The Effect of Family Presence During Resuscitation and Invasive Procedures on Patients and Families: An Umbrella Review |
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| Affiliation: | 1. Student’s Research Committee, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran;2. Center of Qualitative Studies, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran;3. School of Nursing, UNC Charlotte, College of Health and Human Services 428, 9201 University City Blvd., Charlotte, NC 28223, United States;4. Road Traffic Injury Research Center, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran;5. Department of Emergency Medicine, Tabriz University of Medical Sciences, Tabriz, Iran;1. Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, Napoli, Italy;2. Department of Anaesthesiology and Intensive Care Medicine, AO Rummo, Benevento, Italy;3. Department for Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, Germany;4. Department of Medicine and Surgery, University of Salerno, Salerno, Italy;1. Center for Learning Innovation and Practice, Baylor Scott & White Health, 2001 Bryan Street, Suite 600, Dallas, North Texas 75201, USA;2. 4 Truett Medical ICU, Baylor University Medical Center at Dallas, 3500 Gaston Avenue, Dallas, TX 75246, USA |
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| Abstract: | IntroductionThe concept of family presence during resuscitation and invasive procedures is a controversial issue and has not been universally adopted by health care providers. Owing to the sheer number of studies in this field, we conducted this umbrella study to provide an overview of this concept with the aim of investigating the impact of family presence on patients, families, and resuscitation and invasive procedures.MethodsIn this review, using the Joanna Briggs Institute levels of evidence umbrella methodology guidelines, the authors searched PubMed, Google Scholar, Embase, MEDLINE, Web of Science, Scopus, and the Cochrane database for systematic review and meta-analysis studies that evaluated the presence of family during resuscitation and invasive procedures without time limit until July 2020. The following key words were used for the search: family presence; family witness; parent presence; parent witness; and resuscitation.ResultsA total of 254 articles published between January 1967 and July 2020 were screened. Five articles (1 meta-analysis and 4 systematic reviews) met the inclusion criteria. The review showed that family presence during resuscitation or invasive procedures does not have negative effects on family members, patients, or the resuscitation or invasive intervention process. Family members focus on the patients, not the ongoing treatment. The presence of family members is beneficial for both family members and health care staff. None of the reviewed studies reported a negative effect on family members.DiscussionThe presence of parents and other immediate family members during resuscitation and invasive procedures has positive impacts on patients, families, and health care staff. |
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