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dc.contributor.authorFiori, M
dc.contributor.authorLatour, JM
dc.contributor.authorLos, F
dc.date.accessioned2017-05-04T07:37:56Z
dc.date.available2017-05-04T07:37:56Z
dc.date.issued2017-10
dc.identifier.issn1474-5151
dc.identifier.issn1873-1953
dc.identifier.urihttp://hdl.handle.net/10026.1/9179
dc.description.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.

dc.format.extent585-594
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoen
dc.publisherOxford University Press (OUP)
dc.subjectHospital
dc.subjectpatients
dc.subjectemergency treatment
dc.subjecttrauma and stressor related disorders
dc.subjectresuscitation
dc.title“Am I also going to die, doctor?” A systematic review of the impact of in-hospital patients witnessing a resuscitation of another patient
dc.typejournal-article
dc.typeReview
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/28406321
plymouth.issue7
plymouth.volume16
plymouth.publisher-urlhttp://dx.doi.org/10.1177/1474515117705938
plymouth.publication-statusPublished
plymouth.journalEuropean Journal of Cardiovascular Nursing
dc.identifier.doi10.1177/1474515117705938
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2017-03-30
dc.identifier.eissn1873-1953
dc.rights.embargoperiodNo embargo
rioxxterms.versionofrecord10.1177/1474515117705938
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2017-10
rioxxterms.typeJournal Article/Review


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