SOC
Surgery on Children

Surgery on Children Journal aims to publish issues related to Pediatric Surgery, Pediatric Neurosurgery, Pediatric Plastic Surgery, Pediatric Cardiovascular Surgery, Pediatric Orthopedic Surgery, Pediatric Vascular Surgery, Pediatric Gynecology and Obstetrics, Pediatric Ear Nose Throat, Ophthalmology, Pediatric Anesthesiology and Reanimation, Pediatric Urology, Pediatric Surgical Intensive Care Clinic, and other clinical surgery fields on children of the highest scientific and clinical value at an international level and accepts articles on these topics.

eISSN: 3023-7289
Creative Commons CC BY-NC-ND 4.0 International License.

Online Manuscript System

Index
Review
Family presence in pediatric resuscitation
Abstract
Resuscitation refers to medical interventions and practices performed in emergency situations such as cardiac arrest or respiratory arrest in order to restore the individual's life findings with physiological, pharmacological and mechanical methods. Pediatric resuscitation is a process that is different from adults due to anatomical and physiological differences in pediatric patients and includes specific protocols, as well as a critical process that includes both physical and emotional dimensions for both healthcare personnel and patient relatives. The physical participation of family members or relatives in this process is a very important, multifaceted and highly controversial issue both ethically and psychologically. Patients and their relatives often expect to be actively involved in treatment and health care decisions. Similarly, even during resuscitation and critical care, patients want their relatives to be with them and family members/relatives may also want to be present. Family presence enables family members to participate in or witness the resuscitation process when the child's life is in danger. The physical presence of parents for children and relatives for adult patients in the resuscitation room, as well as their involvement in decision-making processes, are essential components of family presence. Family presence during resuscitation is a tripartite relationship that affects health professionals, family members and the care of the child. All needs must be balanced in the context of effective resuscitation in family presence, as actions involving all three groups can affect the others.

Keywords : Cardiac arrest, family presence, health professionals, pediatric resuscitation

