Lederman Zohar, Wacht Oren
PhD Candidate, Centre for Biomedical Ethics, National University of Singapore.
Department of Emergency Medicine, Faculty of Health Sciences, Ben Gurion University of The Negev, Beer Sheba, Israel.
Yale J Biol Med. 2014 Mar 5;87(1):63-72. eCollection 2014 Mar.
A novel paradigm of patient- and family-centered care has been promoted and adopted by many parties in the United States. This new attitude emphasizes the role of the family in the care of the patient. One topic that should be affected by the new paradigm is family presence during resuscitation, which continues to be a highly debatable topic with no widespread implementation. The objective of this study was to assess the attitudes of Yale Emergency Department (ED) health care personnel toward Family Presence during Resuscitation (FPDR).
In 2012, we surveyed 100 health care professionals in the Yale-New Haven Hospital ED, including physicians, nurses, technicians, social workers, and chaplains. One researcher analyzed the qualitative data, and both researchers reviewed the results to increase internal validity.
Seventy-seven percent of staff members favored allowing the option of FPDR. Seventy-six percent of staff members believed that family members would want to be present during their loved one's resuscitation.
Given scientific evidence to support FPDR and the staff's wide acceptance of it, we recommend drafting and implementing a protocol for allowing FPDR. The protocol should be individualized to the Yale-New Haven Hospital ED setting.
以患者和家庭为中心的新型护理模式已在美国得到多方推广和采用。这种新态度强调了家庭在患者护理中的作用。复苏期间家属在场这一话题应会受到这种新模式的影响，而它仍是一个极具争议且未得到广泛实施的话题。本研究的目的是评估耶鲁急诊科医护人员对复苏期间家属在场（FPDR）的态度。
2012年，我们对耶鲁 - 纽黑文医院急诊科的100名医护人员进行了调查，包括医生、护士、技术人员、社会工作者和牧师。一名研究人员分析定性数据，两名研究人员都对结果进行了审查以提高内部效度。
77%的工作人员赞成允许选择FPDR。76%的工作人员认为家庭成员会希望在其亲人复苏期间在场。
鉴于有科学证据支持FPDR且工作人员对其广泛接受，我们建议起草并实施一项允许FPDR的方案。该方案应根据耶鲁 - 纽黑文医院急诊科的情况进行个性化制定。
