Skip to main content
SpringerLink
Log in

Anwesenheit von Angehörigen während kardiopulmonaler Reanimation

Presence of relatives during cardiopulmonary resuscitation

  • Konzepte - Stellungnahmen - Leitlinien
  • Published:
Notfall + Rettungsmedizin Aims and scope Submit manuscript

Zusammenfassung

Hintergrund

Die kardiopulmonale Reanimation (CPR) ist ein häufig vorkommendes Ereignis. Vielfach sind, v. a. im außerklinischen Bereich, Angehörige während der CPR anwesend.

Fragestellung

Was ist die Einstellung professioneller Helfer zur Anwesenheit von Angehörigen bei der CPR? Welche Erkenntnisse liegen hinsichtlich der Auswirkungen der Anwesenheit während der CPR auf Angehörige und Teamperformance vor?

Methode

Narratives Literaturreview.

Ergebnisse

Die Anwesenheit von Angehörigen während der CPR wird von professionellen Helfern überwiegend kritisch gesehen. Es werden psychologisch negative Auswirkungen bei den Angehörigen und negative Auswirkungen auf die CPR-Performance befürchtet. Die Anwesenheit während der CPR wird von Angehörigen zumeist als positives Ereignis erlebt und scheint keine negativen Auswirkungen auf klinische Parameter wie Angst, Depression und posttraumatische Stresssymptome zu haben.

Schlussfolgerungen

Angehörige sollten die Möglichkeit erhalten, darüber zu entscheiden, ob sie während einer CPR anwesend sein wollen oder nicht. Spezifische Rahmenbedingungen müssen jedoch erfüllt sein.

Abstract

Background

Cardiopulmonary resuscitation (CPR) is a frequent event. In many cases, especially during prehospital CPR, relatives or family members are present during CPR.

Aim

The purpose of this work was to explore health care providers’ attitudes towards the presence of relatives during CPR and to describe the evidence regarding the impact of the presence of relatives during CPR on relatives and staff-performance as well.

Methods

Narrative literature review.

Results

Health care providers are skeptical about the presence of relatives during CPR. They expect a negative impact on relative’s psychological status and staff performance. Relatives perceive their presence during CPR as helpful. It seems to have no negative impact on anxiety, depression, and post-traumatic stress disorder.

Conclusion

Relatives should be given the opportunity to decide whether they want to be present during CPR. However, specific requirements should be met.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Literatur

  1. Gräsner J-T, Wnent J, Seewald S et al (2012) Erste Hilfe und Traumamanagement – Ergebnisse aus dem Deutschen Reanimationsregister. Anästhesiol Intensivmed Notfallmed Schmerzther 47:724–732

    PubMed  Google Scholar 

  2. Pafford MB (2002) Should family members be present during CPR? J Ark Med Soc 98:304–306

    PubMed  Google Scholar 

  3. Kirchhoff C, Stegmaier J, Buhmann S et al (2007) Trauma surgeons‘ attitude towards family presence during trauma resuscitation: a nationwide survey. Resuscitation 75:267–275

    Article  PubMed  Google Scholar 

  4. Meyer W, Balck F, Speidel H et al (1992) Zur Psychologie des notärztlichen Verhaltens in Konfrontation mit dem Tod: Notärztlicher Umgang mit den Angehörigen. Notarzt 8:66–71

    Google Scholar 

  5. Köberich S, Kaltwasser A, Rothaug O, Albarran J (2010) Family witnessed resuscitation – experience and attitudes of German intensive care nurses. Nurs Crit Care 15:241–250

    Article  PubMed  Google Scholar 

  6. Lasogga F, Karutz H (2011) Belastungen, Moderatorvariablen und Folgen. In: Lasogga F, Gasch, B (Hrsg) Notfallpsychologie, 2. Aufl. Springer, Berlin, S 129–161

  7. Meyer W, Balck F (2002) Notärzte im Umgang mit psychisch belastenden Einsatzsituationen. Notfall Rettungsmed 5:89–95

    Article  Google Scholar 

  8. Ellison S (2003) Nurses‘ attitudes toward family presence during resuscitative efforts and invasive procedures. J Emerg Nurs 29:515–521

    Article  PubMed  Google Scholar 

  9. Weber M (2010) Notärzte – Umgang mit Tod und Sterben. Inaugural Dissertation. Albert-Ludwig-Universität, Freiburg

  10. Sak-Dankosky N, Andruszkiewicz P, Sherwood PR, Kvist T (2014) Integrative review: nurses‘ and physicians‘ experiences and attitudes towards inpatient-witnessed resuscitation of an adult patient. J Adv Nurs 70:957–974

    Article  PubMed  Google Scholar 

  11. Axelsson AB, Fridlund B, Moons P et al (2010) European cardiovascular nurses‘ experiences of and attitudes towards having family members present in the resuscitation room. Eur J Cardiovasc Nurs 9:15–23

    Article  PubMed  Google Scholar 

  12. Mian P, Warchal S, Whitney S et al (2007) Impact of a multifaceted intervention on nurses‘ and physicians‘ attitudes and behaviors toward family presence during resuscitation. Crit Care Nurse 27:52–61

    PubMed  Google Scholar 

  13. Doyle CJ, Post H, Burney RE et al (1987) Family participation during resuscitation: an option. Ann Emerg Med 16:673–675

    Article  PubMed  CAS  Google Scholar 

  14. Meyers TA, Eichhorn DJ, Guzzetta CE et al (2000) Family presence during invasive procedures and resuscitation. Am J Nurs 100:32–42

