The factors that influence decision-making to implement family presence during resuscitation (FDPR) in accident and emergency (A&E) departments: An ethnographic approach.
Background: Family presence during resuscitation (FPDR) of adult patients, although not a new concept, remains inconsistently practiced by accident and emergency (A&E) department healthcare professionals. Despite evidence documenting important benefits of FPDR and support from international organisations and professional bodies, incorporation of the practice is at the discretion of healthcare professional preference and cultural setting norms. It is important to understand why FPDR is not widely practiced in the A&E department and investigate the barriers that impact the implementation to ensure families have a real opportunity to choose whether or not to be present during resuscitation. Aims: The aim of this research proposal is to explore the factors that influence A&E healthcare professionals decision-making processes to either facilitate or repudiate the practice of FPDR. Using ethnographic inquiry, data will be collected from a major trauma receiving A&E department in Scotland. Participant observation of resuscitation attempts and in-depth interviews with medical, nursing and clinical speciality members of the resuscitation team will be undertaken to provide a holistic perspective on FPDR phenomena, decision making processes and factors that influence implementation. Conclusion: It is hoped that the research findings will raise healthcare professional’s awareness of the paradoxical implementation of FPDR in A&E departments and improve the provision of person-centred and family-focused emergency resuscitative care. Development of policies and education is required to promote acceptance of FPDR, respond to the needs of patients and their families and support healthcare professionals in clinical decision making around the practice. Key words: Family Presence, Cardiopulmonary Resuscitation, A&E Departments, Personcentred care, Family-focused care, Ethnography.