Witnessed resuscitation of adult and paediatric hospital patients: An umbrella review of the evidence
Tíscar González, Verónica
De Ríos-Briz, Nuria
Moreno-Casbas, Maria Teresa
MetadataShow full item record
Objective To examine the research evidence about whether families were allowed to witness cardiopulmonary resuscitation on hospitalised adult and paediatric patients; and the views of patients, families and health professionals, about witnessed cardiopulmonary resuscitation. Design An umbrella review
methodology of systematic reviews with sufficient methodological quality. Review methods Papers published in Spanish and English between, 1 January 2009 and 31 December 2018 were considered. The following databases were searched: PubMed, CINAHL, Web of Science, Scopus, Cochrane Central Register of Controlled Trials, PsycInfo, Embase, the Central Supplier Database and the Joanna Briggs Institute, Evidence-based Practice Database. Two independent reviewers assessed the papers for methodological quality employing instruments from the Joanna Briggs Institute. Critical appraisal, extraction and synthesis were carried out, employing the established methods for umbrella reviews and the protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO number CRD42019145610). Results The search identified 12 systematic reviews with moderate-to-high quality, which covered 110 original papers. Habitually, health professionals expressed controversial views and showed some reluctance to let families be present during cardiopulmonary resuscitation. In contrast, family members felt strongly that they should be present and patients agreed. Key factors that facilitated witnessed cardiopulmonary were a formal institutional policy, educating health professionals, and designating a health professional to support the family. Educational and cultural backgrounds influenced healthcare professionals' experiences and their attitudes towards witnessed cardiopulmonary resuscitation. In general, Anglo-Saxon countries showed greater support for this practice. These included the United States, which was the country that dominated the literature on this subject. Conclusions The best available evidence supports allowing the family to be present during cardiopulmonary resuscitation. It is necessary to include this practice in educational curricula and to train emergency personnel in its implementation. Culturally sensitive policies need to be designed, and the public to be aware of their right to be present.
Is part ofInternational Journal of Nursing Studies, 2020, p. 1-48
The following license files are associated with this item:
Showing items related by title, author, creator and subject.
Tíscar González, Verónica; Blanco Blanco, Joan; Gea Sánchez, Montserrat; Rodriguez-Molinuevo, Ascensión; Moreno-Casbas, Maria Teresa (PeerJ, 2019)Background Nurses are often the first to activate the chain of survival when a cardiorespiratory arrest happens. That is why it is crucial that they keep their knowledge and skills up-to-date and their attitudes to ...
Presencia de familiares durante la reanimación cardiopulmonar: perspectivas de pacientes, familiares y profesionales de la salud en el País Vasco Tíscar González, Verónica; Gastaldo, Denise; Moreno-Casbas, Maria Teresa; Peter, Elizabeth; Rodriguez-Molinuevo, Ascensión; Gea Sánchez, Montserrat (Elsevier, 2018)Objetivo Explorar la percepción acerca de la presencia de familiares durante la reanimación cardiopulmonar (RCP) en pacientes adultos, de los propios pacientes y familiares, enfermeras y médicos. Diseño Se desarrolló ...
Climent-Sanz, Carolina; Marco-Mitjavila, Anna; Pastells-Peiró, Roland; Valenzuela Pascual, Francesc; Blanco Blanco, Joan; Gea Sánchez, Montserrat (MDPI, 2020-04-26)Poor sleep quality is a common concern and a troublesome symptom among patients suffering from fibromyalgia. The purpose of this review was to identify and describe the available patient reported outcome measures (PROMs) ...