La opinión de los profesionales sanitarios sobre la presencia de familiares durante las maniobras de resucitación cardiopulmonar

• Autores: J.M. Asencio Gutiérrez, I. Reguera Burgos
• Localización: Enfermería intensiva, ISSN 1130-2399, Vol. 28, Nº. 4, 2017, págs. 144-159
• Idioma: español
• DOI: 10.1016/j.enfi.2017.01.002
• Títulos paralelos:
  • The opinion of health professionals regarding the presence of relatives during cardiopulmonary resucitation
• Texto completo no disponible (Saber más ...)
• Resumen
  • español

    Introducción: Las últimas recomendaciones de la American Heart Association y de la European Resuscitation Council invitan a permitir la presencia de familiares (PF) durante la resucitación cardiopulmonar (RCP) como un cuidado familiar más.

    Objetivo Conocer la opinión de los profesionales sanitarios sobre la PF durante las maniobras de RCP.

    Método Estudio observacional descriptivo transversal realizado a través de una encuesta online en España, elaborada con muestreo no probabilístico (n=315).

    Resultados El 45% cree que la PF durante la RCP no es una demanda de los usuarios. El 64% valora de forma negativa o muy negativa la implantación de esta práctica. El 45% opina que evitaría el sentimiento de abandono que se instala en los allegados, siendo este el beneficio potencial más percibido. El 30% no cree que pueda ayudar a reducir la ansiedad de los familiares. La mayoría señala que la PF provocaría situaciones de violencia, daño psicológico en los testigos y más errores durante la atención. El 48% se siente preparado para desempeñar el papel de acompañante.

    Conclusiones La mayoría de los profesionales percibe más riesgos que beneficios, mostrándose desfavorables a permitir la PF debido a una actitud paternalista y al miedo a las reacciones que estos pudieran presentar hacia el equipo. El personal de Urgencias y Emergencias extrahospitalarias parece el colectivo más abierto a permitir esta práctica. La mayoría de los profesionales no se sienten del todo preparados para desempeñar el papel de acompañante

  • English

    Background The latest recommendations from the American Heart Association and the European Resuscitation Council invite allowance for the presence of relatives (PR) during cardiopulmonary resuscitation (CPR) as an extra measure of family care.

    Objective To discover the opinion of health professionals on the PR during CPR.

    Method Cross-sectional observational study through an online survey in Spain, based on a non-probability sample (n=315).

    Results 45% consider that the PR during CPR is not demanded by users. 64% value the implementation of this practice in a negative or a very negative way. 45% believe that the practice would avoid the feeling of abandonment that is instilled in the relatives, this being the most widely perceived potential benefit. 30% do not believe that it can help reduce the anxiety of relatives. The majority remarked that PR would cause situations of violence, psychological harm in witnesses, and more mistakes during care. 48% feel prepared to perform the role of companion.

    Conclusions Most professionals perceive more risks than benefits, and are not in favour of allowing PR due to a paternalistic attitude, and fear of the reactions that could be presented to the team. Extra-hospital emergency personnel seems to be the group most open to allowing this practice. Most professionals do not feel fully prepared to perform the role of companion

• Referencias bibliográficas
  • [1] J.T. Gräsner, R. Lefering, R.W. Koster, S. Masterson, B.W. Böttiger, J. Herlitz, et al. EuReCa ONE—27 Nations, ONE, Europe, ONE Registry....
  • [2] Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 2: Ethical aspects of CPR and ECC. Circulation.,...
  • [3] J.L. Monzón, I. Saralegui, R. Molina, R. Abizanda, M.C. Martín, L. Cabre, et al. Ética de las decisiones en resucitación cardiopulmonar....
  • [4] F.K. Lippert, V. Raffay, M. Georgiou, P.A. Steen, L. Bossaert. European Resuscitation Council Guidelines for Resuscitation 2010 Section...
  • [5] L.J. Morrison, G. Kierzek, D.S. Diekema, M.R. Sayre, S.M. Silvers, A.H. Idris, et al. Part 3: Ethics: 2010 American Heart Association...
  • [6] L.L. Bossaert, G.D. Perkins, H. Askitopoulou, V.I. Raffay, R. Greif, K.L. Haywood, et al. European Resuscitation Council Guidelines for...
  • [7] M.E. Mancini, D.S. Diekema, T.A. Hoadley, D. Kelly, K.D. Kadlec, M.H. Leveille, et al. Part 3: Ethical Issues. Circulation., 132 (2015),...
  • [8] C. Balogh-Mitchell. Is it time for family presence during resuscitation in the OR?. AORN J, 96 (2012), pp. 14-25 http://dx.doi.org/10.1016/j.aorn.2011.06.013
  • [9] J.E. Porter, S.J. Cooper, K. Sellick. Family presence during resuscitation (FPDR): Perceived benefits, barriers and enablers to implementation...
  • [10] S.S. McAlvin, A. Carew-Lyons. Family precense during resuscitation and invasive procedures in pediatric critical care: A systematic review....
  • [11] J.S. Leske, N.S. McAndrew, K.J. Brasel. Experiences of families when present during resuscitation in the emergency department after trauma....
  • [12] D.M. Achury-Saldaña, O.J. Arango, G. García-Laverde, N. Herrera-Zerrate. Percepciones relacionadas con la presencia de la familia en...
  • [13] O.P. Fell. Family presence during resuscitation efforts. Nursing Forum., 44 (2009), pp. 144
  • [14] A.N. Hodge, A.P. Marshall. Family presence during resuscitation and invasive procedures. Collegian., 16 (2009), pp. 101-118
  • [15] P. Jabre, K. Tazarourte, E. Azoulay, S. Borron, V. Belpomme, L. Jacob, et al. Offering the opportunity for family to be present during...
  • [16] K. Shaw, D. Ritchie, G. Adams. Does witnessing resuscitation help parents come to terms with the death of their child? A review of the...
  • [17] T.A. Dwyer. Predictors of public support for family presence during cardiopulmonary resuscitation: A population based study. Int J Nurs...
  • [18] S. Mottillo, J.S. Delaney. Should family members witness cardiopulmonary resuscitation?. CJEM, 16 (2014), pp. 497-501
  • [19] S. Köberich, A. Kaltwasser, O. Rothaug, J. Albarran. Family witnessed resuscitation —experience and attitudes of German intensive care...
  • [20] M.S. Dall’Orso, P.J. Concha. Presencia familiar durante la reanimación cardiopulmonar: la mirada de enfermeros y familiares. Cienc Enferm,...
  • [21] C.A.G. Ferreira, F.S. Balbino, M.M.F.G. Balieiro, M.A. Mandetta. Family presence during cardiopulmonary resuscitation and invasive procedures...
  • [22] J.A. Colbert, J.N. Adler. Family presence during cardiopulmonary resuscitation —Polling results. N Engl J Med, 368 (2013), e38.2-E38
  • [23] L.M. Feagan, N.J. Fisher. The impact of education on provider attitudes toward family-witnessed resuscitation. J Emerg Nurs., 37 (2011),...
  • [24] Asencio-Gutiérrez JM. La presencia de familiares durante las maniobras de resucitación cardiopulmonar: revisión bibliográfica. Ciberrevista....
  • [25] S. Kosowan, L. Jensen. Family presence during cardiopulmonary resuscitation: Cardiac health care professionals’ perspectives. Can J Cardiovasc...
  • [26] Ministerio de Sanidad Servicios Sociales e Igualdad [sede Web]. Aprobado Real Decreto que regula el Registro de Profesionales Sanitarios....