The healthcare professionals' perspectives and experiences with family presence during resuscitation: A qualitative evidence synthesis
Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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The healthcare professionals' perspectives and experiences with family presence during resuscitation : A qualitative evidence synthesis. / Rubin, Monika Afzali; Meulengracht, Sandra E.S.; Frederiksen, Katja Anna Poulsen; Thomsen, Thordis; Møller, Ann Merete.
I: Acta Anaesthesiologica Scandinavica, Bind 68, Nr. 1, 2023, s. 101-121.Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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TY - JOUR
T1 - The healthcare professionals' perspectives and experiences with family presence during resuscitation
T2 - A qualitative evidence synthesis
AU - Rubin, Monika Afzali
AU - Meulengracht, Sandra E.S.
AU - Frederiksen, Katja Anna Poulsen
AU - Thomsen, Thordis
AU - Møller, Ann Merete
N1 - Publisher Copyright: © 2023 Acta Anaesthesiologica Scandinavica Foundation.
PY - 2023
Y1 - 2023
N2 - 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.
AB - 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.
KW - emergency department
KW - emergency medicine
KW - family presence
KW - family presense during resuscitation
KW - family witnessed resuscitation
KW - resuscitation
U2 - 10.1111/aas.14323
DO - 10.1111/aas.14323
M3 - Review
C2 - 37669907
AN - SCOPUS:85169880430
VL - 68
SP - 101
EP - 121
JO - Acta Anaesthesiologica Scandinavica
JF - Acta Anaesthesiologica Scandinavica
SN - 0001-5172
IS - 1
ER -
ID: 373670119