Impact of Family Presence during Resuscitation

Saturday, October 31, 2009: 3:15 PM

Erum Shamsuddin Kabani, RN, BScN
Aga Khan University School of Nursing, Aga Khan Hospital Karachi Pakistan, Karachi, Pakistan
Salima M. Farooq, RN
School of Nursing, Aga Khan University, Karachi, Pakistan

Learning Objective 1: Identify positive outcome of family presence

Learning Objective 2: explore negative outcome of family presence

Introduction:
Family presence during cardio pulmonary resuscitation (CPR) is always debatable issue among health care professionals. However, family plays a very critical role in providing medical care and has the most stake s in the patient’s survival, progress and outcome. Practice of family presence during CPR first emerged in the 1980s from the Foote Hospital in the United States, and since then the concept had gain momentum.

Objective:
The study aims to explore positive and negative outcomes of family presence during CPR.

Methods:

Systematic review of published literature from year 2000 to 2007 was done. A total number of 22 articles were reviewed from international journal.

Results
Most of the literature revealed that “60% to 80% of the public believe that family should be permitted to be with their loved one during resuscitation” (Snoby, 2005). Positive effects of family presence are it enhance patient’s preference and dignity, helps family in grieving process and reduces medico legal divergence. However, literature also highlight consequences of family presence as it neglect patient’s right of autonomy, breach confidentiality, emotionally traumatize family and lead to a law suit.

Conclusion In conclusion if we consider risk benefit ratio evidence suggested that family presence during CPR should encourage by health healthcare profession as it eases the patient’s soreness by providing psychological support through family contribution.

Recommendations

There is no research available on impact of family presence during resuscitation in the developing countries. Therefore, further studies are required on impact of family presence during resuscitation in developing countries.