The DOI matches its Crossref record; 30 of the 31 references it cites were found in a registry or an index.
Family presence during resuscitation: extending ethical norms from paediatrics to adults
Abstract
Many families of patients hold the view that it is their right to be present during a loved one's resuscitation, while the majority of patients also express the comfort and support they would feel by having them there. Currently, family presence is more commonly accepted in paediatric cardiopulmonary resuscitation (CPR) than adult CPR. Even though many guidelines are in favour of this practice and recognise potential benefits, healthcare professionals are hesitant to support adult family presence to the extent that paediatric family presence is supported. However, in this paper, we suggest that the ethical case to justify family presence during paediatric resuscitation (P-FPDR) is weaker than the justification of family presence during adult resuscitation (A-FPDR). We go on to support this claim using three main arguments that people use in clinical ethics to justify FPDR. These include scarcity of evidence documenting disruption, psychological benefits to family members following the incident and respect for patient autonomy. We demonstrate that these arguments actually apply more strongly to A-FPDR compared with P-FPDR, thereby questioning the common attitude of healthcare professionals of allowing the latter while mostly opposing A-FPDR. Importantly, we do not wish to suggest that P-FPDR should not be allowed. Rather, we suggest that since P-FPDR is commonly (and should be) allowed, so should A-FPDR. This is because the aforementioned arguments that are used to justify FPDR in general actually make a stronger case for A-FPDR.
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“Sufficiency of capacity is seen as a spectrum, and the more profound the consequences of the decision, the higher the level of capacity that must be demonstrated. 210”
From European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions (2021) · cites this paper as [210]
Citations
Cites
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European Resuscitation Council Guidelines for Resuscitation 2015
Perkins, G. D., Handley, A. J., Koster, R. W., Castrén, M., Smyth, M. A., Olasveengen, T., Monsieurs, K. G., Raffay, V., Gräsner, J.-T., Wenzel, V., et al. (2015) · Resuscitation · doi:10.1016/j.resuscitation.2015.07.015 · Cited by 1,287
European Resuscitation Council Guidelines for Resuscitation 2015
Bossaert, L. L., Perkins, G. D., Askitopoulou, H., Raffay, V. I., Greif, R., Haywood, K. L., Mentzelopoulos, S. D., Nolan, J. P., Van de Voorde, P., Xanthos, T. T., et al. (2015) · Resuscitation · doi:10.1016/j.resuscitation.2015.07.033 · Cited by 625
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Family Presence during Cardiopulmonary Resuscitation
Jabre, P., Belpomme, V., Azoulay, E., Jacob, L., Bertrand, L., Lapostolle, F., Tazarourte, K., Bouilleau, G., Pinaud, V., Broche, C., et al. (2013) · New England Journal of Medicine · doi:10.1056/nejmoa1203366 · Cited by 395
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Cited by
European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions
Mentzelopoulos, S. D., Couper, K., Voorde, P. V. D., Druwé, P., Blom, M., Perkins, G. D., Lulic, I., Djakow, J., Raffay, V., Lilja, G., et al. (2021) · Resuscitation · doi:10.1016/j.resuscitation.2021.02.017 · Cited by 246
Family presence during resuscitation
Rubin, M. A., Svensson, T. L., Herling, S. F., Jabre, P., & Møller, A. M. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013619.pub2 · Cited by 48
Family involvement in the intensive care unit in four Nordic countries
Frivold, G., Ågård, A. S., Jensen, H. I., Åkerman, E., Fossum, M., Alfheim, H. B., Rasi, M., & Lind, R. (2021) · Nursing in Critical Care · doi:10.1111/nicc.12702 · Cited by 43
Family witnessed resuscitation and invasive procedures: Patient and family opinions
de Mingo-Fernández, E., Martín, G. M., & Herrera, M. (2020) · Nursing Ethics · doi:10.1177/0969733020968171 · Cited by 37
Mentzelopoulos, S. D., Couper, K., de Voorde, P. V., Druwé, P., Blom, M. T., Perkins, G. D., Lulić, I., Djakow, J., Raffay, V. I., Lilja, G., et al. (2021) · Notfall + Rettungsmedizin · doi:10.1007/s10049-021-00888-8 · Cited by 34
Metadata
- Authors
- Vincent, C., & Lederman, Z.
- Affiliations
- University of Virginia (US)
- National University of Singapore (SG)
- Corresponding author
- Vincent, Christine
- ORCID
- Lederman, Zohar
- Venue
- Journal of Medical Ethics
- Publisher
- BMJ
- Published
- 2017-02-23
- Volume
- 43
- Issue
- 10
- Pages
- 676-678
- ISSN
- 0306-6800 (ISSN-L)
- 1473-4257
- OpenAlex
- W2589778936
- Cited by
- 46
- References
- 31
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 3 · 2023: 7 · 2022: 3 · 2021: 6 · 2020: 5 · 2019: 7 · 2018: 6 · 2017: 2
- FWCI
- 8.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Medical Ethics (publishedVersion)
- PubMed (publishedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Family and Patient Care in Intensive Care Units
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Keywords
- family presence during resuscitation, cardiopulmonary resuscitation, pediatric resuscitation, adult resuscitation, clinical ethics, patient autonomy, clinician attitudes, moral justification
- MeSH terms
- Psychological Trauma, Adult, Attitude of Health Personnel, Child, Critical Care, Family, Humans, Health Knowledge, Attitudes, Practice, Professional-Family Relations, Visitors to Patients, Cardiopulmonary Resuscitation, Practice Guidelines as Topic
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- CoChat. (2026). Citation check: Family presence during resuscitation: extending ethical norms from paediatrics to adults. https://app.cochat.ai/papers/10.1136/medethics-2016-103881
- The paper
- Vincent, C., & Lederman, Z. (2017). Family presence during resuscitation: extending ethical norms from paediatrics to adults. Journal of Medical Ethics. https://doi.org/10.1136/medethics-2016-103881
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
