"Am I also going to die, doctor?" A systematic review of the impact of in-hospital patients witnessing a resuscitation of another patient
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 im...
| Main Authors: | , , |
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| Format: | Journal Article |
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Sage
2017
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| Online Access: | http://hdl.handle.net/20.500.11937/58864 |
| _version_ | 1848760361563455488 |
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| author | Fiori, M. Latour, Jos Los, F. |
| author_facet | Fiori, M. Latour, Jos Los, F. |
| author_sort | Fiori, M. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T10:14:33Z |
| format | Journal Article |
| id | curtin-20.500.11937-58864 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:14:33Z |
| publishDate | 2017 |
| publisher | Sage |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-588642019-09-24T08:16:51Z "Am I also going to die, doctor?" A systematic review of the impact of in-hospital patients witnessing a resuscitation of another patient Fiori, M. Latour, Jos Los, F. 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. 2017 Journal Article http://hdl.handle.net/20.500.11937/58864 10.1177/1474515117705938 Sage fulltext |
| spellingShingle | Fiori, M. Latour, Jos Los, F. "Am I also going to die, doctor?" A systematic review of the impact of in-hospital patients witnessing a resuscitation of another patient |
| title | "Am I also going to die, doctor?" A systematic review of the impact of in-hospital patients witnessing a resuscitation of another patient |
| title_full | "Am I also going to die, doctor?" A systematic review of the impact of in-hospital patients witnessing a resuscitation of another patient |
| title_fullStr | "Am I also going to die, doctor?" A systematic review of the impact of in-hospital patients witnessing a resuscitation of another patient |
| title_full_unstemmed | "Am I also going to die, doctor?" A systematic review of the impact of in-hospital patients witnessing a resuscitation of another patient |
| title_short | "Am I also going to die, doctor?" A systematic review of the impact of in-hospital patients witnessing a resuscitation of another patient |
| title_sort | "am i also going to die, doctor?" a systematic review of the impact of in-hospital patients witnessing a resuscitation of another patient |
| url | http://hdl.handle.net/20.500.11937/58864 |