Masa'Deh Rami, Saifan Ahmad, Timmons Stephen, Nairn Stuart
Assistant Professor at the Applied Science Private University, Amman.
Glob J Health Sci. 2013 Dec 1;6(2):72-85. doi: 10.5539/gjhs.v6n2p72.
During cardio-pulmonary resuscitation, family members, in some hospitals, are usually pushed to stay out of the resuscitation room. However, growing literature implies that family presence during resuscitation could be beneficial. Previous literature shows controversial belief whether or not a family member should be present during resuscitation of their relative. Some worldwide association such as the American Heart Association supports family-witnessed resuscitation and urge hospitals to develop policies to ease this process. The opinions on family-witnessed resuscitation vary widely among various cultures, and some hospitals are not applying such policies yet. This study explores family members' needs during resuscitation in adult critical care settings.
This is a part of larger study. The study was conducted in six hospitals in two major Jordanian cities. A purposive sample of seven family members, who had experience of having a resuscitated relative, was recruited over a period of six months. Semi-structured interview was utilised as the main data collection method in the study.
The study findings revealed three main categories: families' need for reassurance; families' need for proximity; and families' need for support. The need for information about patient's condition was the most important need. Updating family members about patient's condition would reduce their tension and improve their acceptance for the end result of resuscitation. All interviewed family members wanted the option to stay beside their loved one at end stage of their life. Distinctively, most of family members want this option for some religious and cultural reasons such as praying and supplicating to support their loved one.
This study emphasizes the importance of considering the cultural and religious dimensions in any family-witnessed resuscitation programs. The study recommends that family members of resuscitated patients should be treated properly by professional communication and involving them in the treatment process. The implications concentrate on producing specific guidelines for allowing family-witnessed resuscitation in the Jordanian context. Finally, attaining these needs will in turn decrease stress of those witnessing resuscitation of their relative.
在心肺复苏期间，在一些医院，家属通常会被要求留在复苏室之外。然而，越来越多的文献表明，复苏期间家属在场可能有益。先前的文献对于家属在其亲属复苏期间是否应该在场存在争议。一些国际组织，如美国心脏协会，支持家属见证复苏，并敦促医院制定政策以简化这一过程。不同文化对家属见证复苏的看法差异很大，一些医院尚未实施此类政策。本研究探讨了成人重症监护环境下复苏期间家属的需求。
这是一项更大规模研究的一部分。该研究在约旦两个主要城市的六家医院进行。在六个月的时间里，有目的地选取了七名有亲属接受复苏经历的家属作为样本。半结构化访谈被用作该研究的主要数据收集方法。
研究结果揭示了三个主要类别：家属对安心的需求；家属对靠近的需求；以及家属对支持的需求。了解患者病情的需求是最重要的需求。向家属通报患者病情会减轻他们的紧张情绪，并提高他们对复苏最终结果的接受度。所有接受采访的家属都希望在亲人生命的最后阶段能够陪伴在其身边。特别的是，大多数家属出于一些宗教和文化原因，如祈祷和祈求以支持他们所爱的人，而希望有这样的选择。
本研究强调了在任何家属见证复苏项目中考虑文化和宗教层面的重要性。该研究建议，应对接受复苏患者的家属进行专业沟通并让他们参与治疗过程。这些影响集中在为约旦背景下允许家属见证复苏制定具体指南。最后，满足这些需求将反过来减轻那些见证其亲属复苏者的压力。
