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Cultural aspects of death notification following cardiopulmonary resuscitation
Author(s) -
Hassankhani Hadi,
Haririan Hamidreza,
Porter Joanne E.,
Heaston Sondra
Publication year - 2018
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13558
Subject(s) - feeling , cardiopulmonary resuscitation , context (archaeology) , resuscitation , medicine , preparedness , psychological intervention , interpretative phenomenological analysis , health professionals , nursing , medical emergency , psychology , qualitative research , health care , emergency medicine , social psychology , paleontology , social science , sociology , political science , law , economics , biology , economic growth
Abstract Aims To explore the lived experience of resuscitation team members involved in notifying family members when a patient dies following a resuscitation event in an Iranian cultural context. Background Death notification to the family is indeed a difficult and an important issue for resuscitation team members. The way health professionals deliver news to family members should incorporate elements of sensitivity, timing and adequate clinical explanations with emphasis on the efforts made by the professionals during the resuscitation. Design A phenomenological study. Method Over a period of 5 months (June 2016–November 2016) eleven nurses and six physicians were interviewed using an in‐depth interview process applying Van Manen's hermeneutic phenomenological approach for data collection and analysis. The participants were recruited from six tertiary hospitals in Tabriz, Iran. Findings There were two main themes that emerged from the data analysis including: “contributing factors on the impact of notification” and “notification strategies”. A further 13 subthemes emerged under the main themes. Several culturally related issues emerged with the participants feeling more comfortable informing male rather than female relatives about the death of the patient following a resuscitation. Conclusions Notifying family members of a patient's death is a stressful and culturally sensitive task for the resuscitation team members. The nature of the patient's presenting condition, together with the various resuscitation interventions can result in relatives responding unpredictably. Providing health professionals with the appropriate training and skills to effectively communicate with family members will ensure that the families’ level of preparedness, understanding and cultural beliefs are taken into consideration.