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Family witnessed resuscitation

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https://www.readbyqxmd.com/read/28520322/-psychological-impact-of-out-of-hospital-cardiopulmonary-resuscitation-cpr-on-the-witness-engaged-in-gestures-of-survival
#1
REVIEW
C Stassart, S Stipulante, R Zandona, A Gillet, A Ghuysen
The occurrence of an unexpected sudden death puts the witnesses of this event in a situation of high emotional impact. The benefit to allow the families of victims to dispense the first resuscitation techniques has been emphasized. However, little data exist on the emotional impact of a cardio-respiratory arrest outside the hospital on the witness, who is often a close family member. Recently, we investigated the presence of psychological distress and the factors influencing it, in the active practice of basic resuscitation gestures by the witnesses guided by the operator 112...
May 2017: Revue Médicale de Liège
https://www.readbyqxmd.com/read/28461544/family-presence-at-first-cardiopulmonary-resuscitation-and-subsequent-limitations-on-care-in-the-medical-intensive-care-unit
#2
Rebecca L Krochmal, John W Blenko, Majid Afshar, Giora Netzer, Susan C Roy, Debra L Wiegand, Carl B Shanholtz
BACKGROUND: The association of family-witnessed cardiopulmonary resuscitation (CPR) and subsequent advance directives in the medical intensive care unit is unknown. OBJECTIVE: To compare clinical outcomes, including subsequent limitations on care, of family-witnessed vs family-unwitnessed CPR in the inpatient setting. METHODS: Analysis of demographics and outcomes pertaining to family presence in a retrospective cohort of consecutive patients receiving first CPR in the medical intensive care unit of a tertiary academic medical center...
May 2017: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/28453817/epidemiology-of-sudden-cardiac-death-in-cameroon-the-first-population-based-cohort-survey-in-sub-saharan-africa
#3
Aimé Bonny, Kemi Tibazarwa, Samuel Mbouh, Jonas Wa, Réné Fonga, Cecile Saka, Marcus Ngantcha
Background: Incidence estimates of sudden cardiac death (SCD) in sub-Saharan Africa (SSA) are unknown. Method: Over 12 months, the household administrative office and health community committee within neighbourhoods in two health areas of Douala, Cameroon, registered all deaths among 86 188 inhabitants aged >18 years. As part of an extended multi-source surveillance system, the Emergency Medical Service (EMS), local medical examiners and district hospital mortuaries were also surveyed...
April 26, 2017: International Journal of Epidemiology
https://www.readbyqxmd.com/read/28438479/family-presence-during-resuscitation-fpdr-observational-case-studies-of-emergency-personnel-in-victoria-australia
#4
Joanne E Porter, Nareeda Miller, Anita Giannis, Nicole Coombs
INTRODUCTION: Family Presence During Resuscitation (FPDR), although not a new concept, remains inconsistently implemented by emergency personnel. Many larger metropolitan emergency departments (ED) have instigated a care coordinator role, however these personnel are often from a non-nursing background and have therefore limited knowledge about the clinical aspects of the resuscitation. In rural emergency departments there are simply not enough staff to allocate an independent role. A separate care coordinator role, who is assigned to care for the family and not take part in the resuscitation has been well documented as essential to the successful implementation of FPDR...
April 21, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28406321/-am-i-also-going-to-die-doctor-a-systematic-review-of-the-impact-of-in-hospital-patients-witnessing-a-resuscitation-of-another-patient
#5
Martina Fiori, Jos M Latour, Férenc Los
BACKGROUND: There is a growing interest in the impact of family-witnessed resuscitation. However, evidence about the effect of hospitalised patients witnessing other patients' resuscitations is limited. AIM: The aim of this systematic review is to explore the existing evidence related to the impact on patients who witness resuscitation attempts on other patients in hospital settings. METHODS: The databases BNI, CINAHL, EMBASE, MEDLINE and PsycINFO were searched with the terms 'patient', 'inpatient', 'resuscitation', 'CPR', 'cardiopulmonary resuscitation' and 'witness'...
