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Family presence during resuscitation in paediatric and neonatal cardiac arrest: A systematic review
Katie N Dainty1, Dianne L Atkins1, Jan Breckwoldt1
1North York General Hospital, Li Ka Shing Knowledge Institute, 4001 Leslie Street, Toronto, Ontario M3K 3E1, Canada.
Insights
Parents want to be present during pediatric resuscitations, but healthcare providers have varied opinions. Further research is needed to understand the impact of family presence on outcomes.
Area of Science:
- Pediatric Emergency Medicine
- Critical Care Nursing
- Family-Centered Care
Background:
- Family presence during pediatric resuscitation is not consistently practiced.
- A systematic review on this topic has not been previously conducted.
Purpose of the Study:
- To systematically review the evidence on family presence during pediatric and neonatal resuscitation.
Main Methods:
- A systematic literature search of six databases up to June 14, 2020.
- 3,200 titles were screened, with 36 studies included in the review.
- Narrative systematic review methodology was employed for survey and interview-based studies.
Main Results:
- Parents desire the option to be present during their child's resuscitation.
- Healthcare provider attitudes towards family presence varied significantly, with support increasing with experience and seniority.
Conclusions:
- Parents wish to be present, but provider perspectives differ.
- High-quality research is needed to assess the impact of family presence on patient, family, and staff outcomes.
Context:
Parent/family presence at pediatric resuscitations has been slow to become consistent practice in hospital settings and has not been universally implemented. A systematic review of the literature on family presence during pediatric and neonatal resuscitation has not been previously conducted.
Objective:
To conduct a systematic review of the published evidence related to family presence during pediatric and neonatal resuscitation.
Data Sources:
Six major bibliographic databases was undertaken with defined search terms and including literature up to June 14, 2020.
Study Selection:
3200 titles were retrieved in the initial search; 36 ultimately included for review.
Data Extraction:
Data was double extracted independently by two reviewers and confirmed with the review team. All eligible studies were either survey or interview-based and as such we turned to narrative systematic review methodology.
Results:
The authors identified two key sets of findings: first, parents/family members want to be offered the option to be present for their child's resuscitation. Secondly, health care provider attitudes varied widely (ranging from 15% to >85%), however, support for family presence increased with previous experience and level of seniority.
Limitations:
English language only; lack of randomized control trials; quality of the publications.
Conclusions:
Parents wish to be offered the opportunity to be present but opinions and perspectives on the family presence vary greatly among health care providers. This topic urgently needs high quality, comparative research to measure the actual impact of family presence on patient, family and staff outcomes.
Prospero Registration Number:
CRD42020140363.
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