Educational Interventions to Improve Support for Family Presence During Resuscitation: A Systematic Review of the Literature.

Background: Family presence during resuscitation (FPDR) remains controversial among nurses. Individual studies have shown educational interventions can improve support for FPDR; however, a systematic review of the literature has not been performed to appraise and synthesize the evidence.

Objectives: The aim of this systematic review was to appraise and synthesize studies conducted to test the effect of education on nurses' and providers' support for FPDR.

Methods: Electronic searches of CINAHL, MEDLINE, and PubMed were performed. The PRISMA flow diagram and predetermined inclusion and exclusion criteria were used to guide article selection. Articles selected for inclusion were evaluated for rigor in study design, sample, setting, and data collection and analysis.

Results: Sixteen articles met eligibility criteria. Study findings demonstrated educational interventions can improve support for FPDR, as well as intent to offer it as an option. Methodological limitations of existing research and a lack of comparative studies render the optimal approach (classroom, simulation, or online) to FPDR education unknown.

Discussion: Nurse educators should consider implementing educational interventions to improve nurses' support for FPDR and prepare them to implement it in clinical practice. More research on FPDR educational interventions is needed to be able to provide specific guidance on optimal approaches to FPDR education.