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Should Family-witnessed Resuscitation Become Our Standard?
Journal of Emergency Medicine 2015 October
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. However, there may be several positive factors in performing FWR, including better mental health outcomes for family members and improved satisfaction of family members.
SUMMARY: This article represents my professional opinion on the implication and professional recommendation of instituting FWR as standard of care. Education regarding the positive aspects of FWR is urgently needed to improve staff acceptance and promote policies to incorporate the procedure into practice.
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. However, there may be several positive factors in performing FWR, including better mental health outcomes for family members and improved satisfaction of family members.
SUMMARY: This article represents my professional opinion on the implication and professional recommendation of instituting FWR as standard of care. Education regarding the positive aspects of FWR is urgently needed to improve staff acceptance and promote policies to incorporate the procedure into practice.
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