Simulation intervention related to family presence during resuscitation for physicians and medical students: A scoping review.

IF 1.9 Q2 EMERGENCY MEDICINE Clinical and Experimental Emergency Medicine Pub Date : 2024-07-19 DOI:10.15441/ceem.24.224
Kyung Hye Park, Jannet J Lee-Jayaram, Melissa K Kahili-Heede, Benjamin W Berg
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Abstract

Objective: Family presence during resuscitation (FPDR) is known as part of family-centered care. However, it is unknown or how physicians are educated for FPDR. We aim to review the current status of simulation related FPDR for physicians and medical students.

Methods: A scoping review of literature published from 1999 to May 5 2023 and written in English was undertaken. The articles were searched for using keyword combinations of the following words; family, resuscitation, and simulation-related words.

Results: Eight articles were included in the final review. This review of FPDR simulation for physicians and medical students revealed findings in three categories; measuring CPR quality, investigating participant responses after FPDR simulation, and extracting exemplar good communication elements. First, in four studies measuring resuscitation quality, physicians participated in adult resuscitation, and resuscitation quality was reduced with overt reaction family presence. Second, in three studies investigating the response to simulation training, interprofessional teams participating in pediatric resuscitation had negative responses to FPDR simulation. Third, in one study, good communication elements during FPDR were found in infant simulation, in which interprofessional teams participated. FPDR simulation training for medical students has not been reported.

Conclusion: It highlighted a gap in FPDR simulations involving physicians and/or medical students. Physicians were more concerned with resuscitation quality than supporting families during resuscitation simulations. Medical students should be considered as the main participants for FPDR simulation. More high-evidence studies with interprofessional teams including physicians and/or medical students are needed to evaluate curriculum design and participant response changes following FPDR simulation.

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为医生和医科学生提供与复苏期间家属在场相关的模拟干预:范围综述。
目的:众所周知,复苏期间家属在场(FPDR)是以家庭为中心的护理的一部分。然而,医生如何接受 FPDR 教育尚不得而知。我们旨在回顾医生和医学生模拟相关 FPDR 的现状:方法:我们对 1999 年至 2023 年 5 月 5 日期间发表的英文文献进行了范围界定。检索文章时使用了以下关键词组合:家庭、复苏和模拟相关词:结果:八篇文章被纳入最终综述。这篇针对医生和医学生的 FPDR 模拟综述揭示了三类研究结果:测量心肺复苏术质量、调查 FPDR 模拟后参与者的反应以及提取示范性良好沟通要素。首先,在四项测量复苏质量的研究中,医生参与了成人复苏,复苏质量随着明显反应的家属在场而降低。其次,在三项调查模拟培训反应的研究中,参与儿科复苏的跨专业团队对 FPDR 模拟反应消极。第三,在一项研究中发现,在跨专业团队参与的婴儿模拟中,FPDR 期间存在良好的沟通要素。针对医学生的 FPDR 模拟培训尚未见报道:结论:该研究强调了有医生和/或医科学生参与的 FPDR 模拟中存在的不足。在模拟复苏过程中,医生更关注复苏质量,而不是对家属的支持。医学生应被视为 FPDR 模拟的主要参与者。需要对包括医生和/或医学生在内的跨专业团队进行更多高证据研究,以评估课程设计和参与者在 FPDR 模拟后的反应变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.80
自引率
10.50%
发文量
59
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