Thalia Bellali, PhD, RN, is a professor of mental health nursing in psychotrauma, Faculty of Nursing, International Hellenic University, Greece. Georgios Manomenidis, PhD, RN, is head nurse, Department of Orthopaedics, General Hospital of Ptolemaida, Greece. Charalampos Platis, PhD, is a research and studies officer in the National School of Public Administration and Local Government, National Centre for Public Administration, Athens, Greece. Eleni Kourtidou, MSc, RN, is clinical nurse, Department of Cardiology, General Hospital of Serres, Greece. Petros Galanis, PhD, RN, is research associate, Center for Health Services Management (CHESME), Faculty of Nursing, National and Kapodistrian University of Athens (NKUA), Greece.
Dimens Crit Care Nurs. 2020 Sep/Oct;39(5):269-277. doi: 10.1097/DCC.0000000000000417.
Different cultural context results in variability in health professionals' attitude toward family presence in the emergency department (ED) during resuscitation. Knowledge about emergency department health professionals' (EDHPs') attitude toward family presence during resuscitation (FPDR) in Greece can contribute to the understanding of cultural and value-related obstacles and opportunities to implement this practice. It would be useful for Greek health professionals when they have to care for citizens from other countries in which guidelines for FPDR exist to understand their difference in behavior and reaction and be more tolerant.
To explore Greek EDHPs' experiences, concerns, and benefits regarding FPDR and determine the contributing factors that are associated with their positive or negative attitude about the process.
A convenience sample of 305 health professionals working in the ED of 9 general hospitals of the National Healthcare System in northern Greece participated in a cross-sectional study (response rate, 87.6%).
Positive experience of FPDR was encountered in 65.9% of EDHPs. Only 2.3% reported that they work in EDs where FPDR is allowed. Hospital regional location, previous positive experience of FPDR, and competency in supporting family members during FPDR were independently associated with a positive attitude toward FPDR.
Greek EDHPs are not ready to accept FPDR practice. The establishment of formal policy similarly to resuscitation guidelines and family-centered training courses are needed to mitigate negative beliefs. Attempts to enhance positive attitude should include educational interventions providing knowledge on the benefits of FPDR.
不同的文化背景导致卫生专业人员在复苏期间对急诊部门（ED）中家属在场的态度存在差异。了解希腊急诊部门卫生专业人员（EDHPs）对复苏期间家属在场（FPDR）的态度，可以帮助我们理解在实施这一实践过程中与文化和价值观相关的障碍和机遇。当希腊卫生专业人员需要照顾来自其他存在 FPDR 指南的国家的公民时，了解他们在行为和反应方面的差异，并更加宽容，这将对他们有所帮助。
探讨希腊 EDHPs 对 FPDR 的经验、关注点和益处，并确定与他们对该过程的积极或消极态度相关的促成因素。
在希腊北部国家医疗保健系统的 9 家综合医院的 ED 中，采用便利抽样法，对 305 名卫生专业人员进行了横断面研究（应答率为 87.6%）。
65.9%的 EDHPs 有 FPDR 的积极体验。只有 2.3%的人报告说他们在允许 FPDR 的 ED 工作。医院的区域位置、之前有 FPDR 的积极体验以及在 FPDR 期间支持家属的能力与对 FPDR 的积极态度独立相关。
希腊 EDHPs 尚未准备好接受 FPDR 实践。需要制定类似于复苏指南的正式政策和以家庭为中心的培训课程，以减轻负面信念。增强积极态度的尝试应包括提供 FPDR 益处知识的教育干预措施。
