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在复苏过程中家属在场:来自沙特阿拉伯两家医院的护士态度描述性研究。

Family presence during resuscitation: a descriptive study of nurses' attitudes from two Saudi hospitals.

机构信息

Ministry of Health & Ministry of Higher Education, Riyadh, Saudi Arabia.

出版信息

Nurs Crit Care. 2012 Mar-Apr;17(2):90-8. doi: 10.1111/j.1478-5153.2011.00479.x. Epub 2012 Jan 25.

Abstract

BACKGROUND

The presence of family in the patient care area during resuscitation events is a matter of current debate among health care professionals in many communities. Family presence is highly recommended by many health organizations worldwide for several reasons including patient and family rights. There are no policies or guidelines in Saudi Arabia to guide health professionals in their practice regarding the option of family being present during resuscitations. The purpose of this study was to identify the attitudes of nurses towards family presence during resuscitation in the Muslim community of Saudi Arabia.

DESIGN

This is a descriptive survey using data from a convenience sample of 132 nurses using a self-administered questionnaire. The study took place in two major trauma centres in the eastern region of Saudi Arabia.

RESULTS

The analysis of the data revealed that nurses (n = 132) had negative attitudes towards family presence during resuscitation. A high percentage (77·2%) agreed that witnessing resuscitation is a traumatic experience for the family members. Almost all participants (92·3%) disagreed with the statement that the practice of allowing family members to be present during the resuscitation of a loved one would benefit the patient and 78% disagreed with the statement that it would benefit families. The majority of the participants (65%) revealed that the presence of family would negatively affect the performance of the resuscitation team. However, almost half of the sample (43·8%) would prefer a written policy allowing the option of family presence during resuscitation in Saudi Arabia.

CONCLUSION

The findings of the study strongly suggest the need for the development of written policies offering families the option to remain with patients during resuscitation in Saudi Arabia. The study further recommends the development of education programs for staff and public for the safe implementation of the practice.

摘要

背景

在复苏事件中,患者护理区域有家属在场,这是许多社区医疗保健专业人员目前争论的问题。出于包括患者和家属权利在内的多种原因,许多全球卫生组织强烈建议在复苏过程中让家属在场。沙特阿拉伯没有政策或指南来指导卫生专业人员在实践中选择让家属在复苏期间在场。本研究的目的是确定沙特阿拉伯穆斯林社区护士对复苏期间家属在场的态度。

设计

这是一项描述性调查,使用来自便利样本的 132 名护士的数据,采用自我管理问卷。该研究在沙特阿拉伯东部的两个主要创伤中心进行。

结果

数据分析显示,护士(n = 132)对复苏期间家属在场持负面态度。很大一部分(77.2%)同意目睹复苏对家属来说是一种创伤性体验。几乎所有参与者(92.3%)不同意允许家属在亲人进行复苏时在场的做法会对患者有益,78%不同意这种做法对家属有益。大多数参与者(65%)表示,家属在场会对复苏团队的表现产生负面影响。然而,近一半的样本(43.8%)希望有一项书面政策,允许在沙特阿拉伯复苏期间选择家属在场。

结论

研究结果强烈表明,需要制定书面政策,为家属在沙特阿拉伯的复苏期间选择与患者在一起提供选择。该研究还建议为员工和公众制定教育计划,以安全实施这一做法。

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