April 1, 2017: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/28398144/social-workers-experiences-as-the-family-support-person-during-cardiopulmonary-resuscitation-attempts
#6
Janice Firn, Keli DeVries, Dawnielle Morano, Toni Spano-English
During inhospital cardiopulmonary resuscitation attempts, a designated family support person (FSP) may provide guidance and support to family members. Research on nurses and chaplains in this role has been published. Social workers also regularly fulfill this service, however, little is known about how they perceive and enact this role. To explore their experiences, qualitative interviews (n = 10) were conducted with FSP social workers. Critical realist thematic analysis identified five themes: walking in cold, promoting family presence, responding to the whole spectrum of grief, going beyond the family support role, and repercussions of bearing witness...
April 11, 2017: Social Work in Health Care
https://www.readbyqxmd.com/read/28391604/health-care-professionals-concerns-regarding-in-hospital-family-witnessed-cardiopulmonary-resuscitation-implementation-into-clinical-practice
#7
Natalia Sak-Dankosky, Paweł Andruszkiewicz, Paula R Sherwood, Tarja Kvist
BACKGROUND: In-hospital, family-witnessed cardiopulmonary resuscitation of adults has been found to help patients' family members deal with the short- and long-term emotional consequences of resuscitation. Because of its benefits, many national and international nursing and medical organizations officially recommend this practice. Research, however, shows that family-witnessed resuscitation is not widely implemented in clinical practice, and health care professionals generally do not favour this recommendation...
April 9, 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/28319727/a-randomised-controlled-trial-of-student-nurse-performance-of-cardiopulmonary-resuscitation-in-a-simulated-family-witnessed-resuscitation-scenario
#8
Gerard Kenny, Isabelle Bray, David Pontin, Rachel Jefferies, John Albarran
This randomized controlled trial, conducted in a UK University nursing department, compared student nurses' performance during a simulated cardiac arrest. Eighteen teams of four students were randomly assigned to one of three scenarios: 1) no family witness; 2) a "quiet" family witness; and 3) a family witness displaying overt anxiety and distress. Each group was assessed by observers for a range of performance outcomes (e.g. calling for help, timing to starting cardiopulmonary resuscitation), and simulation manikin data on the depth and timing of three cycles of compressions...
March 14, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/27940925/neonatal-nurses-response-to-a-hypothetical-premature-birth-situation-what-if-it-was-my-baby
#9
Janet Green, Philip Darbyshire, Anne Adams, Debra Jackson
BACKGROUND: Evolving technology and scientific advancement have increased the chances of survival of the extremely premature baby; however, such survival can be associated with some severe long-term morbidities. RESEARCH QUESTION: The research investigates the caregiving and ethical dilemmas faced by neonatal nurses when caring for extremely premature babies (defined as ≤24 weeks' gestation). This article explores the issues arising for neonatal nurses when they considered the philosophical question of 'what if it was me and my baby', or what they believed they would do in the hypothetical situation of going into premature labour and delivering an extremely premature baby...
December 9, 2016: Nursing Ethics
https://www.readbyqxmd.com/read/27915124/a-literature-review-examining-the-barriers-to-the-implementation-of-family-witnessed-resuscitation-in-the-emergency-department
#10
REVIEW
Catherine Johnson
BACKGROUND: Caring for people near death in the Emergency Department (ED) is challenging for professionals, duty bound to respond to the needs of the dying. Family witnessed resuscitation (FWR) is practiced internationally, allowing relatives to be present at the time of a patient's death, offering comfort to the dying and aiding the bereaved along a healthy grief trajectory. AIM: The literature review elicits barriers to the implementation of FWR in the ED, examining why practice is sporadic despite numerous professional bodies calling for implementation...
