Department of Cardiology/Angiology, University Medical Center Freiburg, Freiburg, Germany.
Nurs Crit Care. 2010 Sep-Oct;15(5):241-50. doi: 10.1111/j.1478-5153.2010.00405.x.
To explore German intensive care nurses' experiences and attitudes toward family witnessed resuscitation (FWR).
The subject of FWR has fuelled much controversy among health professionals. Typically studies involving European critical and cardiac nurses' under-represent the perspective of individual countries. Arguably research exploring the experiences and attitudes of nurses by country may expand understanding and embrace cultural values.
Descriptive survey.
Three hundred and ninety-four German intensive care nurses attending a conference were invited to complete a 36-item questionnaire on their experiences and attitudes towards FWR. Participants were also invited to share, in writing, other thoughts relevant to the study. Data was analysed using descriptive statistics.
A total of 166 (42.1%) questionnaires were returned completed. Seventy participants had experiences with family members being present and for 46 (65.7%) these were negative. Participants (68%) did not agree that family members should have the option to be with loved ones during resuscitation. Over half (56.0%) were concerned that family presence may adversely influence staff performance during resuscitation procedures. There was a lack of certainty about the outcomes of the practice, although 61% agreed that family presence could facilitate better understanding among relatives. Qualitative responses where characterized by four broad themes relating to individualized decision-making, supporting families, threats of violence and family involvement.
German intensive care nurses have guarded attitudes towards FWR because of their experiences and concerns for the well-being of relatives and staff. Introducing this topic within nursing curricula, as part of resuscitation training and by wider professional debate will help challenge and resolve practitioner concerns and objections.
Health professionals have anxieties about possible consequences of FWR, strategies involving education and simulation training may improve attitudes.
探讨德国重症监护护士对家属见证复苏（FWR）的经验和态度。
FWR 主题在卫生专业人员中引发了很多争议。通常情况下，涉及欧洲重症和心脏科护士的研究对个别国家的观点代表性不足。可以说，通过国家研究探索护士的经验和态度可以扩大理解并接受文化价值观。
描述性调查。
邀请参加会议的 394 名德国重症监护护士完成一份关于他们对 FWR 的经验和态度的 36 项问卷。还邀请参与者以书面形式分享与研究相关的其他想法。使用描述性统计数据对数据进行分析。
共收回 166 份（42.1%）完成的问卷。70 名参与者有家庭成员在场的经验，其中 46 名（65.7%）的经验是负面的。参与者（68%）不同意家属在复苏期间应有选择与亲人在一起的权利。超过一半（56.0%）担心家属在场可能会对复苏过程中的员工表现产生不利影响。对于该实践的结果缺乏确定性，尽管 61%的人同意家属在场可以促进亲属之间更好的理解。定性反应的特点是与个体化决策、支持家庭、暴力威胁和家庭参与相关的四个广泛主题。
德国重症监护护士对 FWR 的态度持谨慎态度，因为他们的经验和对亲属和员工福祉的担忧。在护理课程中引入这个话题，作为复苏培训的一部分，并通过更广泛的专业辩论，将有助于挑战和解决从业者的关注和反对意见。
卫生专业人员对 FWR 可能产生的后果感到焦虑，涉及教育和模拟培训的策略可能会改善态度。
