Patients and their relatives often expect to be actively involved in decisions of treatment. Even during resuscitation and acute medical care, patients may want to have their relatives nearby, and relatives may want to be present if offered the possibility. The principle of family presence during resuscitation (FPDR) is a triangular relationship where the intervention of family presence affects the healthcare professionals, the relatives present, and the care of the patient involved. All needs and well‐being must be balanced in the context of FPDR as the actions involving all three groups can impact the others.
Objectives
The primary aim of this review was to investigate how offering relatives the option to be present during resuscitation of patients affects the occurrence of post‐traumatic stress disorder (PTSD)‐related symptoms in the relatives.
The secondary aim was to investigate how offering relatives the option to be present during resuscitation of patients affects the occurrence of other psychological outcomes in the relatives and what effect family presence compared to no family presence during resuscitation of patients has on patient morbidity and mortality.
We also wanted to investigate the effect of FPDR on medical treatment and care during resuscitation. Furthermore, we wanted to investigate and report the personal stress seen in healthcare professionals and if possible describe their attitudes toward the FPDR initiative.
Search methods
We searched CENTRAL, MEDLINE, Embase, PsycINFO, and CINAHL from inception to 22 March 2022 without any language limits. We also checked references and citations of eligible studies using Scopus, and searched for relevant systematic reviews using Epistomonikos. Furthermore, we searched ClinicalTrials.gov, WHO ICTRP, and ISRCTN registry for ongoing trials; OpenGrey for grey literature; and Google Scholar for additional trials (all on 22 March 2022).
Selection criteria
We included randomized controlled trials of adults who have witnessed a resuscitation attempt of a patient (who was their relative) at the emergency department or in the pre‐hospital emergency medical service.
The participants of this review included relatives, patients, and healthcare professionals during resuscitation.
We included relatives aged 18 years or older who have witnessed a resuscitation attempt of a patient (who is their relative) in the emergency department or pre‐hospital. We defined relatives as siblings, parents, spouses |
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ISSN: | 1465-1858 1469-493X 1465-1858 1469-493X |
DOI: | 10.1002/14651858.CD013619.pub2 |