November 30, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27491645/barriers-and-facilitators-to-community-cpr-education-in-san-jos%C3%A3-costa-rica
#11
Kristin M Schmid, Nee-Kofi Mould-Millman, Andrew Hammes, Miranda Kroehl, Raquel Quiros García, Manrique Umaña McDermott, Steven R Lowenstein
BACKGROUND: Bystander cardiopulmonary resuscitation (CPR) improves survival after prehospital cardiac arrest. While community CPR training programs have been implemented across the US, little is known about their acceptability in non-US Latino populations. OBJECTIVES: The purpose of this study was to identify barriers to enrolling in CPR training classes and performing CPR in San José, Costa Rica. METHODS: After consulting 10 San José residents, a survey was created, pilot-tested, and distributed to a convenience sample of community members in public gathering places in San José...
October 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27350627/are-they-trained-prevalence-motivations-and-barriers-to-cpr-training-among-cohabitants-of-patients-with-a-coronary-disease
#12
Guillaume Cariou, Thierry Pelaccia
Out-of-hospital cardiac arrest occurs most often at home and often in the presence of family members of the patient who witness the event. Cardiopulmonary resuscitation (CPR) training of the next of kin of at-risk patients is thus potentially beneficial. The aim of our study was to document the prevalence of appropriate training among cardiac patients' cohabitants, as well as the motivations or obstacles to seeking training. 153 cohabitants of 127 patients who were hospitalized 1 year prior for confirmed coronary disease in a cardiology department (Paris, France) were interviewed using a structured questionnaire between October 2013 and March 2014...
June 27, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/27253993/family-presence-during-resuscitation-a-qualitative-analysis-from-a-national-multicenter-randomized-clinical-trial
#13
Carla De Stefano, Domitille Normand, Patricia Jabre, Elie Azoulay, Nancy Kentish-Barnes, Frederic Lapostolle, Thierry Baubet, Paul-Georges Reuter, Nicolas Javaud, Stephen W Borron, Eric Vicaut, Frederic Adnet
BACKGROUND: The themes of qualitative assessments that characterize the experience of family members offered the choice of observing cardiopulmonary resuscitation (CPR) of a loved one have not been formally identified. METHODS AND FINDINGS: In the context of a multicenter randomized clinical trial offering family members the choice of observing CPR of a patient with sudden cardiac arrest, a qualitative analysis, with a sequential explanatory design, was conducted...
2016: PloS One
https://www.readbyqxmd.com/read/27208554/a-systematic-review-of-basic-life-support-training-targeted-to-family-members-of-high-risk-cardiac-patients
#14
REVIEW
Susie Cartledge, Janet E Bray, Marion Leary, Dion Stub, Judith Finn
AIM: Targeting basic life support (BLS) training to bystanders who are most likely to witness an out of hospital cardiac arrest (OHCA) is an important public health intervention. We performed a systematic review examining the evidence of the effectiveness of providing BLS training to family members of high-risk cardiac patients. METHODS: A search of Ovid MEDLINE, CINAL, EMBASE, Informit, Cochrane Library, Web of Science, Scopus, ERIC and ProQuest Dissertations and Theses Global was conducted...
August 2016: Resuscitation
https://www.readbyqxmd.com/read/27191190/family-centered-practice-during-pediatric-death-in-an-out-of-hospital-setting
#15
Mary E Fallat, Anita P Barbee, Richard Forest, Mary E McClure, Katy Henry, Michael R Cunningham
OBJECTIVE: To understand effective ways for EMS providers to interact with distressed family members during a field intervention involving a recent or impending out-of-hospital (OOH) pediatric death. METHODS: Eight focus groups with 98 EMS providers were conducted in urban and rural settings between November 2013 and March 2014. Sixty-eight providers also completed a short questionnaire about a specific event including demographics. Seventy-eight percent of providers were males, 13% were either African American or Hispanic, and the average number of years in EMS was 16 years...
