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Review Article

Education & Simulation | Resuscitation

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Simulation intervention related to family presence during resuscitation for physicians and medical students: a scoping review
Clin Exp Emerg Med. 2025;12(1):16-25.   Published online July 19, 2024
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Simulation intervention related to family presence during resuscitation for physicians and medical students: a scoping review
Clin Exp Emerg Med. 2025;12(1):16-25.   Published online July 19, 2024
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Objective
Family presence during resuscitation (FPDR) is an established part of family-centered care. However, how physicians are educated about FPDR is relatively unclear. We aim to review the current status of FPDR simulation for physicians and medical students. Methods A scoping review of literature published from 1999 to May 5, 2023, and written in English was undertaken. Articles were searched for using combinations of various family-, resuscitation-, and simulation-related words as keywords, respectively. 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 cardiopulmonary resuscitation 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 a family witness showing an overt reaction. 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 observed during infant simulation, in which interprofessional teams participated. To the best of our knowledge, FPDR simulation training for medical students has not been reported. Conclusion Our literature review highlights a gap in FPDR simulation 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 participants for FPDR simulation. More high-evidence studies with interprofessional teams that include physicians and/or medical students are needed to evaluate curriculum design and participant-response changes following FPDR simulation.

Citations

Citations to this article as recorded by  Crossref logo
  • Serum lactate/albumin ratio at hospital arrival and neurological outcomes in patients who received targeted temperature management after out‐of‐hospital cardiac arrest: A nationwide, multicenter, observational study
    Tetsuro Nishimura, Toshinari Kawama, Toshihiro Hatakeyama, Takashi Sano, Koki Nakada, Tasuku Matsuyama, Takeyuki Kiguchi, Tetsuhisa Kitamura, Benjamin Worth Berg, Hisao Matsushima
    Hong Kong Journal of Emergency Medicine.2026;[Epub]     CrossRef
  • Medical students’ experience of culturally diverse family presence during resuscitation simulation
    Kyung Hye Park, Jannet J. Lee-Jayaram, Benjamin W. Berg
    Korean Journal of Medical Education.2025; 37(1): 71.     CrossRef
  • European Resuscitation Council Guidelines 2025 Ethics in Resuscitation
    Violetta Raffay, Johannes Wittig, Leo Bossaert, Jana Djakow, Therese Djärv, Ángel Estella, Ileana Lulic, Spyros D. Mentzelopoulos, Koenraad G. Monsieurs, Patrick Van de Voorde, Kasper G. Lauridsen, Ulrik Kihlbom, Paul Swindell
    Resuscitation.2025; 215: 110734.     CrossRef
  • 5,562 View
  • 93 Download
  • 2 Web of Science
  • 3 Crossref
Original Article

Emergency Medicine Practice and Administration

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Parental presence during pediatric emergency procedures: finding answers in an Asian context
Clin Exp Emerg Med. 2019;6(4):340-344.   Published online December 31, 2019
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Parental presence during pediatric emergency procedures: finding answers in an Asian context
Clin Exp Emerg Med. 2019;6(4):340-344.   Published online December 31, 2019
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Objective
The practice of allowing parental presence during invasive procedures in children varies depending on setting and individual provider preference. We aim to understand the attitudes, preferences, and practices of physicians and nurses with regard to parental presence during invasive pediatric emergency procedures in an Asian cultural context.
Methods
We surveyed physicians and nurses in the pediatric emergency department of a large tertiary hospital using separate self-administered questionnaires over three months. The data collected included the demographics and clinical experience of interview respondents. Each provider was asked about their attitude and preference regarding parental presence during specific invasive procedures.
Results
We surveyed 90 physicians and 107 nurses. Most physicians in our context preferred to perform pediatric emergency procedures without parental presence (82, 91.1%). Forty physicians (44.4%) reported that parental presence slowed down procedures, while 75 (83.3%) felt it increased provider stress. Most physicians made the decision to allow parents into the procedure room based on parental attitude (69, 76.7%) and the child’s level of cooperation (64, 71.1%). Most nurses concurred that parental presence would add to provider stress during procedures (69, 64.5%). We did not find a significant relationship between provider experience (P=0.26) or age (P=0.50) and preference for parental presence.
Conclusion
In our cultural context, most physicians and nurses prefer to perform procedures for children in the absence of parents. We propose that this can be changed by health professional training with role play and simulation, adequate supervision by experienced physicians, and clear communication with parents.

Citations

Citations to this article as recorded by  Crossref logo
  • Strengthening the parental role: parents’ experiences of family presence during invasive procedures in pediatric and neonatal intensive care units
    Laia Ventura Expósito, Esperanza Zuriguel-Pérez, Jesús Corrionero Alegre, Antonia Arreciado Marañón
    Intensive and Critical Care Nursing.2026; 93: 104279.     CrossRef
  • “Being There”: An Empirical Logic Model for Family Presence During Resuscitation and Invasive Procedures
    Margo A. Halm, Halley Ruppel, Jessica Sexton
    American Journal of Critical Care.2025; 34(4): 302.     CrossRef
  • Nurses' views on the presence of family members during invasive procedures in hospitalised children: A questionnaire survey
    Laia Ventura Expósito, Antonia Arreciado Marañón, Mireia Gomà Tous, Mercè Ferrerons Sánchez, Esperanza Zuriguel‐Pérez
    Journal of Clinical Nursing.2024; 33(10): 3979.     CrossRef
  • ENA Clinical Practice Guideline Synopsis: Family Presence During Resuscitation and Invasive Procedures
    Judith Young Bradford, Alison Camarda, Lisa Gilmore, Ann E. Horigan, Janet Kaiser, Robin MacPherson-Dias, Andrea Perry, Andrew Slifko, Andrea Slivinski, Kathy Van Dusen, Jessica Bishop-Royse, Altair M. Delao
    Journal of Emergency Nursing.2024; 50(3): 463.     CrossRef
  • A presença dos pais durante procedimentos pediátricos invasivos: depende de quê?
    Laura Palomares González, Iván Hernández Caravaca, Carmen Isabel Gómez García, Manuel Sánchez-Solís de Querol
    Revista Latino-Americana de Enfermagem.2023;[Epub]     CrossRef
  • Presencia de los padres durante procedimientos pediátricos invasivos: ¿De qué depende?
    Laura Palomares González, Iván Hernández Caravaca, Carmen Isabel Gómez García, Manuel Sánchez-Solís de Querol
    Revista Latino-Americana de Enfermagem.2023;[Epub]     CrossRef
  • Parental presence during invasive pediatric procedures: what does it depend on?
    Laura Palomares González, Iván Hernández Caravaca, Carmen Isabel Gómez García, Manuel Sánchez-Solís de Querol
    Revista Latino-Americana de Enfermagem.2023;[Epub]     CrossRef
  • 9,751 View
  • 99 Download
  • 4 Web of Science
  • 7 Crossref