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Family Presence During Resuscitation: Beyond Debate to Practice Integration.

Kelly Powers1, K Renee Twibell2, Rebecca F Shears3

  • 1School of Nursing, University of North Carolina Charlotte, 9201 University City Boulevard, Charlotte, NC 28223, USA.

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Summary

Family presence during resuscitation (FPPR) offers benefits aligned with family-centered care, despite historical resistance. Implementing FPDR requires support roles, clear policies, and staff education for effective integration.

Keywords:
Critical careFamily presenceFamily presence during resuscitationFamily-centered careFamily-witnessed resuscitationNursing

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Area of Science:

  • Emergency Medicine
  • Patient and Family Centered Care
  • Healthcare Policy

Background:

  • Family presence during resuscitation (FPDR) has been available for nearly 40 years.
  • Healthcare professionals' apprehension regarding litigation and family well-being has hindered widespread FPDR adoption.
  • Patient families consistently express a strong desire for presence during resuscitation, aligning with family-centered care principles.

Purpose of the Study:

  • To address the challenges and promote effective implementation of family presence during resuscitation (FPDR).
  • To highlight best practices for integrating FPDR into clinical settings.

Main Methods:

  • This study synthesizes existing literature and clinical experience regarding FPDR.
  • It emphasizes the importance of policy development and staff education.

Main Results:

  • Despite initial resistance, FPDR is increasingly being adopted into clinical practice.
  • Key strategies for successful implementation include establishing a dedicated family support role, developing comprehensive policies and protocols, and providing thorough education for healthcare teams.

Conclusions:

  • Equitable and effective implementation of FPDR is achievable through strategic planning and support.
  • Focusing on best practices ensures that FPDR aligns with both patient needs and healthcare professional capabilities.