Family presence during pediatric resuscitation: an integrative review for evidence-based practice

Family presence during pediatric resuscitation: an integrative review for evidence-based practice

Nibert L; Ondrejka D

Journal Of Pediatric Nursing

2005

PedPal Lit; Attitude to Health Cardiopulmonary Resuscitation/nursing/psychology/standards Child Child; Hospitalized/psychology Choice Behavior Clinical Competence/standards Cooperative Behavior Evidence-Based Medicine Family/psychology Family Nursing/standards Humans Models; Nursing Nursing Evaluation Research Organizational Policy Patient-Centered Care/standards Patients' Rooms/organization & administration Pediatric Nursing/standards Philosophy; Nursing Practice Guidelines Professional-Family Relations Visitors to Patients/education/psychology

Many pediatric health care institutions lack guidelines to address the presence of family members during resuscitation activities. This integrative literature review was used to establish an evidence-based approach that would compliment our institution's philosophy of "family centered care." The evidence supports a partnering with the families: Hospital staff ask families whether they want to be present during life-saving interventions by health care professions. Families want to make the choice, and when they are present during resuscitation efforts, there is less litigation, anxiety, and second-guessing regarding the efforts and competence of the staff providing that care. No literature was found to support beliefs that family member presence is harmful to the family or the institution. A practice policy is provided that respects family choice and presence during life-saving measures in pediatric care facilities.

2005

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