Porter Joanne E, Cooper Simon J, Taylor Beverley
School of Nursing, Midwifery and Healthcare, Federation University, Churchill, Victoria, Australia.
School of Nursing and Midwifery, Monash University, Berwick, Victoria, Australia; University of Brighton, UK.
Australas Emerg Nurs J. 2015 May;18(2):98-105. doi: 10.1016/j.aenj.2014.12.003. Epub 2015 Feb 2.
Family presence during resuscitation (FPDR) has been endorsed internationally by resuscitation councils since the year 2000; however, the extent to which FPDR is practiced in emergency settings requires further investigation.
Emergency personnel (n=347) from 18 participating emergency departments across the state of Victoria, Australia completed a 10-page questionnaire, which was designed to develop an understanding of the current practice and implementation of FPDR and to ascertain the differences in practice between adult and paediatric resuscitations.
Emergency personnel update their adult and paediatric advanced life support qualifications annually with 87% of nurses and 65% of doctors completing adult life support and 72% of nurses and 49% of doctors completing paediatric advanced life support training. The majority of nursing staff reported support for FPDR (83%) with over 70% indicating that it is apart of their current practice. There was strong agreement from both nurses (79%) and doctors (77%) that the family have the right to be present. A family support person was deemed as essential by nurses (92%) and doctors (89%) when allowing family to be present. A factor analysis was conducted on participant statements, revealing four codes; impact on professional practice and performance, personnel beliefs about FPDR, professional satisfaction and the importance of a support person and saying goodbye.
A family support person was highlighted as essential to the successful implementation of FPDR, together with the development of a comprehensive training the education program for emergency personnel. FPDR continues to be a significant issue and further investigation into FPDR practice and implementation in the ED is warranted.
自2000年起，复苏期间家属在场（FPDR）已得到国际复苏委员会的认可；然而，在急诊环境中实施FPDR的程度仍需进一步调查。
来自澳大利亚维多利亚州18个参与研究的急诊科的急救人员（n = 347）完成了一份10页的问卷，该问卷旨在了解FPDR的当前实践和实施情况，并确定成人与儿科复苏在实践中的差异。
急救人员每年更新其成人和儿科高级生命支持资格，87%的护士和65%的医生完成了成人生命支持培训，72%的护士和49%的医生完成了儿科高级生命支持培训。大多数护理人员表示支持FPDR（83%），超过70%的人表示这是他们当前实践的一部分。护士（79%）和医生（77%）都强烈同意家属有权在场。在允许家属在场时，护士（92%）和医生（89%）都认为需要有一名家属支持人员。对参与者的陈述进行了因子分析，揭示了四个类别：对专业实践和表现的影响、人员对FPDR的看法、职业满意度以及支持人员和道别的重要性。
家属支持人员被强调为成功实施FPDR的关键，同时需要为急救人员制定全面的培训和教育计划。FPDR仍然是一个重要问题，有必要对急诊科中FPDR的实践和实施进行进一步调查。
