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]
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Cites
Tarver, T. (2014) · Journal of Consumer Health On the Internet · doi:10.1080/15398285.2014.902284 · Cited by 5,605
Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association
Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Borden, W. B., Bravata, D. M., Dai, S., Ford, E. S., Fox, C. S., et al. (2013) · Circulation · doi:10.1161/cir.0b013e31828124ad · Cited by 5,292
Heart disease and stroke statistics--2013 update: a report from the American Heart Association.
Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Blaha, M. J., Dai, S., Ford, E. S., Fox, C. S., Franco, S., et al. (2013) · eScholarship (California Digital Library) · Cited by 2,601
Peberdy, M. A., Callaway, C. W., Neumar, R. W., Geocadin, R. G., Zimmerman, J. L., Donnino, M., Gabrielli, A., Silvers, S. M., Zaritsky, A. L., Merchant, R., et al. (2010) · Circulation · doi:10.1161/circulationaha.110.971002 · Cited by 2,522
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
de Caen, A. R., Berg, M. D., Chameides, L., Gooden, C. K., Hickey, R. W., Scott, H. F., Sutton, R. M., Tijssen, J. A., Topjian, A., van der Jagt, É. W., et al. (2015) · Circulation · doi:10.1161/cir.0000000000000266 · Cited by 466
Psychological effect of witnessed resuscitation on bereaved relatives
Robinson, S., Mackenzie-Ross, S., Hewson, G. C., Egleston, C., & Prevost, A. (1998) · The Lancet · doi:10.1016/s0140-6736(97)12179-1 · Cited by 417
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
Morrison, L. J., Kierzek, G., Diekema, D. S., Sayre, M. R., Silvers, S. M., Idris, A. H., & Mancini, M. E. (2010) · Circulation · doi:10.1161/circulationaha.110.970905 · Cited by 256
Family Presence During Cardiopulmonary Resuscitation
Jabre, P., Belpomme, V., Azoulay, É., Jacob, L., Bertrand, L., Lapostolle, F., Tazarourte, K., Bouilleau, G., Pinaud, V., Broche, C., et al. (2014) · Survey of Anesthesiology · doi:10.1097/01.sa.0000455292.56200.44 · Cited by 176
Mangurten, J. A., Scott, S. H., Guzzetta, C. E., Clark, A. P., Vinson, L., Sperry, J. S., Hicks, B., & Voelmeck, W. (2006) · Journal of Emergency Nursing · doi:10.1016/j.jen.2006.02.012 · Cited by 175
Jabre, P., Tazarourte, K., Azoulay, É., Borron, S. W., Belpomme, V., Jacob, L., Bertrand, L., Lapostolle, F., Combes, X., Galinski, M., et al. (2014) · Intensive Care Medicine · doi:10.1007/s00134-014-3337-1 · Cited by 161
Prevalence and outcomes of pediatric in-hospital cardiopulmonary resuscitation in the United States
Knudson, J. D., Neish, S. R., Cabrera, A. G., Lowry, A. W., Shamszad, P., Morales, D. L. S., Graves, D. E., Williams, E. A., & Rossano, J. W. (2012) · Critical Care Medicine · doi:10.1097/ccm.0b013e31825feb3f · Cited by 136
The Effect of Family Presence on the Efficiency of Pediatric Trauma Resuscitations
Dudley, N. C., Hansen, K. W., Furnival, R. A., Donaldson, A. E., Wagenen, K. L. V., & Scaife, E. R. (2008) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2008.10.002 · Cited by 123
McAlvin, S. S., & Lyons, A. C. (2014) · American Journal of Critical Care · doi:10.4037/ajcc2014922 · Cited by 105
Kayser, R. G., Ornato, J. P., & Peberdy, M. A. (2008) · Resuscitation · doi:10.1016/j.resuscitation.2008.03.007 · Cited by 93
The presence of a family witness impacts physician performance during simulated medical codes
Fernandez, R., Compton, S. A., Jones, K. A., & Velilla, M. (2009) · Critical Care Medicine · doi:10.1097/ccm.0b013e3181a00818 · Cited by 91
Family Presence during Resuscitation: A Canadian Critical Care Society Position Paper
Oczkowski, S. J. W., Mazzetti, I., Cupido, C. M., & Fox‐Robichaud, A. (2015) · Canadian Respiratory Journal · doi:10.1155/2015/532721 · Cited by 86
Parental presence during resuscitation: attitudes of staff on a paediatric intensive care unit
Jarvis, A. (1998) · Intensive and Critical Care Nursing · doi:10.1016/s0964-3397(98)80029-3 · Cited by 71
Family witnessed resuscitation - experience and attitudes of German intensive care nurses
Köberich, S., Kaltwasser, A., Rothaug, O., & Albarran, J. W. (2010) · Nursing in Critical Care · doi:10.1111/j.1478-5153.2010.00405.x · Cited by 69
Personal Preferences Regarding Family Member Presence during Resuscitation
Benjamin, M., Holger, J. S., & Carr, M. E. (2004) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2004.tb00739.x · Cited by 68
Medical Staff Attitudes Toward Family Presence During Pediatric Procedures
Fein, J. A., Ganesh, J., & Alpern, E. R. (2004) · Pediatric Emergency Care · doi:10.1097/01.pec.0000121241.99242.3b · Cited by 66
Goldberger, Z. D., Nallamothu, B. K., Nichol, G., Chan, P. S., Curtis, J. R., & Cooke, C. R. (2015) · Circulation Cardiovascular Quality and Outcomes · doi:10.1161/circoutcomes.114.001272 · Cited by 65
Family presence during cardiopulmonary resuscitation: who should decide?
Lederman, Z., Garasic, M. D., & Piperberg, M. (2013) · Journal of Medical Ethics · doi:10.1136/medethics-2012-100715 · Cited by 32
Self-citationPaplanus, L. M., Salmond, S. W., Jadotte, Y. T., & Viera, D. L. (2012) · JBI Library of Systematic Reviews · doi:10.11124/01938924-201210330-00001 · Cited by 28
Do relatives have a right to witness resuscitation?
Walker, W. M. (1999) · Journal of Clinical Nursing · doi:10.1046/j.1365-2702.1999.00290.x · Cited by 25
Shaw, K. J., Ritchie, D., & Adams, G. G. (2011) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2011.05.001 · Cited by 22
Family presence during cardiopulmonary resuscitation: Evidence-based guidelines?
Lederman, Z. (2016) · Resuscitation · doi:10.1016/j.resuscitation.2016.04.026 · Cited by 18
Self-citationPaplanus, L. M., Salmond, S. W., Jadotte, Y. T., & Viera, D. L. (2012) · JBI Library of Systematic Reviews · doi:10.11124/jbisrir-2012-38 · Cited by 16
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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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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