Abstract
To synthesize the best qualitative evidence regarding the perception of family members, patients and health professionals about family presence during cardiopulmonary resuscitation and invasive procedures. Systematic review with meta-synthesis performed in the databases of Web of Science, Scopus, CINAHL, PsycINFO, LILACS, MEDLINE, Embase and VHL. Articles published between 2010 and 2017 were included and evaluated with use of the Qualitative Data Extraction Instrument. In total, were found 2,391 articles, out of which 26 were selected, and 24 were analyzed. The identified meta-theme was 'A pendular perspective: different views on family presence during cardiopulmonary resuscitation and invasive procedures', which is supported by the following themes: Benefits resulting from family presence; Disadvantages and/or limiting factors of family presence; and Context: environmental, sociocultural and care factors influencing the perception of family presence. The perception of family members, patients and professionals about family presence is still controversial. The sensitization of these subjects can potentiate the practice by making it more systematized and qualified.
Highlights
Based on the assumptions of the Patient and FamilyCentered Care (PFCC), there is an expectation that regardless of the care context, patients’ family members should be included and considered in health care(1)
The identified meta-theme was ‘A pendular perspective: different views on family presence during cardiopulmonary resuscitation and invasive procedures’, which is supported by the following themes: Benefits resulting from family presence; Disadvantages and/or limiting factors of family presence; and Context: environmental, sociocultural and care factors influencing the perception of family presence
The following guiding question was developed: what is the perception of family members, patients and health professionals about family presence during cardiopulmonary resuscitation and invasive procedures in the prehospital and hospital setting?; 2) Definition of information evaluated in the articles; 3) Selection of databases and descriptors; 4) Selection of studies based on previously established criteria; 5) Evaluation of the methodological rigor of empirical studies; 6) Collection and registration of the information of articles considered for review in a specific instrument; and 7) Synthesis of findings with development of qualitative metasynthesis(21)
Summary
Based on the assumptions of the Patient and FamilyCentered Care (PFCC), there is an expectation that regardless of the care context, patients’ family members should be included and considered in health care(1). In spite of the concern about the possible emotional responses and suffering of their relatives, people who experienced family presence at the bedside, which theoretically approaches the PFCC proposal, perceived this experience positively in most cases(7). They understand that family presence provides an environment of confidence and tranquility, which is reflected in a best confrontation of the situation(7-8). Health professionals identified benefits with family presence, and the main one is the possibility of remembering the patient as a disease, but as a person who “belongs to someone”(9) This directly converges in greater humanization of care(9) and increases subjects’ satisfaction with the health service(5-6)
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