Preferences of patients’ family regarding family-witnessed cardiopulmonary resuscitation: A qualitative perspective of intensive care patients’ family members

Abstract

ObjectivesTo describe preferences of intensive care patients’ family members regarding the idea of an inpatient family-witnessed cardiopulmonary resuscitation. Research methodology/designA descriptive qualitative design was used in this study. Twelve family members of intensive care patients took part in individual semi-structured interviews. Data were analysed using thematic analysis. SettingA population of Finnish and Polish former intensive care adult patients’ relatives. FindingsThe thematic analysis resulted in two main themes with four subthemes each: (Theme 1) Being more involved and engaged in patient’s care in case of cardiopulmonary resuscitation, with subthemes: (a) Having an option to decide, (b) Being in physical proximity to the patient, (c) Feeling like having more control and impact and (d) Having a better idea about the situation. (Theme 2) Being cared for and treated respectfully during possible cardiopulmonary resuscitation, with subthemes: (a) Need for more support and understanding from the staff, (b) Uniqueness of the family – patient relationship, (c) Need for staff to be more humane and less mechanical and (d) Professional and highly qualified staff. ConclusionResults of this study suggest a possible gap in family-centred care delivery in intensive care settings. System changes are necessary in order to increase nurses’ awareness of patients’ families’ preferences, and successfully implement recommended family-witnessed cardiopulmonary resuscitation.