Download Article


1. Breach J. Exploring the implementation of family-witnessed resuscitation. Nurs Stand. 2018;33(1):76-81. doi:10.7748/ns.2018.e11003
2. Brown K, Mace SE, Dietrich AM, Knazik S, Schamban NE. Patient and family- centred care for pediatric patients in the emergency department. CJEM. 2008;10(1):38-43. doi:10.1017/s1481803500009994
3. Doyle JC, Post H, Burney E, Maino J, Keefe M, Rhee KJ. Family participation during resuscitation: an option. Ann Emerg Med. 1987; 16(6):673-675. doi:10.1016/s0196-0644(87)80069-0
4. Strasen J, Sell SLV, Sheriff S. Family presence during resuscitation. Nurs Manage. 2015;46(10):46-50. doi:10.1097/01.NUMA.0000471581.01067.32
5. Emergency nurses association (ENA). Presenting the option for family presence. 2007
6. Emergency nurses association (ENA). Resüsitasyon sırasında aile varlığı. Duran L, (Editör), Sheehy’nin Acil hemşireliği ilkeleri ve uygulaması (çeviri)’de. 1. Baskı, Ankara, Palme Yayıncılık. 2019.
7. American Heart Association (AHA): Guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2000;102(8):1-19.
8. Lippert FK, Raffay V, Georgiou M, Steen PA, Bossaert L. European Resuscitation Council Guidelines for Resuscitation 2010 Section 10. The ethics of resuscitation and end-of-life decisions.Resuscitation. 2010;81(10):1445-1451. doi:10.1016/j.resuscitation.2010.08.013
9. Neumar RW, Shuster M, Callaway CW, et al. Part 1: executive summary: 2015 American Heart Association Guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;132(18):315-367. doi:10.1161/CIR.0000000000000252
10. World Health Organization (WHO) guidelines on basic newborn resuscitation 2012. www.who.int/maternal_child_adolescent/ documents/basic_newborn_resuscitation/en (Erişim tarihi; 14.09.2024).
11. World Health Organization (WHO) technical specifications of neonatal resuscitation devices 2016. https://apps.who.int/iris/handle/10665/ 206540 (Erişim Tarihi: 14.09.2024)
12. Baskett PJ, Steen PA, Bossaert L; European Resuscitation Council. European Resuscitation Council guidelines for resuscitation 2005. Section 8. The ethics of resuscitation and end-of-life decisions. Resuscitation. 2005;67(Suppl 1):S171-S180. doi:10.1016/j.resuscitation. 2005.10.005
13. Bossaert LL, Perkins GD, Askitopoulou H, et al. Reply to letter: family presence during cardiopulmonary resuscitation: evidence-based guidelines?Resuscitation. 2016;105:e7-e8. doi:10.1016/j.resuscitation. 2016.05.003
14. American Heart Association (AHA). American Heart Association Guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Part 2: ethical issues. Circulation. 2005;112(24 Suppl):IV1-IV203. doi:10.1161/CIRCULATIONAHA.105.166550
15. Ersoy G, Yanturali S, Suner S, Karakus NE, Aksay E, Atilla R. Turkish patient relatives’ attitudes towards family-witnessed resuscitation and affecting sociodemographic factors.Eur J Emerg Med. 2009;16(4):188-193. doi:10.1097/MEJ.0b013e328311a8dc
16. Oczkowski SJ, Mazzetti I, Cupido C, Fox-Robichaud AE; Canadian Critical Care Society. Family presence during resuscitation: a Canadian Critical Care Society position paper.Can Respir J. 2015;22(4):201-205. doi:10.1155/2015/532721
17. Darbyshire P. Parents, nurses and paediatric nursing: a critical review. J Adv Nurs. 1993;18(11):1670-1680. doi:10.1046/j.1365-2648.1993.18111670.x
18. Alsop-Shields L, Mohay H. John Bowlby and James Robertson: theorists, scientists and crusaders for improvements in the care of children in hospital. J Adv Nurs. 2001;35(1):50-58. doi:10.1046/j.1365-2648.2001. 01821.x
19. Kuo DZ, Houtrow AJ, Arango P, Kuhlthau KA, Simmons JM, Neff JM. Family-centered care: current applications and future directions in pediatric health care.Matern Child Health J. 2012;16(2):297-305. doi:10. 1007/s10995-011-0751-7
20. Palmer SJ. Care of sick children by parents: a meaningful role.J Adv Nurs. 1993;18(2):185-191. doi:10.1046/j.1365-2648.1993.18020185.x
21. Tüzün O, Sayar K. Bağlanma kuramı ve psikopatoloji. Düşünen Adam. 2006;9(1):24-39.
22. American Academy of Pediatrics, Committee on Hospital Care. Family-centered care and the pediatrician’s role. Pediatrics. 2003;112(3):691-696. doi:10.1542/peds.112.3.691
23. Anol S. Pediatri yoğun bakım ünitesinde çalışan sağlık personeli ile çocuğu yatan ebeveynlerin aile merkezli bakıma yönelik görüşlerinin karşılaştırılması(Master’s thesis, Dokuz Eylül Universitesi (Turkey), 2016
24. Aykanat B, Gözen D. Çocuk sağlığı hemşireliğinde aile merkezli bakım yaklaşımı. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2014;3(1): 683-695.
25. Byers JF, Lowman LB, Francis J, et al. A quasi-experimental trial on individualized, developmentally supportive family-centered care.J Obstet Gynecol Neonatal Nurs. 2006;35(1):105-115. doi:10.1111/j.1552-6909.2006.00002.x
26. Melnyk BM, Feinstein NF. Mediating functions of maternal anxiety and participation in care on young children’s posthospital adjustment. Res Nurs Health. 2001;24(1):18-26. doi:10.1002/1098-240x(200102)24:1< 18::aid-nur1003>3.0.co;2-5
27. O’Brien K, Bracht M, Robson K, et al. Evaluation of the family ıntegrated care model of neonatal intensive care: a cluster randomized controlled trial in Canada and Australia.BMC Pediatr. 2015;15:210. doi: 10.1186/s12887-015-0527-0
28. Davidson JE, Aslakson RA, Long AC, et al. Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Crit Care Med. 2017;45(1):103-128. doi:10.1097/CCM.0000000000002169
