Family presence during resuscitation: a needs assessment of education, policy, and opinion in Canada

• Published in: Canadian journal of anesthesia Vol. 68; no. 7; pp. 1008 - 1017
• Main Authors: Deacon, Amanda, O’Neill, Thomas A., Gilfoyle, Elaine
• Format: Journal Article
• Language: English
• Published: Cham Springer International Publishing 01.07.2021; Springer Nature B.V
• Subjects: Anesthesiology; Animation; Associations; Cardiology; Critical care; Critical Care Medicine; Education; Education policy; Intensive; Medicine; Medicine & Public Health; Needs analysis; Nurses; Pain Medicine; Pediatrics; Pneumology/Respiratory System; Polls & surveys; Questionnaires; Reports of Original Investigations; Response rates; Society; Canada; needs assessment; resuscitation; education; family presence; resuscitation team; policy
• ISSN: 0832-610X; 1496-8975; 1496-8975
• DOI: 10.1007/s12630-021-01972-w

Purpose Family presence during resuscitation (FPDR) has been widely endorsed. Nevertheless, there is limited information available on current education and training used to support FPDR implementation, including that of relevant policy. Understanding the current state of FPDR educational opportunities, policies, and practices across Canadian hospitals is crucial to advancing and standardizing these within our medical community. Our objective was to identify the current and desired state of education and policy on FPDR, as well as current practices and opinions of Canadian healthcare professionals. Methods We selected questionnaire topics and employed a modified Delphi consensus technique using a group of subject matter experts in resuscitation. We contacted a stratified sample of Canadian healthcare professionals via select listservs and surveyed the cohort using RedCAP™. We used descriptive statistics and conducted quantitative analyses to describe and test for significant differences among groups. Results In total, 635 surveys were completed. Only 46.3% of participants reported ever attending an educational opportunity involving learning how to manage FPDR; however, 92% wanted training. Only 11% knew if they had an official FPDR policy in their current hospital but 62.9% indicated they wanted one. In support of FPDR, 88% agreed that family members should be allowed to be present during a resuscitation. Conclusion While opinions are mostly positive towards FPDR, there exists a gap between the current and desired state of education and policy supporting it within Canada.