Bashayreh Ibrahim, Saifan Ahmad, Batiha Abdul-Monim, Timmons Stephen, Nairn Stuart
Shool of Nursing, Philadelphia University, Amman, Jordan.
School of Nursing, Applied Science Private University, Amman, Jordan.
J Clin Nurs. 2015 Sep;24(17-18):2611-9. doi: 10.1111/jocn.12875. Epub 2015 Jun 22.
To deepen our understanding of the perceptions of health professionals regarding family witnessed resuscitation in Jordanian adult critical care settings.
The issue of family witnessed resuscitation has developed dramatically in the last three decades. The traditional practice of excluding family members during cardiopulmonary resuscitation had been questioned. Family witnessed resuscitation has been described as good practice by many researchers and health organisations. However, family witnessed resuscitation has been perceived by some practitioners to be unhealthy and harmful to the life-saving process. The literature showed that there are no policies or guidelines to allow or to prevent family witnessed resuscitation in Jordan.
An exploratory qualitative design was adopted.
A purposive sample of 31 health professionals from several disciplines was recruited over a period of six months. Individual semi-structured interviews were used. These interviews were transcribed and analysed using thematic analysis.
It was found that most healthcare professionals were against family witnessed resuscitation. They raised several concerns related to being verbally and physically attacked if they allowed family witnessed resuscitation. Almost all of the respondents expressed their fears of patients' family members' interfering in their work. Most of the participants in this study stated that family witnessed resuscitation is traumatic for family members. This was viewed as a barrier to allowing family witnessed resuscitation in Jordanian critical care settings.
The study provides a unique understanding of Jordanian health professionals' perceptions regarding family witnessed resuscitation. They raised some views that contest some arguments in the broader literature. Further research with patients, family members, health professionals and policy makers is still required.
This is the first study about family witnessed resuscitation in Jordan. Considering multi-disciplinary healthcare professionals' views would be helpful when starting to implement this practice in Jordanian hospitals.
加深我们对约旦成人重症监护环境中医疗专业人员对家属见证复苏看法的理解。
家属见证复苏问题在过去三十年中得到了极大发展。心肺复苏期间排除家庭成员的传统做法受到了质疑。许多研究人员和卫生组织将家属见证复苏描述为良好做法。然而，一些从业者认为家属见证复苏对挽救生命的过程不健康且有害。文献表明，约旦没有允许或禁止家属见证复苏的政策或指南。
采用探索性定性设计。
在六个月的时间里，从多个学科中选取了31名医疗专业人员作为有目的的样本。采用了个体半结构化访谈。这些访谈进行了转录，并使用主题分析法进行了分析。
发现大多数医疗保健专业人员反对家属见证复苏。他们提出了一些担忧，如果允许家属见证复苏，他们可能会受到言语和身体攻击。几乎所有受访者都表达了对患者家属干扰其工作的恐惧。本研究中的大多数参与者表示，家属见证复苏对家庭成员来说是创伤性的。这被视为约旦重症监护环境中允许家属见证复苏的障碍。
该研究对约旦医疗专业人员对家属见证复苏的看法提供了独特的理解。他们提出了一些观点，对更广泛文献中的一些论点提出了质疑。仍需要对患者、家属、医疗专业人员和政策制定者进行进一步研究。
这是约旦关于家属见证复苏的第一项研究。在约旦医院开始实施这种做法时，考虑多学科医疗专业人员的观点将有所帮助。
