The healthcare professionals' perspectives and experiences with family presence during resuscitation: A qualitative evidence synthesis

Monika Afzali Rubin*, Sandra E S Meulengracht, Katja Anna Poulsen Frederiksen, Thordis Thomsen, Ann Merete Møller

*Corresponding author for this work

Abstract

INTRODUCTION: Family presence during resuscitation (FPDR) is a growing hospital praxis despite lack of high-quality evidence. The aim of this qualitative evidence synthesis review was to synthesize current evidence regarding healthcare professionals (HCP) perspectives on barriers and facilitating factors of FPDR and the potential impact of FPDR on HCP performance.

METHODS: We conducted a systematic literature search May 17, 2023 including primary studies with qualitative study designs. We applied NVivo for data analysis. Data was coded with line-by-line coding and organized into themes and categories following the method for thematic synthesis described by Thomas and Harden to analyse data. The studies underwent quality appraisal by Critical Appraisal Skills Program. We used GRADE CERQual to assess the confidence in the evidence.

RESULTS: We identified 8241 articles suitable for screening, 141 articles were full text screened, and nine studies included from Australia, UK and USA. In total, 134 HCP participated, between 2005 and 2019. Most studies lacked sufficiently rigorous data analysis and findings were appraised to have moderate GRADE CERQual confidence. We identified three analytical themes ("Facilitating factors for FPDR", "Barriers for FPDR" and "How staff are affected by FPDR") with eight descriptive subthemes. One finding was of high GRADE CERQual confidence: a belief that FPDR is "the right thing to do" which was a "Facilitating factor of FPDR."

CONCLUSION: The evidence on HCP perspectives is of low to moderate confidence. The interviewed consent that FPDR is the "right thing to do", and an ethical principle of beneficence is dominant, especially regarding children.

Original languageEnglish
JournalActa Anaesthesiologica Scandinavica
Volume68
Issue number1
Pages (from-to)101-121
Number of pages21
ISSN0001-5172
DOIs
Publication statusPublished - Jan 2024

Keywords

  • Attitude of Health Personnel
  • Child
  • Family
  • Health Personnel
  • Humans
  • Research Design
  • Resuscitation

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