Wacht Oren, Dopelt Keren, Snir Yoram, Davidovitch Nadav
Department of Health Systems Management, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Isr Med Assoc J. 2010 Jun;12(6):366-70.
While family presence during resuscitation has been researched extensively in the international and especially American medical literature, in Israel this subject has rarely been researched. Because such policies have become common practice in many countries, it is important to investigate the attitudes of health care staff in Israeli emergency departments to better understand the potential implication of adopting such policies.
To examine the attitudes of the physicians and nurses in the ED of Soroka Medical Center to FPDR.
The methods we used were both qualitative (partly structured open interviews of 10 ED staff members from various medical professions) and quantitative (an anonymous questionnaire that collected sociodemographic, professional, and attitude data).
The qualitative and quantitative results showed that most staff members opposed FPDR. The main reasons for objecting to FPDR were concern about family criticism, the added pressure that would be put on the staff members, fear of lawsuits, fear of hurting the feelings of the families, and the danger of losing one's "objectivity" while treating patients. Physicians objected more strongly to FPDR than did nurses.
More research is needed on FPDR in Israel, including an examination of its medical, ethical, legal and logistic aspects. In addition to the views of the medical staff, the attitudes of patients and their families should also be examined.
虽然在国际上，尤其是美国医学文献中，对复苏期间家属在场情况进行了广泛研究，但在以色列，这一课题很少被研究。由于此类政策在许多国家已成为普遍做法，因此有必要调查以色列急诊科医护人员的态度，以便更好地理解采用此类政策的潜在影响。
研究索罗卡医疗中心急诊科医生和护士对复苏期间家属在场的态度。
我们采用的方法既有定性的（对10名来自不同医学专业的急诊科工作人员进行部分结构化的开放式访谈），也有定量的（一份收集社会人口统计学、专业和态度数据的匿名问卷）。
定性和定量结果均显示，大多数工作人员反对复苏期间家属在场。反对复苏期间家属在场的主要原因包括担心家属批评、工作人员会承受额外压力、害怕诉讼、担心伤害家属感情以及在治疗患者时失去“客观性”的风险。医生比护士更强烈地反对复苏期间家属在场。
以色列需要对复苏期间家属在场情况进行更多研究，包括对其医学、伦理、法律和后勤方面的审查。除了医护人员的观点外，还应研究患者及其家属的态度。
