Güneş Ulkü Yapucu, Zaybak Ayten
Department of Basic Nursing, School of Nursing, Ege University, Izmir, Turkey.
J Clin Nurs. 2009 Oct;18(20):2907-15. doi: 10.1111/j.1365-2702.2009.02826.x. Epub 2009 Jul 20.
. This paper reports a study to determine the experiences and attitudes of Turkish critical care nurses concerning family presence during cardiopulmonary resuscitation.
The debate surrounding family-member presence in resuscitation areas has been evolving since the 1980s. The practice of performing resuscitation of adults in the presence of family members is controversial and has stimulated discussion and debate worldwide.
A descriptive survey.
The survey was carried out in 2007 with 135 critical care nurses from two university hospitals in Izmir. A structured questionnaire was used, which incorporated a series of attitude statements that were rated using a three-point Likert scale. The attitudes of the nurses were explored in three areas: decision making, processes and outcomes of resuscitation.
Of the nurses, only 22.2% experienced a situation where family members were present during cardiopulmonary resuscitation. Most of these nurses (n = 20) had one or more negative experiences. The majority disagreed that family members should always be offered the opportunity to be with the patient during cardiopulmonary resuscitation. The most common concerns for not favouring family-witnessed resuscitation were reported as performance anxiety, fear of causing psychological trauma to family members and increased risk of litigation.
Many Turkish critical care nurses have no knowledge of family-witnessed resuscitation and do not support the practice. We suggest that Turkish critical care nurses should be informed by the international literature on the concept of family-witnessed resuscitation and the culturally appropriate policies concerning this subject should be changed in Turkish hospitals.
Most critical care nurses in Turkey are not supportive of family-witnessed resuscitation. All critical care nurses should be informed by the international literature on the concept of family-witnessed resuscitation.
本文报告一项研究，以确定土耳其重症监护护士对心肺复苏期间家属在场的经历和态度。
自20世纪80年代以来，围绕家属在复苏区域在场的争论一直在演变。在成年人家属在场的情况下进行复苏的做法存在争议，并在全球范围内引发了讨论和辩论。
描述性调查。
2007年对伊兹密尔两家大学医院的135名重症监护护士进行了调查。使用了一份结构化问卷，其中包含一系列态度陈述，并使用三点李克特量表进行评分。从复苏的决策、过程和结果三个方面探讨了护士的态度。
在这些护士中，只有22.2%经历过心肺复苏期间家属在场的情况。这些护士中的大多数（n = 20）有一次或多次负面经历。大多数人不同意在心肺复苏期间应始终为家属提供与患者在一起的机会。不支持家属见证复苏的最常见担忧是操作焦虑、担心给家属造成心理创伤以及诉讼风险增加。
许多土耳其重症监护护士不了解家属见证复苏，也不支持这种做法。我们建议，应让土耳其重症监护护士了解国际上关于家属见证复苏概念的文献，土耳其医院应改变有关这一主题的文化适宜政策。
土耳其大多数重症监护护士不支持家属见证复苏。应让所有重症监护护士了解国际上关于家属见证复苏概念的文献。
