Introduction
The Family members of patients encounter severe stress and
apprehensions. They need consistent support and encouragement for the better
recovery of their loved ones. The Nurses provide support to the family members
during the resuscitation of patients. The literature is full of evidence that
supports or discourage the family presence during the resuscitation of the
patient. A few studies support the family presence during resuscitation while
others discourage.
The process of resuscitation
cause an immense amount of stress on nurses, physicians, and the family
members, and they require series of immediate well-planned actions to overcome
the worst condition or prevent death (Hassankhani, Haririan, & Porter,
2017). Therefore, the current topic and articles for justifications have been
selected to investigate the challenges and to avoid the adverse outcomes of
family resuscitation about improve the quality of health care. Here the
question arises if the family members should be allowed to present while during
the resuscitation of the patient in the acute care setting.
Psychological Advantages of Family Presences during Resuscitation
The family presence during a patient’s resuscitation remains
controversial in the literature in the recent times. Numerous studies indicate
that parent’s presence positively affects the patient health both physically
and psychologically. Family or patient-centered care and respect are a
fundamental aspect of nursing practice (American Nurses Association, 2010).
Nurses endeavor to offer holistic care approach to all patients and family
members in all practice settings specifically in acute care. In severe cases,
the patients and the family members of the patients marked persistent fear and
anxieties towards health and illness and intervention modalities as well. Both
the parents and patient need psychological and moral support to cope with the
situation. The few studies indicate that family presence positively affects the
mental outcome during resuscitation on both the parents and the patients (De
Stefano et, al., 2016).
The De Stefano et al.,
(2018) conducted a study to investigate the impact of the family presence and
effective communication of family member with the patients during the cardiac
resuscitation. The 75 members were interviewed to identify their experiences,
and the results of the study indicated that the family presence decreases the
pain of the resuscitation for both the patient and the family as well. Another
study indicated that the parents of the patient report good signs and optimism
while observing the resuscitation of their beloveds. According to a study, the
patient care in the presence of their family member increases the probability
of recovery ten times more than those patients whose guardians do not present
in the resuscitation (Miller, & Stiles 2009). The psychological and moral
supports have been found to be interlinked with the positive outcome of
resuscitation. Numerous studies indicate that family member manifest an
enormous sense of satisfaction while observing the process of resuscitation and
feel obliged while fulfilling the needs of the patients.
The literature also
recommended that the family member wants to feel the pain or recovery of the
patients and lack of awareness about the condition of the patient during the
resuscitation of the patients enhances the feeling of irritability among family
members. Although the considerable body of researchers highlights the
advantages of family presence during the resuscitation, many studies also
recommend disadvantages as well.
Disadvantages of Family Presence during Resuscitation
In contrast to the above study, the other reviews indicated that
the presence of family member during the resuscitation negatively affect the
consequences on the performances of the nurses and other healthcare
professionals. The extensive studies have been carried out using many different
variable and measurement tools to assess the relationship between family
presence and the quality nurses performance during the resuscitation. Literature provides extensive data on the
disadvantages of family presence during the resuscitation of the patient. Various studies provide a diverse variable
that creates inconvenience in resuscitation are mentioned below. According to
Powers, (2014) that the family presence during resuscitation deteriorates the
self-confidence of the nurses that further leads to adverse consequences.
The confidence of the nurses
shattered with the family intervening and criticism. Some studies indicate that
despite the lack of knowledge towards the resuscitation procedure, the family
member of the patient recommends their suggestion to nurses for amendment and
different direct approaches to heal the patient (Norton, Dimon, Knapp,
Richards, Kelly and Frey 2007). Such inconvenience disturbed the nurses, and
they feel discouraged. Several hospitals, disallow the family presence during
resuscitation, and the healthcare professional makes all the decision to
improve the Quality of Life of the patients.
The family member and guardian manifest excessive apprehensions, fear
towards healthcare modalities, and interrupt the professionals conducting the
series of action for health care recovery. Some health professionals
recommended that however, the presence of family members not merely affect the
effectiveness of the resuscitation, but also expose the minor mistakes that
provide an opportunity to legislation and criticism (Mortelmans 2010). The
nurses prefer the traditional approach of resuscitation, in which family
members have to wait in the waiting room, and the nurses provide all the
information regarding life-saving procedures and the status of the patients.
According to literature the performance anxiety, fear of criticism
and mistake adversely affect the performance of the nurse (Lederman, &
Wacht, 2014). A study has been carried
out to assess the pitfalls of parents present during the resuscitation, and the
results of the study indicated that the stereotypes, unrealistic expectations,
and extensive interruptions by the family member reduced the positive
consequences of the study. Another dilemma that interferes with the outcomes of
the resuscitation is the ambivalence in the selection of participation of the
family member that can endure the ups and down while during the process
(Miller, Stiles, 2009).
The recent data suggested
that the nurses reported that family member's shows non-acceptance to
resuscitation approaches in acute care settings. Some comparative studies
indicated nurses reported that the guardians of the patient show non-compliance
while during the process of resuscitation (Miller, Stiles, 2009). The above
evidence regarding the pitfalls of the family presence during the resuscitation
process provides the right direction for disallowing them to attend the process.
The health care professional, government and non-government organization should
work for controlling the situation. The patient quality of health may enhance
by taking a few cautious steps to facilitate the resuscitation process.
Conclusion
Although the substantial evidence in the favor or against the
presence of family member comprised of some pores and corns. No doubt, the
advantage of family presence leave the positive effect on the psychological
well-being of the patient, but the literature recommends some disadvantages
associated with the presence of parents during resuscitation. The pores and
cons are more devastating and cause disturbances in achieving the desirable
goal; therefore, I discourage the presence of parents during the resuscitation.
The resuscitation is the sensitive and complicated process, any inconvenience
and distraction may adversely affect the positive consequences. Therefore, the
family member should not be allowed during the resuscitation of patients in
acute care.