    PubMed  CAS  Google Scholar 

  15. Robinson SM, Mackenzie-Ross S, Campbell Hewson GL et al (1998) Psychological effect of witnessed resuscitation on bereaved relatives. Lancet 352:614–617

    Article  PubMed  CAS  Google Scholar 

  16. Compton S, Levy P, Griffin M et al (2011) Family-witnessed resuscitation: bereavement outcomes in an urban environment. J Palliat Med 14:715–721

    Article  PubMed  Google Scholar 

  17. Compton S, Grace H, Madgy A, Swor RA (2009) Post-traumatic stress disorder symptomology associated with witnessing unsuccessful out-of-hospital cardiopulmonary resuscitation. Acad Emerg Med 16:226–229

    Article  PubMed  Google Scholar 

  18. Pasquale MA, Pasquale MD, Baga L et al (2010) Family presence during trauma resuscitation: ready for primetime? J Trauma 69:1092–1099

    Article  PubMed  Google Scholar 

  19. Jabre P, Belpomme V, Azoulay E et al (2013) Family presence during cardiopulmonary resuscitation. N Engl J Med 368:1008–1018

    Article  PubMed  CAS  Google Scholar 

  20. Belanger MA, Reed S (1997) A rural community hospital’s experience with family-witnessed resuscitation. J Emerg Nurs 23:238–239

    Article  PubMed  CAS  Google Scholar 

  21. Holzhauser K, Finucane J, De Vries S (2006) Family presence during resuscitation: a randomised controlled trial of the impact of family presence. Australas Emerg Nurs J 8:139–147

    Article  Google Scholar 

  22. Weslien M, Nilstun T, Lundqvist A, Fridlund B (2006) Narratives about resuscitation – family members differ about presence. Eur J Cardiovasc Nurs 5:68–74

    Article  PubMed  Google Scholar 

  23. Bremer A, Dahlberg K, Sandman L (2009) Experiencing out-of-hospital cardiac arrest: significant others‘ lifeworld perspective. Qual Health Res 19:1407–1420

    Article  PubMed  Google Scholar 

  24. Merlevede E, Spooren D, Henderick H et al (2004) Perceptions, needs and mourning reactions of bereaved relatives confronted with a sudden unexpected death. Resuscitation 61:341–348

    Article  PubMed  Google Scholar 

  25. Naess AC, Steen E, Steen PA (1997) Ethics in treatment decisions during out-of-hospital resuscitation. Resuscitation 33:245–256

    Article  PubMed  CAS  Google Scholar 

  26. Fernandez R, Compton S, Jones KA, Velilla MA (2009) The presence of a family witness impacts physician performance during simulated medical codes. Crit Care Med 37:1956–1960

    Article  PubMed  Google Scholar 

  27. Walker WM (2006) Witnessed resuscitation: a concept analysis. Int J Nurs Stud 43:377–387

    Article  PubMed  Google Scholar 

  28. Clark AP, Aldridge MD, Guzzetta CE et al (2005) Family presence during cardiopulmonary resuscitation. Crit Care Nurs Clin North Am 17:23–32

    Article  PubMed  Google Scholar 

  29. Cottle E-M, James JE (2008) Role of the family support person during resuscitation. Nurs Stand 23:43–47

    Article  PubMed  Google Scholar 

  30. James J, Cottle E, Hodge RD (2011) Registered nurse and health care chaplains experiences of providing the family support person role during family witnessed resuscitation. Intensive Crit Care Nurs 27:19–26

    Article  PubMed  Google Scholar 

  31. Hausmann C (2004) Psychologische Betreuung von Angehörigen. Psychologie in Notfallmedizin und Rettungsdienst, 2. Aufl. Springer, Berlin, S 183–190

  32. Mitchell MH, Lynch MB (1997) Should relatives be allowed in the resuscitation room? J Accid Emerg Med 14:366–369

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  33. Grice AS, Picton P, Deakin CDS (2003) Study examining attitudes of staff, patients and relatives to witnessed resuscitation in adult intensive care units. Br J Anaesth 91:820–824

    Article  PubMed  CAS  Google Scholar 

  34. Blundell A, Rich A, Watson A, Dale L (1994) Attitudes of doctors and nurses to relatives witnessing cardiopulmonary resuscitation. J R Coll Physicians Edinb 34:134–136

    Google Scholar 

Download references

Einhaltung ethischer Richtlinien

Interessenkonflikt. S. Köberich, O. Mittag und W.H. Jäckel geben an, dass kein Interessenkonflikt besteht. Der Beitrag beinhaltet keine Studien an Menschen oder Tieren.

Author information

Authors and Affiliations

  1. Institut für Qualitätsmanagement und Sozialmedizin, Universitätsklinikum Freiburg, Engelbergerstr. 26, 79106, Freiburg, Deutschland

    S. Köberich, O. Mittag & W. Jäckel

  2. Universitäts-Herzzentrum Freiburg, Standort Freiburg, Bad Krozingen, Deutschland

    S. Köberich

Authors
  1. S. Köberich
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. O. Mittag
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. W. Jäckel
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to S. Köberich.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Köberich, S., Mittag, O. & Jäckel, W. Anwesenheit von Angehörigen während kardiopulmonaler Reanimation. Notfall Rettungsmed 17, 515–520 (2014). https://doi.org/10.1007/s10049-014-1907-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10049-014-1907-y

Schlüsselwörter

Keywords

Search

Navigation