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Implemented Family Presence Protocols: An Integrative Review

Pankop, Rebecca BSN, RN, CCRN; Chang, Karen PhD, RN; Thorlton, Janet PhD, RN; Spitzer, Tracy MSN, RN, CCRN

doi: 10.1097/NCQ.0b013e31827a472a

Family presence during resuscitation or invasive procedures is controversial, but research suggests multiple benefits. Professional organizations recommend developing family presence protocols; however, few hospitals have them. This integrative review examined research evidence regarding implemented family presence protocols for adults in the hospital setting—specifically, the use of protocols and providers' feedback. Four key findings include a positive trend in family presence practice, varying provider attitudes, problems with family facilitators, and factors inhibiting or facilitating protocol implementation.

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Indiana University Health Methodist Hospital, Indianapolis (Mss Pankop and Spitzer); and Purdue University, West Lafayette (Ms Pankop and Drs Chang and Thorlton), Indiana.

Correspondence: Rebecca Pankop, BSN, RN, CCRN, Indiana University Health Methodist Hospital, 1801 N Senate Blvd, Indianapolis, IN 46206 (

The authors declare no conflict of interest.

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Accepted for publication: October 20, 2012

Published online before print: December 5, 2012

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins