Healthcare providers\u2019 perspectives on family presence during resuscitation in the emergency departments of the Kingdom of Bahrain

Feras H Abuzeyad,Naser Mohamed Ali Mansoor,Luma Bashmi,Ghada Al-Qasim,Ahmed Elhobi,Stephanie Hsu,Priya Das,Wael Kamkoum,Leena Alqasem

doi:10.1186/s12873-020-00365-4

Abstract

BackgroundWorldwide, policies exist on family presence during resuscitation (FPDR), however, this is still lacking in the Gulf Corporation Countries (GCC) in general and in the Kingdom of Bahrain in particular. The aim of this study is to assess the perspectives of healthcare providers (HP) on FPDR among those working in the emergency departments (EDs) in the Kingdom.MethodsA self-administered anonymous electronic survey was collected from 146 HPs (emergency physicians and nurses) working in the three major EDs in the Kingdom of Bahrain. Besides demographic data, 18 items measuring HPs’ perceptions of FPDR were generated using the 5-point Likert scale.ResultsSurveys (n = 146) from physicians and nurses were analysed (45.9% vs. 54.1%, respectively). There were significant differences between physicians and nurses in terms of personal beliefs, FPDR enhancing professional satisfaction and behaviour, and the importance of a support person and saying goodbye (p < 0.001). However, general responses demonstrated that the majority of HPs encouraged and supported FPDR, but with greater support from physicians than nurses.ConclusionThe study reflects that many HPs in EDs participated in and are familiar with FPDR, with the majority of ED physicians supporting it. Further studies should investigate the reasons for the lack of support from nurses. Results may contribute to the development of hospital ED policies that allow FPDR in the region.

Highlights

Worldwide, policies exist on family presence during resuscitation (FPDR), this is still lacking in the Gulf Corporation Countries (GCC) in general and in the Kingdom of Bahrain in particular
The concept of Family presence during resuscitation (FPDR) is familiar to many healthcare providers (HP) in the emergency department (ED) of the Kingdom of Bahrain, and a significant percentage of HPs have participated in cardiopulmonary resuscitations (CPR) in the presence of a family member, despite the lack of policies allowing or forbidding FPDR
This study demonstrates that the majority of ED physicians support FPDR, whereas an equal percentage of ED nurses are against it

Summary

Introduction

Policies exist on family presence during resuscitation (FPDR), this is still lacking in the Gulf Corporation Countries (GCC) in general and in the Kingdom of Bahrain in particular. The aim of this study is to assess the perspectives of healthcare providers (HP) on FPDR among those working in the emergency departments (EDs) in the Kingdom. According to the National Registry of Cardiopulmonary Resuscitation, about 9–11% of in-hospital cardiopulmonary resuscitations (CPR) occur in the emergency department (ED) [1]. This can be a traumatizing process for family members [2]. Presence during resuscitation (FPDR) is a controversial circumstance that is gaining acceptance [3]. In Europe, about 52% of countries do not practice FPDR, and on a worldwide scale, 69% do not support FPDR [2]

Objectives

Methods

Results

Discussion

Conclusion