Nurses’ perceptions of family presence during resuscitation/CPR in emergency departments in Palestine: a cross-sectional study

BACKGROUND: In this study, the perception of nurses towards the presence of the family during the cardiopulmonary resuscitation (CPR) procedure in the Palestinian emergency room was investigated. Family involvement is increasingly encouraged to support the patient emotionally, although it creates some concerns. METHODS: A descriptive cross-sectional design was employed in the West Bank to collect data from 150 nurses working in governmental and non-governmental institutions. Data collection was done using a systematic questionnaire. It included demographic data and perceptions about the presence of family during CPR. RESULTS: The study examined opinions on family attendance during CPR in Palestinian EDs, consisting of 150 participants. Positive perception (> 2.1) was indicated by a total mean perception score of 2.22 (SD = 0.579). Participants were found to have a positive opinion on staff knowledge and family attendance in terminally ill patients, however, concerns were reported regarding patient comfort, appropriateness of family presence during resuscitation, and perceived benefits. No significant differences in perception were found in relation to years of experience, gender, age, occupation, or educational level. However, a significant difference in perception was found in relation to type of institution, with a p-value of 0.022, where participants from non-governmental hospitals scored higher than those from governmental hospitals, with a mean of 2.42 (SD = 0.67) and 2.17 (SD = 0.54), respectively. CONCLUSION: The study emphasizes the need for protocols, training, and cultural sensitivity in balancing the effectiveness of CPR with family-centered care. Resolution of these issues can help in improving attitudes and integrating family presence in CPR.