• J Nurs Scholarsh · Mar 2017

    Family Presence During Resuscitation: A Double-Edged Sword.

    • Hadi Hassankhani, Vahid Zamanzadeh, Azad Rahmani, Hamidreza Haririan, and Joanne E Porter.
    • Associate Professor of Nursing, Centre of Qualitative Studies, Tabriz University of Medical Sciences, Iran.
    • J Nurs Scholarsh. 2017 Mar 1; 49 (2): 127-134.

    PurposeTo illuminate the meaning of the lived experiences of resuscitation team members with the presence of the patient's family during resuscitation in the cultural context of Iran.DesignAn interpretative phenomenology was used to discover the lived experiences of the nurses and physicians of Tabriz hospitals, Iran, with family presence during resuscitation (FPDR). A total of 12 nurses and 9 physicians were interviewed over a 6-month period.MethodsThe interviews were audio recorded and semistructured, and were transcribed verbatim. Van Manen's technique was used for data analysis.FindingsTwo major themes and 10 subthemes emerged, including destructive presence (cessation of resuscitation, interference in resuscitation, disruption to the resuscitation team's focus, argument with the resuscitation team, and adverse mental image in the family) and supportive presence (trust in the resuscitation team, collaboration with the resuscitation team, alleviating the family's concern and settling their nerves, increasing the family's satisfaction, and reducing conflict with resuscitation team members).ConclusionsParticipants stated that FPDR may work as a double-edged sword for the family and resuscitation team, hurting or preserving quality. It is thus recommended that guidelines be created to protect patients' and families' rights, while considering the positive aspects of the phenomenon for hospitals.Clinical RelevanceA liaison support person would act to decrease family anxiety levels and would be able to de-escalate any potentially aggressive or confrontational events during resuscitation. Well-trained and expert cardiopulmonary resuscitation team members do not have any stress in the presence of family during resuscitation. Resuscitation events tend to be prolonged when family members are allowed to be present.© 2017 Sigma Theta Tau International.

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