November 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27008923/improved-survival-with-favorable-neurological-outcome-in-elderly-individuals-with-out-of-hospital-cardiac-arrest-in-japan%C3%A3-a-nationwide-observational-cohort-study
#16
Akira Funada, Yoshikazu Goto, Tetsuo Maeda, Ryota Teramoto, Kenshi Hayashi, Masakazu Yamagishi
BACKGROUND: There is sparse data regarding the survival and neurological outcome of elderly patients with out-of-hospital cardiac arrest (OHCA). METHODS AND RESULTS: OHCA patients (334,730) aged ≥75 years were analyzed using a nationwide, prospective, population-based Japanese OHCA database from 2008 to 2012. The overall 1-month survival with favorable neurological outcome (Cerebral Performance Category Scale, category 1 or 2; CPC 1-2) rate was 0.88%. During the study period, the annual 1-month CPC 1-2 rate in whole OHCA significantly improved (0...
April 25, 2016: Circulation Journal: Official Journal of the Japanese Circulation Society
https://www.readbyqxmd.com/read/26436295/overcoming-resistance-to-family-witnessed-resuscitation
#17
REVIEW
Erica Jordahl, Yolanda M Hyde, Donald D Kautz
Giving family members the option of being present during resuscitation has been shown to be beneficial for both family and staff. However, only a small percentage of intensive care units have policies promoting family-witnessed resuscitation. This article reviews current research showing the benefits of family-witnessed resuscitation, outlines how to successfully integrate a family facilitator during resuscitation, and includes research that has been effective in changing the prevailing attitudes of staff. The authors also argue for the resuscitation team to practice ethical and cultural humility when involving family members so that all resuscitation efforts are a success, whether the patient lives or dies...
November 2015: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/26384723/providing-immediate-neonatal-care-and-resuscitation-at-birth-beside-the-mother-parents-views-a-qualitative-study
#18
Alexandra Sawyer, Susan Ayers, Sophia Bertullies, Margaret Thomas, Andrew D Weeks, Charles W Yoxall, Lelia Duley
OBJECTIVES: The aims of this study were to assess parents' views of immediate neonatal care and resuscitation at birth being provided beside the mother, and their experiences of a mobile trolley designed to facilitate this bedside care. DESIGN: Qualitative study with semistructured interviews. Results were analysed using thematic analysis. SETTING: Large UK maternity hospital. PARTICIPANTS: Mothers whose baby received initial neonatal care in the first few minutes of life at the bedside, and their birth partners, were eligible...
September 18, 2015: BMJ Open
https://www.readbyqxmd.com/read/26222225/factors-associated-with-experiences-and-attitudes-of-healthcare-professionals-towards-family-witnessed-resuscitation-a-cross-sectional-study
#19
MULTICENTER STUDY
Natalia Sak-Dankosky, Paweł Andruszkiewicz, Paula R Sherwood, Tarja Kvist
AIMS: To examine factors associated with healthcare professionals' experiences and attitudes towards adult family-witnessed resuscitation in the emergency and intensive care units. BACKGROUND: Family-witnessed resuscitation offers the option for patients' families to be present during in-hospital resuscitation. It is important to understand healthcare professionals' views about this practice to determine why, despite its benefits and general recommendation, this practice has not been widely implemented...
November 2015: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/26099911/should-family-witnessed-resuscitation-become-our-standard
#20
Samantha DeWitt
BACKGROUND: There have been several studies published regarding family-witnessed resuscitation (FWR), but fewer studies regarding its effectiveness. In FWR, family members are invited to be present during resuscitation efforts of a loved one. This practice is recognized and approved by the Emergency Nurses Association. DISCUSSION: FWR is increasingly gaining attention, but is not without controversy. This practice is not widely accepted by hospital staff due to fear of legal claims, prolonging futile resuscitative efforts, and violent or abusive reactions from family members...
October 2015: Journal of Emergency Medicine
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