Curry College, Charlestown, Massachusetts.
J Clin Nurs. 2019 Jan;28(1-2):32-46. doi: 10.1111/jocn.14649. Epub 2018 Sep 13.
The objective was to consider family presence during resuscitation (FPDR) from the perspective of the family member.
FPDR has been a topic of interest internationally since the first report of this practice more than 25 years ago. Worldwide, many studies have provided insight into the perspective of healthcare professionals (HCPs); however, there is limited research on the perspective and experiences of family members.
An integrative review was conducted. An electronic database search was conducted for the years from 1994-2017.
The Cumulative Index of Nursing and Allied Health Literature (CINAHL), PyschINFO, Academic Search, SocINDEX, PubMed, ProQuest databases and Google Scholar were searched. Search terms were family perceptions, family presence and resuscitation.
Twelve reviews met inclusion criteria. Findings suggest that family members view family presence as a fundamental right. Family members involved in a FPDR experience reported that their presence benefitted the patient and healthcare team. In an international sample of studies, family presence overall was viewed positively by family members and they voiced wanting to be given an option to be present during a loved one's resuscitation.
Findings support that family members' desire for FPDR; however, the literature reflects that HCPs do not always embrace the practice of FPDR. Stronger educational preparation of nurses and other HCPs related to FPDR is warranted. Policy initiatives include the formulation of policies that allow family presence during resuscitation of a family member.
The findings are relevant for a clinical practice that promotes a more family-centred approach to allowing FPDR. Creating policy and providing FPDR education for HCPs based on evidence provide more consistency in clinical practice and help to eliminate the moral distress experienced by clinical nurses forced to make difficult decisions during a stressful event.
从家属的角度来探讨抢救过程中的家属在场问题。
自 25 年前首次报告这种做法以来，抢救过程中的家属在场问题一直是国际关注的话题。在世界范围内，许多研究深入探讨了医护人员（HCPs）的观点；然而，对于家属的观点和体验的研究却很有限。
进行了综合审查。对 1994 年至 2017 年期间的电子数据库进行了搜索。
检索了 Cumulative Index of Nursing and Allied Health Literature（CINAHL）、PyschINFO、Academic Search、SocINDEX、PubMed、ProQuest 数据库和 Google Scholar。检索词为家庭感知、家属在场和复苏。
符合纳入标准的 12 项综述。研究结果表明，家属认为家属在场是一项基本权利。参与抢救过程中的家属在场的家属报告说，他们的在场对患者和医护团队都有好处。在国际样本研究中，家属总体上对家属在场表示肯定，并表示希望在亲人接受抢救时能选择在场。
研究结果支持家属对抢救过程中的家属在场的愿望；然而，文献反映出医护人员并不总是接受抢救过程中的家属在场。需要加强对护士和其他医护人员进行与抢救过程中的家属在场相关的教育。政策举措包括制定允许家属在抢救家属时在场的政策。
这些发现与提倡更以家庭为中心的方法来允许抢救过程中的家属在场的临床实践有关。根据证据为医护人员制定政策并提供抢救过程中的家属在场教育，有助于在临床实践中提供更大的一致性，并有助于消除临床护士在面临紧张事件时做出艰难决策所经历的道德困境。
