Blättler Therese, Schläppi Barbara, Senn Beate
Institut für Pflegewissenschaft, Universität Basel.
Regionalspital Emmental, Burgdorf.
Pflege. 2014 Apr;27(2):93-104. doi: 10.1024/1012-5302/a000349.
Worldwide the majority of relatives endorsed family witnessed resuscitation and witnessed invasive procedures (FWR) and considered this practice as helpful. However, professionals are primarily against this practice. How relatives in Swiss hospitals experience these difficult situations is unknown. The aim of this qualitative study is to describe and understand the experiences of relatives who witnessed resuscitation in a Swiss hospital at the bedside of her next of kin or attending in a waiting room. Interviews were conducted with ten relatives between September 2011 and June 2012 and analyzed with the method of interpretive phenomenology. Four themes derived from the data: "be present", "want to be informed", "have confidence" and "looking for support". Attending relatives gave to protocol that FWR allowed them to assist their next of kin. Relatives, who were waiting outside, felt uncertainty and fear. Relatives wanted FWR and other relatives didn't want FWR. Relatives experienced a rapid flow of clear information, but also vague, insufficient or delayed messages. They spoke of great faith, as well as of ambivalence and mistrust in medical and nursing skills of professionals. Relatives reported to cope with the difficult situation: by providing support within the family, pray with the family and professional support. It is therefore recommended to offer relatives FWR and to develop guidelines that direct the support of relatives.
在全球范围内,大多数亲属认可家属见证复苏和侵入性操作(FWR),并认为这种做法是有帮助的。然而,专业人员主要反对这种做法。瑞士医院的亲属如何经历这些困难情况尚不清楚。这项定性研究的目的是描述和理解在瑞士医院在其近亲床边或在候诊室陪同见证复苏的亲属的经历。2011年9月至2012年6月期间对十名亲属进行了访谈,并采用解释现象学方法进行分析。从数据中得出四个主题:“在场”、“希望得到通知”、“有信心”和“寻求支持”。陪同的亲属认为FWR允许他们帮助其近亲。在外面等候的亲属感到不确定和恐惧。有些亲属希望进行FWR,而有些亲属则不希望。亲属们经历了清晰信息的快速传递,但也有模糊、不足或延迟的信息。他们谈到了极大的信任,以及对专业人员医疗和护理技能的矛盾心理和不信任。亲属们报告说通过在家庭内部提供支持、与家人一起祈祷和专业支持来应对困难情况。因此,建议为亲属提供FWR,并制定指导亲属支持的准则。