Adelaide Nursing School, The University of Adelaide, Corner of North Tce and George St, Adelaide SA, 5000, Australia.
Aust Crit Care. 2024 Mar;37(2):295-300. doi: 10.1016/j.aucc.2023.07.007. Epub 2023 Aug 29.
While literature supporting family presence during resuscitation (FPDR) was first published over three decades ago, the practice remains controversial. Benefits have been confirmed, and barriers to practice identified through international research. The extent that FPDR is practised in Australian intensive care units (ICUs) is currently unknown.
To examine ICU nurses' previous exposure and experiences with FPDR To establish their perceptions of the risks and benefits of the practice, as well as their confidence participating.
A descriptive, cross-sectional study design, using validated FPDR risk-benefits and confidence scales, was distributed electronically to registered nurses working within a single adult ICU in Australia.
Fifty-six percent (n = 45) of respondents had never witnessed FPDR. Respondents were divided on whether families had the right to be present or should be given the option. ICU nurses perceived benefits for families but not for the patients involved or for the nurses participating. Nurses indicated they felt conflicted between the needs of the family, preserving the quality of the care delivered to a deteriorating patient, and protecting the safety of all stakeholders. Support for FPDR was often dependent on the availability of resources such as a family-support person.
This research establishes that ICU nurses lacked exposure to FPDR but were confident in their ability to perform, be observed, and support families during a resuscitation event. Therefore, confidence is likely not a factor in a decision to reject the practice. Further education is indicated as there remained a reluctance to adopt FPDR practice, despite many of the barriers reported having already been largely disproven by the available literature. Institutions have a role in policy development, ensuring adequate resources, and education.
尽管支持在复苏期间让家属在场（FPDR）的文献早在三十多年前就已发表，但该实践仍存在争议。通过国际研究已经确认了其益处，并确定了实践中的障碍。目前尚不清楚 FPDR 在澳大利亚重症监护病房（ICU）中的实施程度。
调查 ICU 护士之前接触和经历 FPDR 的情况，确定他们对该实践的风险和益处的看法，以及他们参与的信心。
采用描述性、横断面研究设计，使用经过验证的 FPDR 风险-效益和信心量表，以电子方式分发给在澳大利亚一家成人 ICU 工作的注册护士。
56%（n=45）的受访者从未目睹过 FPDR。受访者对家属是否有权在场或应该选择在场存在分歧。ICU 护士认为家属受益，但患者和参与的护士没有受益。护士表示，他们在满足家属的需求、维护对病情恶化患者提供的护理质量以及保护所有利益相关者的安全之间感到矛盾。对 FPDR 的支持通常取决于资源的可用性，例如家庭支持人员。
这项研究表明，ICU 护士缺乏对 FPDR 的接触，但对他们在复苏事件中进行、被观察和支持家属的能力充满信心。因此，信心不太可能是拒绝该实践的因素。尽管报告的许多障碍已被现有文献基本否定，但仍需要进一步教育，因为许多机构仍不愿意采用 FPDR 实践。机构在制定政策、确保充足资源和教育方面发挥作用。