29. Powers KA. Barriers to family presence during resuscitation and strategies for improving nurses” invitation to families. Appl Nurs Res. 2017;38:22-28. doi:10.1016/j.apnr.2017.08.007
30. Melnyk BM, Feinstein NF. Enhancing pediatric family support during critical illness: what are the challenges and solutions? Pediatr Nurs. 2020;45:26-32. doi:10.1016/j.pedn.2018.11.016
31. Correia ME, Melo T, Nobre J. Grieving experiences of parents with children in end-of-life care-a qualitative review protocol.Nurs Rep. 2022;12(3):426-430. doi:10.3390/nursrep12030041
32. Twibell R, Siela D, Riwitis C, et al. Nurses’perceptions of their self-confidence and the benefits and risks of family presence during resuscitation. Am J Crit Care. 2008;17(2):646-653.
33. Boucher M. Family-witnessed resuscitation. Feature. 2010;18(5):10-14. doi:10.7748/en2010.09.18.5.10.c7970
34. American Association of critical-care nurses (AACN). AACN practice alert: family presence during resuscitation and invasive procedures. Crit Care Nurse. 2016;36(1):11-14.
35. Tudor K, Berger J, Polivka BJ, Chlebowy R, Thomas B. Nurses’ perceptions of family presence during resuscitation. Am J Crit Care. 2014;23(6):e88-e96. doi:10.4037/ajcc2014484
36. Grice AS, Picton P, Deakin CDS. Study examining attitudes of staff, patients and relatives to witnessed resuscitation in adult intensive care units. Br J Anaesth. 2003;91(6):820-824. doi:10.1093/bja/aeg276
37. McClenathan BM, Torrington KG, Uyehara CF. Family member presence during cardiopulmonary resuscitation. Chest. 2002;122(6): 2205-2211. doi:10.1378/chest.122.6.2204
38. Chapman R, Watkins R, Bushby A, Combs S. Assessing health professionals’ perceptions of family presence during resuscitation: a replication study. Int Emerg Nurs. 2013;21(1):17-25. doi:10.1016/j.ienj. 2011.10.003
39. Köberich S, Kaltwasser A, Rothaug O, Albarran J. Family witnessed resuscitation-experience and attitudes of German intensive care nurses. Nurs Crit Care. 2010;15(5):241-250. doi:10.1111/j.1478-5153.2010.00405.x
40. Demir F. Presence of patients’ families during cardiopulmonary resuscitation: physicians’ and nurses’ opinions. J Adv Nurs. 2008;63(4): 409-416. doi:10.1111/j.1365-2648.2008.04725.x
41. Kianmehr N, Mofidi M, Rahmani H, Shahin Y. The attitudes of team members towards family presence during hospital-based CPR: a study based in the Muslim setting of four Iranian teaching hospitals. J R Coll Physicians Edinb. 2010;40(1):4-8. doi:10.4997/JRCPE.2010.102
42. Hayajneh FA. Jordanian professional nurses’ attitudes and experiences of having family members present during cardiopulmonary resuscitation of adult patients. Crit Care Nurs Q. 2013;36(2):218-227. doi:10.1097/CNQ.0b013e31828414c0
43. Enriquez D, Mastanduenoy R, Flichtentreiy D, Szyldz E. Relatives’ presence during cardiopulmonary resuscitation. Glob Heart. 2017;12(4): 335-340.e1. doi:10.1016/j.gheart.2016.01.007
44. Ong MEH, Chung WL, Mei JSE. Comparing attitudes of the public and medical staff towards witnessed resuscitation in an Asian population. Resuscitation. 2007;73(1):103-108. doi:10.1016/j.resuscitation.2006.08.007
45. Alshaer A, Alfaraidy K, Morcom F, Alqahtani W, Alsadah Z, Almutairi A. Saudi family perceptions of family-witnessed resuscitation in the adult critical care setting. Saudi Crit Care J. 2017;1(4):113-117. doi:10. 4103/sccj.sccj_5_18
46. Jabre P, Belpomme V, Azoulay E, et al. Family presence during cardiopulmonary resuscitation.N Engl J Med. 2013;368(11):1008-1018. doi:10.1056/NEJMoa1203366
47. Kocaaslan EN, Kostak MA, Semerci R. Çocuğunun kardiyopulmoner resüsitasyonuna aile üyelerinin tanıklığı: hemşirelik öğrencilerinin düşünceleri. J Pediatr Emerg Intensive Care Med. 2020;7(3):122-127. doi: 10.4274/cayd.galenos.2020.94695
48. Düzkaya DS, Köşkeroğlu EM, Bozkurt G. The opinions of healthcare professionals working in pediatric clinics on witnessing resuscitation. Yoğun Bakım Hemşireliği Derg. 2012;16:8-13.
49. Lederman Z, Wacht O. Family presence during resuscitation: attitudes of Yale-New Haven Hospital staff.Yale J Biol Med. 2014;87(1):63-72.
50. Sak-Dankosky N, Andruszkiewicz P, Sherwood PR, Kvist T. Preferences of patients’ family regarding family-witnessed cardiopulmonary resuscitation: A qualitative perspective of intensive care patients’ family members.Intensive Crit Care Nurs. 2019;50:95-102. doi:10.1016/j.iccn. 2018.04.001
51. Afzali Rubin M, Svensson TL, Herling SF, Jabre P, Møller AM. Family presence during resuscitation.Cochrane Database Syst Rev. 2023;5(5): CD013619. doi:10.1002/14651858.CD013619.pub2
52. Meyers T, Echhorn D, Guzzetta C, et al. Family presence during invasive procedures and resuscitation: the experience of family members, nurses, and physicians. Am J Nurs. 2000;100(2):32-43.
53. Badır A, Sepit D. Yoğun bakım hemşirelerinin kalp akciğer canlandırması sırasında hasta ailenin bulunmalarına ilişkin deneyim ve düşünceleri. Hemşirelikte Eğitim ve Araştırma Dergisi. 2005;2(1):33-40.
Article available in :
Volume 2, Issue 4, 2025
Page : 141-146
https://doi.org/10.51271/SOC-0053
Article Information
Received : 23 Ara 2024
Accepted : 05 Mar 2025
Published : 01 Eki 2025
Corresponding Author :

Gülşah Kaya: Department of Medical Services and Techniques, Vocational School of Health Services, Yozgat Bozok University, Yozgat, Turkiye

[email protected]
Citation : Kaya G. Family presence in pediatric resuscitation. Surg Child. 2025;2(4):141-146.

Read: 192
Download : 227
Cited: 0
_Footer