Family presence during resuscitation: patient and family members’ preferences and attitudes

Indah D. Pratiwi


Background: This literature review presents a review of the available studies into family presence during resuscitation (FPDR) in the context of emergency department and critical care unit from the point of view of patients and family members. This literature review provides the background for understanding the debate about FPDR. The paper examines the state of current research on the topic and points out gaps in existing literature.

Methods: A comprehensive search of OVID Nursing, Web of Science (Web of Knowledge), Elsevier, ProQuest and Google Scholar electronic search engine. Thematic analysis was used to extract themes from the 25 studies reviewed (quantitative, qualitative and mixed-methods studies), resulted in five major themes and five minor themes.

Results: Five major themes from this literature review were: (1) patient and family members’ preferences; (2) perceived benefits of family presence during resuscitation; (3) perceiving family presence as a right; (4) the importance of a family facilitator; and (5) the involvement of decision making.

Conclusions: This literature review has established the potentials of family presence during resuscitation to improve patient and family-centred care by helping and providing family members to manage and to adjust during traumatic circumstances.





Attitudes, Family members, Family presence, Patient, Preferences, Resuscitation

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Emergency Nurses Association (ENA), Emergency Nursing Resource: Family Presence during Invasive Procedures and Resuscitation in the Emergency Department. Available at:>,2009.

Doyle CJ, Post H, Burney RE, Maino J, Keefe M, Rhee KJ, Family participation during resuscitation: an option, Annals of Emergency Medicine. 1987. 16;6:673-67.

American Heart Association (AHA), Part 2: Ethical Aspects of CPR and ECC, Circulation, vol. 102, no. I-12. Available at:>,2010.

American Association of Critical-Care Nurses (AACCN), AACCN Practice Alert: FPDR and invasive procedures. Available at:>, 2010.

European Resuscitation Council (ERC), European resuscitation council guidelines for resuscitation 2010 section 1: executive summary, Resuscitation. 2010;81;1219-76.

Polit and Beck, Nursing research: generating and assessing evidence for nursing practice, 9th ed, Lippincott Williams and Wilkins, Philadelphia; 2012.

Grice AS, Picton P, Deakin CDS. Study examining attitudes of staff, patients and relatives to witnessed resuscitation in adult intensive care units, British Journal of Anaesthes. 2003;91;6:820-4.

Pasquale MA, Pasquale MD, Baga L, Eid S and Laske J, Family presence during trauma resuscitation: ready for primetime?, The Journal of Trauma Injury, Infection, and Critical care. 2010; 69;5:1092-100.

Mazer MA, Cox LA and Capon JA. The public’s attitude and perception concerning witnessed cardiopulmonary resuscitation, Critical Care Medic. 2006;34;12:2925-8.

Barrat F, Wallis DN. Relatives in the resuscitation room: their point of view, J Accident Emerg Medic. 1997;15;109-11.

Azouly E, Pochard F, Chevert S, Arich C, Brivet F, Brun F, et al. Family participation in care to the critically ill: opinions of families and staff, Intensive Care Med. 2003;29:1498-504.

Meyers TA, Eichhorn DJ, Guzzetta CE. Do families want to be present during CPR? A retrospective survey’, J Emerg Nurs. 1998;24:400-5.

Robinson SM, Mackenzie-Ross S, Campbell Hewson GL, Egleston CV, Prevost AT. Psychological effect of witnessed resuscitation on bereaved relatives, The Lancet. 1998;352:614-7.

Boie ET, Moore GP, Brummet C, Nelson DR, Do parents want to be present during invasive procedures performed on their children in the emergency department? A survey of 400 parents, Annals of Emergency Medic. 1999;34;1:70-4.

Duran CR, Oman KS, Jordan JJ, Koziel VM Szymanski D. Attitudes toward and beliefs about family presence: a survey of healthcare providers, patients’ families, and patients, Americ J Critic Care. 2007;16;3:270-80.

Eichhorn DJ, Meyers TA, Guzzetta CE, Clark AP, Klein JD, Taliaferro E, et al. Family presence during invasive procedures and resuscitation: hearing the voice of the patient, AJN: The Americ J Nurs. 2001;101;5:48-55.

Benjamin M, Holger J, Carr, M. Personal preference regarding family member presence during resuscitation, Academic Emergency Medic. 2004;7:750-3.

McMahon-Parkes K, Moule P, Benger J, Albarran JW. The views and preferences of resuscitated and non-resuscitated patients towards family-witnessed resuscitation: A qualitative study, International Journal of Nursing Studies. 2009;46;220-9.

Leung NY, Chow SKY. Attitudes of healthcare staff and patients’ family members towards family presence during resuscitation in adult critical care units. J Clinic Nurs. 2012;21;2083-93.

Ong MEH, Chung WL, Mei JSE. Comparing attitudes of the public and medical staff towards witnessed resuscitation in an Asian population, Resuscitation. 2007;73:103-8.

Wagner JM. Lived experience of critically ill patients’ family members during cardiopulmonary resuscitation, Americ J Critic Care. 2004;13;5:416-20.

Weslien M, Niltsun T, Lundqvist A, Fridlund B. Narratives about resuscitation – family members differ about presence, European Journal of Cardiovascular Nursing. 2006;5:68-74.

Hadders H. Relatives’ presence in connection with cardiopulmonary resuscitation and sudden death at the intensive care unit, Nursing Inquiry. 2007;3:224-32.

Maxton FJC. Parental presence during resuscitation in the PICU: the patients’ experience. Sharing and surviving the resuscitation: a phenomenological study, Journal of Clinical Nurs. 2008;17:3168-76.

Harvey ME, Pattinson HM. Being there: a qualitative interview study with fathers present during the resuscitation of their baby at delivery, Arch Dis Child Fetal Neonatal Ed; 2012

Meyers TA, Eichhorn DJ, Gizzetta CEm Clark AP, Taliaferro E. Family presence during invasive procedures and resuscitation; the experience of family members, nurses, and physicians, Topics in Emergency Medic. 2004;26;1:61-73.

Morse JM, Pooler C. Patient-family nurse interactions in the trauma resuscitation room, Americ J Critic Care. 2002;11;3:240-9.

Holzhauser K, Finucane J, De Vries S. Family presence during resuscitation: a randomised controlled trial of the impact of family presence’, Australasian Emergency Nurs J. 2006;8:139-47.

McGahey-Oakland PR, Lieder HS, Young A, Jefferson LS, Family experiences during resuscitation at a children’s hospital emergency department, J Paediatric Health Care. 2007;4:217-25.