Family presence during cardiopulmonary resuscitation and invasive procedures in children

Cristiana Araujo G Ferreira,Flavia Simphronio Balbino,Myriam Aparecida Mandetta,Maria Magda F G Balieiro

doi:10.1590/s0103-05822014000100017

Abstract

Objective: To identify literature evidences related to actions to promote family's presence during cardiopulmonary resuscitation and invasive procedures in children hospitalized in pediatric and neonatal critical care units. Data sources: Integrative literature review in PubMed, SciELO and Lilacs databases, from 2002 to 2012, with the following inclusion criteria: research article in Medicine, or Nursing, published in Portuguese, English or Spanish, using the keywords "family", "invasive procedures", "cardiopulmonary resuscitation", "health staff", and "Pediatrics". Articles that did not refer to the presence of the family in cardiopulmonary resuscitation and invasive procedures were excluded. Therefore, 15 articles were analyzed. Data synthesis: Most articles were published in the United States (80%), in Medicine and Nursing (46%), and were surveys (72%) with healthcare team members (67%) as participants. From the critical analysis, four themes related to the actions to promote family's presence in invasive procedures and cardiopulmonary resuscitation were obtained: a) to develop a sensitizing program for healthcare team; b) to educate the healthcare team to include the family in these circumstances; c) to develop a written institutional policy; d) to ensure the attendance of family's needs. Conclusions: Researches on these issues must be encouraged in order to help healthcare team to modify their practice, implementing the principles of the Patient and Family Centered Care model, especially during critical episodes.

Highlights

In recent years, the Patient and Family-Centered Care (PFCC) model has been advocated as ideal by researchers around the world, being applied by health care professionals in the assistance of patients and their families in various health care institutions.In this approach, the newborn (NB), the child, the adolescent, the adult, and the elderly come to be understood as members of a family and as the focus of care by the health care team
Síntese dos dados: A maioria dos artigos foi publicada nos Estados Unidos (80%), nas áreas de Medicina e de Enfermagem (46%), sendo do tipo survey (72%), com membros da equipe de saúde (67%) como participantes
Researches on these issues must be encouraged in order to assist healthcare professionals to modify their practice, implementing the principles of the Patient and Family-Centered Care model, especially in critical episodes

Summary

Conclusions

Researches on these issues must be encouraged in order to assist healthcare professionals to modify their practice, implementing the principles of the Patient and Family-Centered Care model, especially in critical episodes. Objetivo: Identificar evidencias de la literatura sobre las acciones promotoras de la presencia de la familia durante la reanimación cardiopulmonar y los procedimientos invasivos en niños internados en unidades de cuidados críticos pediátricos y neonatales. A partir del análisis crítico, se obtuvieron cuatro temas representativos de las acciones para promover la presencia de la familia en los procedimientos invasivos y en la reanimación cardiopulmonar: a) elaborar un programa de sensibilización del equipo; b) capacitar al equipo para incluir a la familia en esas circunstancias; c) elaborar una política institucional declarada; d) atender a las necesidades de la familia. Conclusiones: Se debe incentivar las investigaciones sobre el tema, a fin de suministrar subsidios a los profesionales del área de salud para que modifiquen su práctica, implementando los principios del modelo del Cuidado Centrado en el Paciente y en la Familia, especialmente en situaciones de crisis. Palabras clave: familia; equipo de asistencia al paciente; resucitación cardiopulmonar; pediatría

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