School of Nursing, Midwifery and Healthcare, Federation University Australia, Northways Rd, Churchill Campus, Victoria, Australia.
Heart Lung. 2019 Jul-Aug;48(4):268-272. doi: 10.1016/j.hrtlng.2018.09.016. Epub 2018 Nov 15.
Family presence during resuscitation (FPDR), remains inconsistently implemented by emergency personnel. The benefits for family members is well documented, providing opportunities for family to say goodbye, facilitates closure and enables family to provide emotional support to the patient. The aim of this study was to explore the experiences and attitudes of emergency personnel towards FPDR immediately post resuscitation events.
A descriptive qualitative design was used to explore the experiences of emergency personnel with FPDR. Data was collected from single rural and metropolitan emergency departments in the state of Victoria, Australia. The participants consisted of nurses and doctors who took active roles during resuscitation events. Following transcription of the audiotaped interviews Creswell's (2003) six step analysis process was employed.
A total of 29 interviews of key personnel, following 6 paediatric and 18 adult resuscitation events. Interviews were conducted over a period of two weeks in each venue. The data was organised into six themes following analysis including: care coordinators inconsistently called, gate keepers to implementation, effective communication strategies helping to deliver bad news, life experience generates confidence, allocation of family support person, and family members roles dependent on age of patient.
FPDR is common practice in paediatric events however remains inconsistently implemented during adult resuscitations. A designated family support person is essential to successful implementation of FPDR and should be incorporated in to the allocation of the resuscitation team roles during both adult and paediatric resuscitation events. Education and training is important for clinicians to learn essential communication skills, building practice confidence, which is required to successfully implement FPDR.
在复苏过程中允许家属在场（FPDR），急救人员的实施仍不一致。有充分的文件证明，这对家属有好处，为家属提供了与患者道别的机会，有助于患者家属接受现实，并使家属能够为患者提供情感支持。本研究旨在探讨急救人员在复苏事件后对 FPDR 的经验和态度。
采用描述性定性设计来探讨急救人员对 FPDR 的经验。数据来自澳大利亚维多利亚州的一个农村和一个城市的单个急诊部门。参与者包括在复苏事件中发挥积极作用的护士和医生。在对录音采访进行转录后，采用了克里夫斯（2003 年）的六步分析过程。
在每个地点进行了 6 次儿科和 18 次成人复苏事件后，共进行了 29 次关键人员访谈。访谈在两周内进行。数据分析后组织成六个主题，包括：护理协调员不一致地呼叫，实施的守门员，有效的沟通策略有助于传达坏消息，生活经验产生信心，分配家庭支持人员，以及家属的角色取决于患者的年龄。
FPDR 在儿科事件中是常见的做法，但在成人复苏中实施不一致。指定一名家庭支持人员对于成功实施 FPDR 至关重要，并且应该纳入成人和儿科复苏事件中复苏团队角色的分配中。教育和培训对于临床医生来说很重要，他们需要学习必要的沟通技巧，建立实践信心，这是成功实施 FPDR 的必要条件。
