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Family witnessed resuscitation

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https://www.readbyqxmd.com/read/28766418/benefits-of-and-barriers-to-family-witnessed-resuscitation-in-practice
#1
Caroline Drewe
This article, discussing family-witnessed resuscitation, is the first in a series providing nurses with information about essential aspects of critical care. Family-witnessed resuscitation is not common practice in healthcare settings, despite its well-documented benefits. Lack of implementation arises because of fear and anxiety among healthcare practitioners about the potential negative consequences for the patient, the family and themselves. However, research has suggested that addressing these concerns could positively affect practice and increase the number of cases of family-witnessed resuscitation...
August 2, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28756694/factors-influencing-medical-staff-s-intentions-to-implement-family-witnessed-cardiopulmonary-resuscitation-a-cross-sectional-multihospital-survey
#2
Chien-Liang Chen, Jing-Shia Tang, Meng-Kuan Lai, Chiu-Hsia Hung, Hsiu-Mei Hsieh, Hui-Lin Yang, Chia-Chang Chuang
BACKGROUND: In Taiwan, the current status of family-witnessed resuscitation (FWR) and the factors associated with behavioural intentions to implement FWR have not been systematically examined using representative medical staff. AIM: We explored predictive factors for behavioural intentions to implement FWR among medical staff using constructs from the theory of planned behaviour. METHODS: A survey of 1605 medical staff from five hospitals in southern Taiwan was conducted...
August 2017: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/28723789/measuring-the-impact-of-emergency-medical-services-ems-on-out-of-hospital-cardiac-arrest-survival-in-a-developing-country-a-key-metric-for-ems-systems-performance
#3
Mazen El Sayed, Reem Al Assad, Yasmin Abi Aad, Nour Gharios, Marwan M Refaat, Hani Tamim
Out-of-hospital cardiac arrest (OHCA) can be used to evaluate the overall performance of the emergency medical services' (EMS) system. This study assessed the impact of EMS on OHCA survival rates in a setting where the prehospital system is underdeveloped.A retrospective chart review was carried out over a 5-year period of all adult OHCA patients admitted to the emergency department (ED) of a tertiary care center in Lebanon.A total of 271 patients with OHCA (179 [66.1%] men, mean age of 69.9 [standard deviation = 15...
July 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28666156/family-support-liaison-in-the-witnessed-resuscitation-a-phenomenology-study
#4
Hadi Hassankhani, Vahid Zamanzade, Azad Rahmani, Hamidreza Haririan, Joanne E Porter
BACKGROUND: Family-witnessed resuscitation remains controversial among clinicians from implementation to practice and there are a number of countries, such as Iran, where that is considered a low priority. OBJECTIVE: To explore the lived experience of resuscitation team members with the presence of the patient's family during resuscitation. DESIGN: The hermeneutic phenomenology. SETTINGS: The emergency departments and critical care units of 6 tertiary hospitals in Tabriz, Iran...
June 13, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28633761/the-opinion-of-health-professionals-regarding-the-presence-of-relatives-during-cardiopulmonary-resucitation
#5
J M Asencio-Gutiérrez, I Reguera-Burgos
BACKGROUND: The latest recommendations from the American Heart Association and the European Resuscitation Council invite allowance for the presence of relatives (PR) during cardiopulmonary resuscitation (CPR) as an extra measure of family care. OBJECTIVE: To discover the opinion of health professionals on the PR during CPR. METHOD: Cross-sectional observational study through an online survey in Spain, based on a non-probability sample (n=315)...
October 2017: Enfermería Intensiva
https://www.readbyqxmd.com/read/28520322/-psychological-impact-of-out-of-hospital-cardiopulmonary-resuscitation-cpr-on-the-witness-engaged-in-gestures-of-survival
#6
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
#7
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
#8
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...
August 1, 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
#9
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...
July 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
#10
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
#11
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...
July 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
#12
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
#13
RANDOMIZED CONTROLLED TRIAL
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...
May 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
#14
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
#15
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...
January 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/27491645/barriers-and-facilitators-to-community-cpr-education-in-san-jos%C3%A3-costa-rica
#16
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
#17
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
#18
RANDOMIZED CONTROLLED TRIAL
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
#19
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
#20
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
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