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American Journal of Critical Care. 2003;12: 246-257
Copyright © 2003 by the American Association of Critical-Care Nurses.
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Family Presence During Cardiopulmonary Resuscitation and Invasive Procedures: Practices of Critical Care and Emergency Nurses

By Susan L. MacLean, RN, PhD, Cathie E. Guzzetta, RN, PhD, HNC, Cheri White, RN, PhD, CCRN, Dorrie Fontaine, RN, DNSc, Dezra J. Eichhorn, RN, MS, CNS, PMHNP, Theresa A. Meyers, RN, BSN, CCRN and Pierre Désy, BSc. From Emergency Nurses Association, Des Plaines, Ill (SLM, PD), Holistic Nursing Consultants and Children’s Medical Center of Dallas, Dallas, Tex (CEG), Sutter Roseville Medical Center, Roseville, Calif (CW), School of Nursing, University of California, San Francisco, Calif (DF), North Arkansas Human Services System, Batesville, Ark (DJE), and Memorial Hospital, Colorado Springs, Colo (TAM).

• Background Increasingly, patients’ families are remaining with them during cardiopulmonary resuscitation and invasive procedures, but this practice remains controversial and little is known about the practices of critical care and emergency nurses related to family presence.

• Objective To identify the policies, preferences, and practices of critical care and emergency nurses for having patients’ families present during resuscitation and invasive procedures.

• Methods A 30-item survey was mailed to a random sample of 1500 members of the American Association of Critical-Care Nurses and 1500 members of the Emergency Nurses Association.

• Results Among the 984 respondents, 5% worked on units with written policies allowing family presence during both resuscitation and invasive procedures and 45% and 51%, respectively, worked on units that allowed it without written policies during resuscitation or during invasive procedures. Some respondents preferred written policies allowing family presence (37% for resuscitation, 35% for invasive procedures), whereas others preferred unwritten policies allowing it (39% for resuscitation, 41% for invasive procedures). Many respondents had taken family members to the bedside (36% for resuscitation, 44% for invasive procedure) or would do so in the future (21% for resuscitation, 18% for invasive procedures), and family members often asked to be present (31% for resuscitation, 61% for invasive procedures).

• Conclusions Nearly all respondents have no written policies for family presence yet most have done (or would do) it, prefer it be allowed, and are confronted with requests from family members to be present. Written policies or guidelines for family presence during resuscitation and invasive procedures are recommended.




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