Abstract

Healthcare providers have disparate views of family presence during cardiopulmonary resuscitation; however, the attitudes of physicians have not been investigated systematically. This study investigates the patterns and determinants of physicians' attitudes to FP during cardiopulmonary resuscitation in Saudi Arabia. A cross-sectional design was applied, where a sample of 1000 physicians was surveyed using a structured questionnaire. The study was conducted in the southern region of Saudi Arabia for over 11 months (February 2014–December 2014). The collected data was analyzed using the Pearson chi-square test. Spearman's correlation analysis and chi-square test of independence were used for the analysis of physicians' characteristics with their willingness to allow FP. 80% of physicians opposed FP during cardiopulmonary resuscitation. The majority of them believed that FP could lead to decreased bedside space, staff distraction, performance anxiety, interference with patient care, and breach of privacy. They also highlight FP to result in difficulty concerning stopping a futile cardiopulmonary resuscitation, psychological trauma to family members, professional stress among staff, and malpractice litigations. 77.9% mostly disagreed that FP could be useful in allaying family anxiety about the condition of the patient or removing their doubts about the care provided, improving family support and participation in patient care, or enhancing staff professionalism. Various concerns exist for FP during adult cardiopulmonary resuscitation, which must be catered when planning for FP execution.

Highlights

  • In clinical medicine, allowing family members to be present at a patient’s bedside during cardiopulmonary resuscitation (CPR) is a controversial issue [1]

  • The majority of the physicians included in this study stated that family presence (FP) during CPR could increase the risk of adverse psychological reactions among family members, professional stress among staff, and the temptation to open up malpractice suits

  • The present study has investigated the patterns and determinants of physicians’ attitudes to FP during cardiopulmonary resuscitation

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Summary

Introduction

In clinical medicine, allowing family members to be present at a patient’s bedside during cardiopulmonary resuscitation (CPR) is a controversial issue [1]. BioMed Research International family members to communicate information to the health team and provides spiritual and emotional support to the patients [2,3,4]. Studies reveal that FP practice allows healthcare professionals (HCP) to perceive the patients, not as a disease but an individual who belongs to someone [2,3,4]. This improves care quality and enhances satisfaction with healthcare services [5]. Several professional bodies have published recommendations or expressed opinions in favor of FP during CPR suggesting no adverse effects, and some possible benefits of FP during CPR [15,16,17]

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