{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T07:23:20Z","timestamp":1769239400806,"version":"3.49.0"},"reference-count":19,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2007,10,1]]},"abstract":"<jats:p>OBJECTIVE. Should family members be present during interventions in an ICU? This question is a source of debate among health care providers. We propose to define perceptions and practice regarding family-member presence during ICU interventions from a multidisciplinary group of pediatric cardiac intensive care providers.<\/jats:p>\n               <jats:p>METHODS. A 20-question survey was created and distributed to attendees of the 2004 Pediatric Cardiac Intensive Care Symposium, 1 year after the meeting. Interventions were defined as noninvasive (team rounds), invasive (tracheal intubation, central\/arterial line placement, chest tube placement, or pericardiocentesis), or extremely invasive (cardiopulmonary resuscitation).<\/jats:p>\n               <jats:p>RESULTS. A total of 211 surveys (145 physicians and 66 nonphysicians) were completed. Of all responders, the majority believe family members have a right to be present during cardiopulmonary resuscitation (75%), team rounds (77%), and invasive procedures (57%). Sixty-five percent of respondents encounter families that frequently request to be present for team rounds. However, the majority of respondents encounter families that rarely request to be present during invasive procedures (69%) and cardiopulmonary resuscitation (73%). Many providers practice in ICUs where family-member presence is allowed; 64% allow family members to attend team rounds. Some of the concerns providers have regarding family-member presence in the ICU include family-member presence causing stress to the provider during invasive procedures along with distractions and nervousness among the team during cardiopulmonary resuscitation. The majority of providers predict family-member presence during cardiopulmonary resuscitation would not increase medicolegal concerns.<\/jats:p>\n               <jats:p>CONCLUSIONS. Most respondents, nonphysicians more than physicians, believe that family members have a right to be present during all ICU interventions. The majority of respondents encounter families that frequently request to be present for team rounds. However, the majority of respondents encounter families that rarely request to be present during invasive procedures and cardiopulmonary resuscitation. Most respondents believe family-member presence during cardiopulmonary resuscitation would not increase medicolegal concerns.<\/jats:p>","DOI":"10.1542\/peds.2006-2943","type":"journal-article","created":{"date-parts":[[2007,10,1]],"date-time":"2007-10-01T17:11:46Z","timestamp":1191258706000},"page":"e895-e901","source":"Crossref","is-referenced-by-count":29,"title":["Family-Member Presence During Interventions in the Intensive Care Unit: Perceptions of Pediatric Cardiac Intensive Care Providers"],"prefix":"10.1542","volume":"120","author":[{"given":"Julie K.","family":"Kuzin","sequence":"first","affiliation":[{"name":"Department of Cardiology, Texas Children's Hospital, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer G.","family":"Yborra","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Texas Children's Hospital, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael D.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Texas Children's Hospital, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony C.","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Children's Hospital of Orange County, Orange, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn A.","family":"Altman","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Texas Children's Hospital, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gina M.","family":"Whitney","sequence":"additional","affiliation":[{"name":"Division of Pediatric Critical Care, Department of Pediatrics, Vanderbilt Children's Hospital, Nashville, Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio R.","family":"Mott","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Texas Children's Hospital, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2007,10,1]]},"reference":[{"key":"2021120902283300400_R1","unstructured":"Emergency Nurses Association. Emergency Nurses Association position statement: family presence at bedside during invasive procedures and resuscitation. Revised October 2005. Available at: www.ena.org\/about\/position. Accessed May 12,2006"},{"key":"2021120902283300400_R2","unstructured":"Linder CM, Suddaby EC, Mowery BD. Critical thinking in critical care: parental presence during resuscitation: help or hindrance?Pediatr Nurs.\u20082004;30:126\u2013148"},{"key":"2021120902283300400_R3","unstructured":"Sumwalt, Robert. The sterile cockpit: aviation safety and reporting system. 1993. Available at: http:\/\/asrs.arc.nasa.gov\/directline_issues\/dl4_sterile.htm. Accessed March 15,2006"},{"key":"2021120902283300400_R4","unstructured":"Institute of Medicine of the National Academies. To Err Is Human: Building a Safer Health System. November 1, 1999. Available at: www.iom.edu\/cms\/8089\/5575\/4117.aspx. Accessed March 17, 2006"},{"key":"2021120902283300400_R5","doi-asserted-by":"crossref","unstructured":"Jarvis AS. Parental presence during resuscitation: attitudes of staff in a pediatric intensive care unit. Intensive Crit Care Nurs.\u20081998;14:3\u20137","DOI":"10.1016\/S0964-3397(98)80029-3"},{"key":"2021120902283300400_R6","doi-asserted-by":"crossref","unstructured":"McClenethan BM, Torrrington KG, Uyehara CFT. Family member presence during cardiopulmonary resuscitation: a survey of US and international critical care professionals. Chest.\u20082002;122:2201\u20132211","DOI":"10.1378\/chest.122.6.2204"},{"key":"2021120902283300400_R7","doi-asserted-by":"crossref","unstructured":"Sacchetti A, Lichenstein R, Carraccio CA, Harris RH. Family member presence during pediatric emergency department procedures. Pediatr Emerg Care.\u20081996;12:268\u2013271","DOI":"10.1097\/00006565-199608000-00008"},{"key":"2021120902283300400_R8","doi-asserted-by":"crossref","unstructured":"Meyers TA, Eichhorn DJ, Guzzettta CE, et al. Family presence during invasive procedures and resuscitation: the experiences of family members, nurses, and physicians. Am J Nurs.\u20082000;100:32\u201342","DOI":"10.1097\/00000446-200002000-00043"},{"key":"2021120902283300400_R9","doi-asserted-by":"crossref","unstructured":"Helmer SD, Smith RS, Dort JM, Shapiro WM, Katan BS. Family presence during trauma resuscitation: a survey of the American Association for the Surgery of Trauma and Emergency Nurses Association members. J Trauma.\u20082000;48:1015\u20131024","DOI":"10.1097\/00005373-200006000-00004"},{"key":"2021120902283300400_R10","doi-asserted-by":"crossref","unstructured":"O'Brien MM, Creamer KM, Hill EE, Welham J. Tolerance of family presence during pediatric cardiopulmonary resuscitation: a snapshot of military and civilian pediatricians, nurses, and residents. 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