Table of Contents

HK J Paediatr (New Series)
Vol 12. No. 4, 2007

HK J Paediatr (New Series) 2007;12:253-259

Original Article

Attitudes of Doctors and Nurses to Family Presence During Paediatric Cardiopulmonary Resuscitation

DSYLam, SN Wong, H Hui, W Lee, KT So


Objective: To examine the attitudes of doctors and nurses to the practice of allowing family presence during resuscitation (FPDR), and to examine the factors influencing their attitudes. Design: An anonymous self-administered questionnaire survey was conducted among doctors and nurses in the paediatric department of a regional hospital in Hong Kong. Apart from demographic data, questions were directed to study the overall acceptance on the practice of allowing FPDR, and various factors that explained their attitudes. Results: The response rates for doctors and nurses were 87.9% and 92% respectively. Only 10% of the respondents supported the practice of FPDR while 55% were against the practice. There was no significant correlation of non-acceptance of the practice with the following factors: years in paediatric service; intensive care unit working experience; professional qualifications; occupations (doctor versus nurse); training in bereavement or PALS, or previous experience with FPDR. Their non-acceptance of FPDR was correlated to their health belief and their perceived cues/triggers, subjective norms, self-efficacy and behavioural control. However, on multiple regression analysis, only cues/triggers and perceived behavioural control were significant independent predictors of their attitudes. Conclusion: The health professionals in our department were not ready to allow FPDR. Efforts to change their attitudes should aim at setting up a mechanism that facilitates the practice and at relieving their concerns on legal liability.

目的:瞭解醫護人員對於允許家長在場時施行兒童心肺復甦搶救過程( family presence during resuscitation, FPDR),這一醫療措施的態度及其影響因素。方法設計:採用自行設計的問卷,在香港某地區的一家醫院兒科醫護人員中進行問卷調查,除了調查顯示的數據以外,這些問題也被用於研究兒科醫護人員對允許 FPDR 實施的總體認可程度及其影響因素。結果:兒科醫生和護士的問卷調查回收率分別為 87.9% 和 92%,僅 10% 的參與者支持該措施的實施、而 55% 的參與者則持否定態度,且“否定該措施”的態度與兒科工作年資、重症監護病房工作經驗、專業素質、職位(是醫生還是護士)、臨終關懷訓練、以往有類似 FPDR 經歷等因素無明顯關聯。他們不接受 FPDR 與他們的健康理念、自身具有的洞察力、主觀標準、工作作風、自身行為控制能力等有關。儘管如此,多重回顧分析顯示,只有自身具有的洞察力和行為控制能力這兩項是顯著獨立的預告因素。結論:我科的衛生專業人士尚不能接受 FPDR 措施的實施,要想試圖改變這一態度就應著眼於建立一種有效的機制,使其即能有利於這一措施的實行、同時又能消除醫務人員對由此引起法律糾紛的顧慮。

Keyword : Attitude of health professional; Cardiopulmonary resuscitation; Paediatric; Paediatric intensive care unit; Questionnaire



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