Abstract

The family presence during invasive procedures and resuscitation in children is becoming more common in pediatric practice, although most emergency services in Brazil do not have structured protocols to better guide this conduct. The opinion of health care professionals and family members on this subject has been discussed in the literature.1 Studies evaluating family members’ perception have shown positive factors when they witness such interventions. The family has the opportunity to realize the true severity of the disease or trauma and observe that all that was possible was in fact done, in addition to staying together in a situation of stress, increasing the child’s comfort and reducing anxiety. There are reports of families who witnessed their children’s resuscitation maneuvers and recommend this conduct to others and there are declarations that grief was eased in the cases when the child died.2,3 Studies assessing professionals’ opinions have shown mixed results. Among the reasons given by professionals to disagree with the presence of family members are: loss of emotional control by the family members and interference with the procedures, the professionals’ discomfort, increasing the chance of failure, limitations in the teaching of trainees, and increased risk of legal suits. Such justifications have been questioned, as they are based more on assumptions than on real facts.

Highlights

  • The family presence during invasive procedures and resuscitation in children is becoming more common in pediatric practice, most emergency services in Brazil do not have structured protocols to better guide this conduct

  • The observation, according to Mekitarian and Angelo,[7] that the medical team was more favorable than the nursing staff to the family presence during invasive procedures is probably related to these professionals’ practices, that is, more invasive procedures are in general performed by physicians, whereas the less complex ones are performed by the nursing staff

  • The results of Mekitarian and Angelo greatly contribute to the creation of training and continuing education strategies for professionals working in emergency rooms in Brazil

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Summary

Introduction

The family presence during invasive procedures and resuscitation in children is becoming more common in pediatric practice, most emergency services in Brazil do not have structured protocols to better guide this conduct. The opinion of health care professionals and family members on this subject has been discussed in the literature.[1] There are reports of families who witnessed their children’s resuscitation maneuvers and recommend this conduct to others and there are declarations that grief was eased in the cases when the child died.[2,3]

Results
Conclusion

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