Acil Servis Sağlık Çalışanlarının Aile Tanıklı Resüsitasyon Uygulamasına İlişkin Görüş ve Deneyimleri

Abstract

Güney T. Views and Experiences of the Emergency Service Health Workers on the Practice of Family Witnessed Resuscitation, Hacettepe University Graduate School of Health Sciences, Fundamentals of Nursing Programme, Master’s Thesis, Ankara, 2023. Resuscitation procedures include all emergency care interventions initiated by a healthcare team to maintain the patient's life. Family-witnessed resuscitation is the presence of one or more family members in a place that allows them to make visual and/or physical contact in the resuscitation area. Family-witnessed resuscitation, which is based on the principles of family-centered care and is increasingly common today, is becoming an increasingly important approach for healthcare professionals. This study was conducted on 154 healthcare professionals working in the T.C. Ministry of Health Training and Research Hospitals within the borders of Ankara province, as a descriptive cross-sectional study, to examine the views and experiences of emergency department healthcare workers (doctors, nurses, emergency medical technicians, paramedics, and health technicians) on the practice of family-witnessed resuscitation. Data were collected by the researcher through the "Identifying Features Form" and the "Family Presence Risk-Benefit Scale". Descriptive statistical analyses, t-test for samples, Mann-Whitney U test and Kruskal-Wallis tests were used in the evaluation of the data. According to the findings of the study; 85.8% of emergency department healthcare workers stated that they had not witnessed the resuscitation of their loved ones. The healthcare workers who participated in the study stated that family witnessing in resuscitation procedures is beneficial in terms of ensuring transparency, but it is a traumatic practice for families, and 96.8% of the healthcare workers who participated in the study stated that their loved ones should not be present. The majority of healthcare workers expressed concern that the presence of their loved ones in resuscitation procedures would disrupt the functioning of the healthcare team, increase the risk of violence/mobbing, and the possibility of the family interfering with the procedures. The healthcare workers who participated in the study found the presence of the family in resuscitation procedures to be less beneficial and more risky. Among emergency department healthcare workers, nurses found family-witnessed resuscitation to be less risky and more beneficial than doctors, health officers found family-witnessed resuscitation to be less risky and more beneficial than emergency medical technicians/paramedics, and those who did not have CPR training found family-witnessed resuscitation to be less risky and more beneficial than those who did. It is recommended that policies be developed on family-witnessed resuscitation, necessary information be provided to increase the awareness of society and families, and the practice be included in the training curriculum in professional development processes, in order to reduce the risk perceptions of healthcare workers on family-witnessed resuscitation and to remove the obstacles to inviting the family to resuscitation procedures.

Key Words: Family, cardiopulmonary resuscitation, critical care, witnessed resuscitation