The Effect of Family Presence During Resuscitation and Invasive Procedures on Patients and Families: An Umbrella Review

• Published in: Journal of emergency nursing 2021-09, Vol.47 (5), p.752-760
• Main Authors: Vardanjani, Ali Esmaeili, Golitaleb, Mohamad, Abdi, Kamel, Kia, Mansoreh Karimi, Moayedi, Siamak, Torres, Mercedes, Dehghan-Nayeri, Nahid
• Format: Article
• Language: English
• Subjects: Cardiopulmonary resuscitation; Councils; CPR; Delivery of Health Care; Emergency medical care; Families & family life; Family; Health care; Health Personnel; Humans; Invasive; Invasive procedures; Medical personnel; Meta-analysis; Meta-Analysis as Topic; Mortality; Nurses; Nursing; Parents; Parents & parenting; Patients; Pediatrics; Presence; Relatives; Resuscitation; Standard scores; Systematic review; Systematic Reviews as Topic; Umbrella review; Witness
• ISSN: 0099-1767; 1527-2966; 1527-2966
• DOI: 10.1016/j.jen.2021.04.007

The concept of family presence during resuscitation and invasive procedures is a controversial issue and has not been universally adopted by health care providers. Owing to the sheer number of studies in this field, we conducted this umbrella study to provide an overview of this concept with the aim of investigating the impact of family presence on patients, families, and resuscitation and invasive procedures. In this review, using the Joanna Briggs Institute levels of evidence umbrella methodology guidelines, the authors searched PubMed, Google Scholar, Embase, MEDLINE, Web of Science, Scopus, and the Cochrane database for systematic review and meta-analysis studies that evaluated the presence of family during resuscitation and invasive procedures without time limit until July 2020. The following key words were used for the search: family presence; family witness; parent presence; parent witness; and resuscitation. A total of 254 articles published between January 1967 and July 2020 were screened. Five articles (1 meta-analysis and 4 systematic reviews) met the inclusion criteria. The review showed that family presence during resuscitation or invasive procedures does not have negative effects on family members, patients, or the resuscitation or invasive intervention process. Family members focus on the patients, not the ongoing treatment. The presence of family members is beneficial for both family members and health care staff. None of the reviewed studies reported a negative effect on family members. The presence of parents and other immediate family members during resuscitation and invasive procedures has positive impacts on patients, families, and health care staff.