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    "Am I also going to die, doctor?" A systematic review of the impact of in-hospital patients witnessing a resuscitation of another patient

    257422.pdf (528.0Kb)
    Access Status
    Open access
    Authors
    Fiori, M.
    Latour, Jos
    Los, F.
    Date
    2017
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Fiori, M. and Latour, J. and Los, F. 2017. "Am I also going to die, doctor?" A systematic review of the impact of in-hospital patients witnessing a resuscitation of another patient. European Journal of Cardiovascular Nursing. 16 (7): pp. 585-594.
    Source Title
    European Journal of Cardiovascular Nursing
    DOI
    10.1177/1474515117705938
    ISSN
    1474-5151
    School
    School of Nursing and Midwifery
    Remarks

    Copyright © 2017 The Authors. Reprinted by permission of SAGE Publications

    URI
    http://hdl.handle.net/20.500.11937/58864
    Collection
    • Curtin Research Publications
    Abstract

    Background: There is a growing interest in the impact of family-witnessed resuscitation. However, evidence about the effect of hospitalised patients witnessing other patients' resuscitations is limited. Aim: The aim of this systematic review is to explore the existing evidence related to the impact on patients who witness resuscitation attempts on other patients in hospital settings. Methods: The databases BNI, CINAHL, EMBASE, MEDLINE and PsycINFO were searched with the terms 'patient', 'inpatient', 'resuscitation', 'CPR', 'cardiopulmonary resuscitation' and 'witness'. The search strategy excluded the terms 'out-of-hospital', 'family' and 'relative'. The inclusion criteria were: studies related to patients exposed to a resuscitation attempt performed on another patient; quantitative and qualitative design; and physiological or psychological outcome measures. No limitations of date, language or settings were applied. Results: Five of the 540 identified studies were included: two observational studies with control groups and three qualitative studies with interviews and focus groups. Articles were published between 1968 and 2006 and were mostly rated to have a low quality of evidence. Quantitative results of the observational studies showed an increased heart rate in the study group witnessing a resuscitation (p = 0.05), increased systolic blood pressure (p < 0.01) and increased anxiety (p < 0.01). The qualitative studies highlighted the coping strategies adopted by exposed patients in response to witnessing resuscitation, including denial and dissociation. Conclusions: Our findings suggest that patients may find witnessing resuscitation to be a stressful experience. However, the evidence is sparse and mainly of poor quality. Further research is needed in order to better understand the impacts of patients witnessing a resuscitation of another patient and to identify effective support systems. © European Society of Cardiology 2017.

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