The Lived Experiences of Resuscitation Team Members and Patients Family about Family Presence During Resuscitation: A Hermeneutic Phenomenology

Abstract

Abstract: Background: Family Presence during Resuscitation controversial among clinicians from implementation to practice and there are a number of countries. such as Iran, where that is considered a low priority. Objective:To explore the lived experiences of resuscitation team members and patients families with the presence of patient's family during resuscitation. Design: The hermeneutic phenomenology. Settings: The emergency departments and critical care units of 7 tertiary hospitals in Tabriz, Iran. Participants: A purposive sample of nurses, physicians and family members was used to recruit participants who had experienced an actual family witnessed resuscitation event, and wanted to participate. The sample size was determined accordin to data richness. Data collection ended when the data were considered rich and varied enough to illuminate the phenomenon, and no new themes emerged following the interview pf 12 nurses and 8 phisicians and 6 family members. Method: semi-structured, face to face interviews were held with the participants over a period of 6 months, and IPA method of data analysis was adopted. Findings: 4 super-ordinate themes and 15 sub-ordinate themes emerged from the CPR team members data analaysis, including destructive presence(interference in resuscitation, argument with resuscitation team, disruption to resuscitation teams focus, adverse mental image in family, creating sterss in team members, and fufile resuscitation), neutral presence (being experienced, not complicated procedure) and CPR liaison (accountable person, family supporter). However 4 super-ordinate themes and 11 sub-ordinate themes emerged from the family members data analaysis, including insist on presence(distrust, ambiguity, concern), gain soothing (psychological support, informing of the process of resuscitation, easier grief reaction, elimination of doubt), convergence(collaborating with the team and non-interference in resuscitation) and divergence (interference with colleague in team work and agitation transfer to team members). Conculasions: CPR team members stated that FPDR may work as a double-edged sword to family and resuscitation team, hurting, or, saving quality. And patients family despite of agitation transfer to team members, instist on their presence and expect to being beside patient. it is thus recommended that guidlines be made in order to protect patients and family rights, while considering the positive, saving, edge of the phenomenon for hospitals.