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Families in Critical Care| November 01 2014
Family Presence During Resuscitation and Invasive Procedures in Pediatric Critical Care: A Systematic Review
CE Article
Sarah Smith McAlvin, RN, MSN, CPNP, CCRN, CPEN
Sarah Smith McAlvin is a staff nurse on the critical care transport team at Boston Children's Hospital, Boston, Massachusetts and a student in the PhD nursing program, population health track, at the University of Massachusetts, Boston. Aimee Carew-Lyons is the nursing director of the medical surgical intensive care unit/critical care transport team at Boston Children's Hospital, Boston, Massachusetts and a student in the PhD nursing program, population health track, at the University of Massachusetts Boston.
Corresponding author: Sarah Smith McAlvin, rn, msn, cpnp, ccrn, cpen, Boston Children's Hospital, Fegan 045, 3074, 300 Longwood Avenue, Boston, MA 02115 (e-mail: sarah.smith@childrens.harvard.edu).
Aimee Carew-Lyons, RN, MSN, CPNP, CCRN, NEBC, CPHQ
Am J Crit Care (2014) 23 (6): 477–485.
https://doi.org/10.4037/ajcc2014922
Sarah Smith McAlvin, Aimee Carew-Lyons; Family Presence During Resuscitation and Invasive Procedures in Pediatric Critical Care: A Systematic Review. Am J Crit Care 1 November 2014; 23 (6): 477–485. doi: https://doi.org/10.4037/ajcc2014922
search filter All ContentAmerican Journal of Critical Care
In pediatric critical care, family-centered care is a central theme that ensures holistic care of the patient and the patient's family. Parents expect and are encouraged to be involved in the care of their child throughout all phases of the child's illness. Family presence is generally accepted when the child's condition is stable; however, there is less consensus about family presence when the child becomes critically ill and requires resuscitation and/or invasive procedures.
The PRISMA model guided this systematic literature search of CINAHL, MEDLINE, Ovid, and PubMed for articles published between 1995 and 2012. Specific search terms used included pediatric intensive care, parent presence, family presence, pediatrics, invasive procedures, and resuscitation.
This literature search yielded 117 articles. Ninety-five abstracts were evaluated for relevance. Six articles met criteria and were included in this review. The findings indicate that parents want to be present during invasive procedures and resuscitation, would choose to be present again, recommend being present to others, and would not have changed anything about the presence experience. Parents who were present had better coping and better adjustment to the child's death. Parents who were not present reported more distress.
These studies support the suggestion that family presence during resuscitation and invasive procedures increases parents' satisfaction and coping. However, the generalizability of these findings is limited by small sample sizes and inconsistent evaluation of confounding variables. Further research is needed to determine the benefits of family presence and prevent barriers to true implementation.
©2014 American Association of Critical-Care Nurses
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